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Hindi Research Article
Training in Laparoscopic Surgery in Latin America
Edmundo Dediós Orozco1* and Carlos Dediós La Madrid2
1CEPCEA President, Chief of the Surgery Department, Jorge Reategui Delgado Hospital II-EsSalud, Piura, Peru
2Chief of the Laparoscopic Surgery Laboratory, CEPCEA, Piura, Peru
- *Corresponding Author:
- Edmundo Dediós Orozco
CEPCEA President, Chief of the Surgery Department
Jorge Reategui Delgado Hospital, II-EsSalud, Piura, Peru
Tel: 073-969920022
Fax: 073-285210
E-mail: ed_dedios@hotmail.com
Receiving date: January 31, 2017; Accepted date: February 24, 2017; Published date: February 28, 2017
Citation: Dedios E, Dedios C (2017) Training in Laparoscopic Surgery in Latin America. J Gastrointest Dig Syst 7:489. doi: 10.4172/2161-069X.1000489
Copyright: © 2017 Dedios E, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Abstract
Introduction: The training of Residents and Surgeons in Laparoscopic Surgery in Latin America is performed in the OR (Operating Room) on the patient, which predisposes to the risk of many complications, both during learning as during the daily performance of this intervention.
Objective: To evaluate the efficiency of the basic training program in Laparoscopic surgery in the development of cognitive and motor dexterities and skills.
Methodology: CEPCEA (Center for Studies on Prevention and Correction of Abdominal Diseases) has developed a 5-day teaching system, based on the PBL (Problem-Based Learning) development of tests in manual skills on inanimate objects, biological and human tissue and permanent creation of easy to repeat tips, we combine the best of each continent: the American FLS (Fundamentals of Laparoscopic Surgery) Training, the Europeanoriginated Endotrainer and the Japanese KAIZEN. We took a pre-test and a practical post-test to the total cohort of trained surgeons during the period January-December 2016, tests which were based on time and on 20 theoretical questions with a value of 1 point per each correct answer. We used the SPSS v.21 as statistical software.
Results: The population tested consisted of 55 trainees from different Latin-American countries who attended in groups of 4 to 6 participants of general surgery (32), gynecology (11), urology (3), surgery oncology (3), pediatric surgery (1), and others (5) who, on admission, had a mean of peg transfer time of 189.6 seconds, which at the end of their practical training of 4 days was of 68.4 seconds; while the results of the pretest and theoretical posttest showed a media of 5.8 And 14.9 points respectively.
Conclusions: The CEPCEA teaching system is an efficient and necessary method for the development of manual and theoretical skills and dexterities in laparoscopic surgery in the various surgical specialties.
