Mentor Tutoring: An Efficient Method for Teaching Laparoscopic Colorectal Surgical Skills in a General Hospital

被引:10
作者
Ichikawa, Nobuki [1 ,3 ]
Homma, Shigenori [1 ]
Yoshida, Tadashi [1 ]
Ohno, Yosuke [1 ]
Kawamura, Hideki [1 ]
Wakizaka, Kazuki [1 ,3 ]
Nakanishi, Kazuaki [3 ]
Kazui, Keizo [3 ]
Iijima, Hiroaki [2 ]
Shomura, Hiroki [3 ,4 ]
Funakoshi, Tohru [4 ]
Nakano, Shiro [4 ]
Taketomi, Akinobu [1 ]
机构
[1] Hokkaido Univ, Grad Sch Med, Dept Surg Gastroenterol, Sapporo, Hokkaido, Japan
[2] Hokkaido Univ Hosp, Clin Res & Med Innovat Ctr, Kita Ku, Sapporo, Hokkaido, Japan
[3] Japan Community Healthcare Org, Dept Surg, Hokkaido Hosp, Toyohira Ku, Sapporo, Hokkaido, Japan
[4] Asahikawa Kosei Gen Hosp, Dept Surg, 1 Joudori, Asahikawa, Hokkaido, Japan
关键词
laparoscopic surgery; laparoscopic colorectal; colorectal cancer; learning curve; tutorial; general hospital; LEARNING-CURVE; COLON-CANCER; OPEN SURGERY; TRIAL; COLECTOMY; MULTICENTER;
D O I
10.1097/SLE.0000000000000487
中图分类号
R61 [外科手术学];
学科分类号
摘要
Objective:We retrospectively assessed the efficacy of our mentor tutoring system for teaching laparoscopic colorectal surgical skills in a general hospital.Materials and Methods:A series of 55 laparoscopic colectomies performed by 1 trainee were evaluated. Next, the learning curves for high anterior resection performed by the trainee (n=20) were compared with those of a self-trained surgeon (n=19).Results:Cumulative sum analysis and multivariate regression analyses showed that 38 completed cases were needed to reduce the operative time. In high anterior resection, the mean operative times were significantly shorter after the seventh average for the tutored surgeon compared with that for the self-trained surgeon. In cumulative sum charting, the curve reached a plateau by the seventh case for the tutored surgeon, but continued to increase for the self-trained surgeon.Conclusions:Mentor tutoring effectively teaches laparoscopic colorectal surgical skills in a general hospital setting.
引用
收藏
页码:479 / 484
页数:6
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