Jp. Byrne et Mm. Mughal, Telementoring as an adjunct to training and competence-based assessment inlaparoscopic cholecystectomy, SURG ENDOSC, 14(12), 2000, pp. 1159-1161
Citations number
10
Categorie Soggetti
Surgery
Journal title
SURGICAL ENDOSCOPY-ULTRASOUND AND INTERVENTIONAL TECHNIQUES
Background: We set out to assess telementoring as a training adjunct and an
objective means of assessing competence in laparoscopic cholecystectomy (L
C).
Methods: Consecutive patients underwent LC performed by a higher surgical t
rainee (HST). The laparoscopic image was relayed to an adjoining theater, w
here the trainer observed as he operated during a parallel operating list.
Interaction occurred between trainer and trainee as appropriate; and intera
ction, procedure difficulty, and duration were recorded.
Results: LC was accomplished in 33 of 34 patients, with one (2.9%) open con
version and one (2.9%) postoperative bile collection. Ln 21 cases (69%), th
ere was no interaction; in II cases (32.4%), there was verbal interaction;
and in two cases (5.9%), the trainer scrubbed. Interaction rates for diffic
ulty grades 1, 2, and 3 were 15% (2/13), 41.2% (7/17), and 50% (2/4), with
median operating times of 35, 45, and 92 min, respectively.
Conclusions: Telementoring in LC is feasible, appears to be safe, and may g
enerate objective assessment of a trainee's performance and progress. Evalu
ation of this technique in a cohart of trainees at different stages is now
required.