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Titolo:
Effectiveness of a hands-on training course for laparoscopic spine surgeryin a porcine model
Autore:
Olinger, A; Pistorius, G; Lindemann, W; Vollmar, B; Hildebrandt, U; Menger, MD;
Indirizzi:
Univ Saarland, Inst Clin & Expt Surg, D-66421 Homburg, Germany Univ Saarland Homburg Germany D-66421 xpt Surg, D-66421 Homburg, Germany
Titolo Testata:
SURGICAL ENDOSCOPY-ULTRASOUND AND INTERVENTIONAL TECHNIQUES
fascicolo: 2, volume: 13, anno: 1999,
pagine: 118 - 122
SICI:
0930-2794(199902)13:2<118:EOAHTC>2.0.ZU;2-M
Fonte:
ISI
Lingua:
ENG
Soggetto:
LUMBAR INTERBODY FUSION; AORTOBIFEMORAL BYPASS; DISKECTOMY; PIG;
Keywords:
hands-on training course; minimal invasive surgery; laparoscopic anterior interbody spine fusion porcine model;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
24
Recensione:
Indirizzi per estratti:
Indirizzo: Menger, MD Univ Saarland, Inst Clin & Expt Surg, D-66421 Homburg, Germany Univ Saarland Homburg Germany D-66421 -66421 Homburg, Germany
Citazione:
A. Olinger et al., "Effectiveness of a hands-on training course for laparoscopic spine surgeryin a porcine model", SURG ENDOSC, 13(2), 1999, pp. 118-122

Abstract

Background: Although it is widely proposed that surgeons, before introducing a novel laparoscopic technique in man, should practice in an appropriateanimal model for acquisition of the necessary technical skills, the effectiveness of those hands-on training courses are rarely documented. Methods: In 1995 we have organized eight hands-on training courses for laparoscopic anterior interbody spine fusion in an in vivo porcine model. A total of 72 colleagues from 50 different centers of 12 countries participated, including orthopedic, trauma, visceral, neuro-, and vascular surgeons. Quality and effectiveness of the course were evaluated by a questionnaire after a 1.5- to 2.5-year period. Results: During this time, 42.2% of the participating centers had applied the new technique successfully in man. Centers which participated in the course with a team that included a skilled laparoscopic surgeon and an orthopedic or trauma surgeon introduced the technique more frequently to clinicalpractice (57.9%) than those represented by only one participant (30.8%). Moreover, there was a tendency toward a more frequent introduction of the technique to clinical practice in centers associated with university hospitals (57.1% vs. 29.2%), indicating the requirement of a particular infrastructure for this complex interdisciplinary procedure. Almost all participants (98.3%) agreed that for novel surgical techniques requiring advanced technical skills, there should first be training in a large animal model before the technique is applied in man. Conclusions: Complex laparoscopic procedures (i.e., laparoscopic spine surgery) can be successfully learned by in vivo hands-on training courses. We propose that for refinements and modifications of the technique (e.g., the lumboscopic approach), there should also first be training in a large animal model before these are applied in man.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 05/07/20 alle ore 22:48:12