Comparison of the Effect of Instrument Type on Transanal Endoscopic Surgery Learning Curves
| Autor: | Fahd O. Arafat, Anne Marie Boller, Ezra N. Teitelbaum |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Laparoscopic surgery
medicine.medical_specialty Students Medical medicine.medical_treatment Operative Time 030230 surgery Proctoscopy Task (project management) Transanal Endoscopic Surgery 03 medical and health sciences 0302 clinical medicine Medicine Humans Laparoscopy Simulation Training medicine.diagnostic_test business.industry Surgery Learning curve Education Medical Graduate 030220 oncology & carcinogenesis Operative time Clinical Competence Clinical competence business Learning Curve |
| Zdroj: | Surgical laparoscopy, endoscopypercutaneous techniques. 26(4) |
| ISSN: | 1534-4908 |
| Popis: | BACKGROUND Transanal endoscopic surgery (TES) can be technically difficult due to the constraints of operating through a narrow proctoscope channel. In this study, we compared the performance of surgical novices using instruments with and without articulating shafts to perform a simulated TES task. METHODS Medical students each performed 10 repetitions of the Fundamentals of Laparoscopic Surgery circle-cut task. Participants were randomized into 3 groups: 2 performed the task through a TES proctoscope using scissors with either a rigid (TES-R) or articulating (TES-A) shaft. The third group performed the task laparoscopically (LAP). RESULTS A total of 31 medical students participated. The LAP group had a faster mean task time than both the TES-R and TES-A groups (LAP 201±120 s vs. TES-R 362±212 s and TES-A 405±212 s, both P |
| Databáze: | OpenAIRE |
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