Endosurgery workshop to improve the confidence of novice pediatric surgeons in performing laparoscopic hepaticojejunostomy

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发表日期：

2024年1月31日

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Yuichi Okata,
Masakazu Murakami,
Munenori Uemura,
Yudai Tsuruno,
Serena Iwabuchi,
Yasuyuki Kameoka,
Shohei Yoshimura,
Yuki Takanarita,
Aya Watanabe,
Kotaro Uemura,
Harunori Miyauchi,
Taichi Nakatani,
Yuichiro Tomioka,
Yoshitomo Samejima,
Tadashi Hatakeyama,
Satoshi Ieiri,
Yuko Bitoh

摘要

Purpose

This study assessed the efficacy of a high-impact, short-term workshop in honing the laparoscopic hepaticojejunostomy technical skills and self-confidence of novice pediatric surgeons, focusing on vertical needle driving and knot tying.

Methods

Lectures, hands-on sessions, pre- and post-workshop evaluations, and training using porcine models were conducted to refine basic and advanced skills. The “hepaticojejunostomy simulator” was used for comparative analysis of precision in pre- and post-workshop vertical needle driving and knot tying. Participants self-evaluated their skills and confidence on a 5-point scale.

Results

After the workshop, eight inexperienced pediatric surgeons demonstrated a significant improvement in hepaticojejunostomy suturing task completion rates and needle-driving precision at the jejunum and hepatic duct. However, the A-Lap Mini Endoscopic Surgery Skill Assessment System indicated no significant improvements in most assessed parameters, except for the full-layer closure score (p = 0.03). However, a significant increase in participants' confidence levels in performing laparoscopic hepaticojejunostomy was observed.

Conclusion

The workshop augmented technical proficiency and confidence in young pediatric surgeons. The combination of lectures, practical exposure, and model training is an effective educational strategy in pediatric surgical instruction.