Efecto de la simulación quirúrgica en la implementación clínica de procedimientos colorrectales laparoscópicos / Effects of surgical simulation on the implementation of laparoscopic colorectal procedures

INTRODUCCIÓN: La cirugía laparoscópica avanzada necesita complementar el aprendizaje fuera del quirófano. La simulación clínica con animales o cadáveres favorece este aprendizaje. OBJETIVO: Mostrar el grado de impacto en la práctica quirúrgica diaria en los cirujanos que realizaron un curso clínico-experimental de cirugía colorrectal laparoscópica. MATERIAL Y MÉTODO: Entre marzo de 2007 y marzo de 2012, realizamos 30 cursos de 4 días de duración, durante 35 h (18 en quirófano, 12 en animales de experimentación y 4 en seminarios), en los que participaron 163 cirujanos. En mayo de 2012, vía online, se les remitió una encuesta con la finalidad de evaluar el impacto que este curso podía haber tenido en su práctica diaria de cirugía colorrectal laparoscópica. RESULTADOS: El número de encuestas contestadas fue de 70 (47%), que correspondían a cirujanos de 60 hospitales diferentes. El periodo medio tras el curso fue de 11,5 meses (2-60). El 75% de los cirujanos iniciaron o aumentaron el número de cirugías que realizan después del curso, siendo este aumento menor de 5 casos/mes en el 56% y mayor de 10 casos/mes en el 19%. El 38% iniciaron esta vía de abordaje. CONCLUSIONES: El 75% de los cirujanos encuestados aumentaron la implementación clínica de una técnica quirúrgica compleja como es la cirugía colorrectal por vía laparoscópica, después de realizar un curso de entrenamiento apoyado en simulación clínica

INTRODUCTION: Advanced laparoscopic surgery requires supplementary training outside the operating room. Clinical simulation with animal models or cadavers facilitates this learning. OBJECTIVE: We measured the impact on clinical practice of a laparoscopic colorectal resection training program based on surgical simulation. MATERIAL AND METHODS: Between March 2007 and March 2012, 163 surgeons participated in 30 courses that lasted 4 days, of 35 hours (18 h in the operating room, 12 h in animal models, and 4 h in seminars). In May 2012, participants were asked via an on-line survey about the degree of implementation of the techniques in their day-to-day work. RESULTS: Seventy surgeons (47%) from 60 different hospitals answered the survey. Average time elapsed after the course was 11.5 months (2-60 months). A total of 75% initiated or increased the number of surgeries performed after the training. The increase in practice was > 10 cases/month in 19%, and < 5 cases/month in 56% of surgeons. 38% of participants initiated this surgical approach. CONCLUSIONS: Seventy five percent of the surveyed surgeons increased the clinical implementation of a complicated surgical technique, such as laparoscopic colorectal surgery, after attending a training course based on clinical simulation

[Effects of surgical simulation on the implementation of laparoscopic colorectal procedures]. / Efecto de la simulación quirúrgica en la implementación clínica de procedimientos colorrectales laparoscópicos.

INTRODUCTION: Advanced laparoscopic surgery requires supplementary training outside the operating room. Clinical simulation with animal models or cadavers facilitates this learning. OBJECTIVE: We measured the impact on clinical practice of a laparoscopic colorectal resection training program based on surgical simulation. MATERIAL AND METHODS: Between March 2007 and March 2012, 163 surgeons participated in 30 courses that lasted 4 days, of 35 hours (18 h in the operating room, 12h in animal models, and 4h in seminars). In May 2012, participants were asked via an on-line survey about the degree of implementation of the techniques in their day-to-day work. RESULTS: Seventy surgeons (47%) from 60 different hospitals answered the survey. Average time elapsed after the course was 11.5 months (2-60 months). A total of 75% initiated or increased the number of surgeries performed after the training. The increase in practice was>10 cases/month in 19%, and<5 cases/month in 56% of surgeons. 38% of participants initiated this surgical approach. CONCLUSIONS: Seventy five percent of the surveyed surgeons increased the clinical implementation of a complicated surgical technique, such as laparoscopic colorectal surgery, after attending a training course based on clinical simulation.