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Effectiveness of basic endoscopic surgical skill training for pediatric surgeons

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Abstract

Purpose

Pediatric surgeons require highly advanced skills when performing endoscopic surgery, but their experience with such cases tend to be limited in comparison to general surgeons. The aim of this study was to evaluate the effectiveness of basic endoscopic surgery training for less-experienced young pediatric surgeons and then compare their skills with those of general surgeons.

Methods

The surgeons (n = 477) subjected to this study underwent a 2-day endoscopic skill training program, consisting of lectures, box training, VR simulator training, tissue training, and live tissue training. The trainees were divided into two groups: P (pediatric surgeons, n = 33) and G (general surgeons, n = 444). The trainees were required to make a continuous suture along a circle measuring 2.5 cm in diameter and the findings were evaluated both before and after training. A statistical analysis was conducted using the unpaired t test.

Results

The number of experienced cases totaled 20.8 ± 23.9 in P and 60.6 ± 80.5 in G (p < 0.001). The number of completed sutures before training was 1.4 ± 1.1 in P and 1.9 ± 1.5 in G (p < 0.05). The number of completed sutures after training was 4.1 ± 1.3 in P and 3.9 ± 1.9 in G (p > 0.05). The economy and speed of the forceps improved, however, the number of errors increased.

Conclusion

Less-experienced pediatric surgeons improved their surgical skill and ability until reaching almost the same level as that observed in more experienced general surgeons during training, however, the number of errors after training increased in comparison to before training. As a result, this program needs to be modified to reduce the number of errors while enabling pediatric surgeons to master the safe and precise surgical techniques needed in this field.

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Acknowledgments

We thank Mr. Brian Quinn for comments and help with the manuscript. This study was supported by Grants-in-Aid for Scientific Research from the Japan Society for the Promotion of Science and Kyushu University Interdisciplinary Programs in Education and Projects in Research (P&P).

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Authors and Affiliations

  1. Department of Pediatric Surgery, Reproductive and Developmental Medicine, Faculty of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka, 812-8582, Japan

    Satoshi Ieiri, Takanori Nakatsuji, Mayumi Higashi, Junko Akiyoshi & Tomoaki Taguchi

  2. Department of Advanced Medicine and Innovative Technology, Kyushu University Hospital, Fukuoka, Japan

    Satoshi Ieiri, Manabu Onimaru, Kazuo Tanoue & Makoto Hashizume

  3. Department of Future Medicine and Medical Information, Faculty of Medical Sciences, Kyushu University, Fukuoka, Japan

    Takanori Nakatsuji, Mayumi Higashi, Kouzou Konishi & Morimasa Tomikawa

  4. Department of Medical Initiatives, Faculty of Medical Sciences, Kyushu University, Fukuoka, Japan

    Munenori Uemura, Kenoki Ohuchida, Jaesung Hong & Makoto Hashizume

Authors
  1. Satoshi Ieiri
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  2. Takanori Nakatsuji
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  3. Mayumi Higashi
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  4. Junko Akiyoshi
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  5. Munenori Uemura
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  6. Kouzou Konishi
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  7. Manabu Onimaru
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  8. Kenoki Ohuchida
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  9. Jaesung Hong
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  10. Morimasa Tomikawa
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  11. Kazuo Tanoue
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  12. Makoto Hashizume
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  13. Tomoaki Taguchi
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Corresponding author

Correspondence to Satoshi Ieiri.

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Ieiri, S., Nakatsuji, T., Higashi, M. et al. Effectiveness of basic endoscopic surgical skill training for pediatric surgeons. Pediatr Surg Int 26, 947–954 (2010). https://doi.org/10.1007/s00383-010-2665-7

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  • DOI: https://doi.org/10.1007/s00383-010-2665-7

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