Training Program for Laparoscopic Achalasia Surgery in Inert and Organic Models. Observational study

Abstract

Surgery education has experienced paradigm shifts in recent decades, mainly in the acquisition of surgical skills and abilities. Simulation emerges as a complementary learning tool in laparoscopic surgery. Objective: To design a training program for the development of abilities and skills in the laparoscopic approach to achalasia surgery. Methods: This is an observational, longitudinal, prospective and analytical study based on a training program with inert and ex vivo models. The participants were postgraduate residents of general surgery at the Central University of Venezuela. Results: 30 practices were carried out with 6 residents of the same level of experience, a decrease of 22.64% in the time between the initial and final evaluation was observed, with an improvement in skills with the GOALS scale of 33.3%. Conclusion: The training program allowed to reproduce some of the steps for achalasia surgery, constituting an effective, low cost and easy to implement method for teaching and acquiring laparoscopic skills.