Experts in Minimally Invasive Surgery are Outperformed by Trained Novices on Suturing Skills

• DOI: 10.1016/j.jss.2023.11.042
• Publication Date: 2023-12-11T17:00:45Z
• Authors: Daan J. Verhoeven; Maja Joosten; Erik Leijte; Sanne MBI. Botden; Bas H. Verhoeven
• Keywords: Knot tying; Learning curve; Invasive surgery

IntroductionLearning minimally invasive suturing can be challenging, creating a barrier to further implementation, especially with the development of easier methods. Nevertheless, mastering intracorporeal knot tying is crucial when alternative techniques prove inadequate. Therefore, surgery (MIS) skills MIS experts are compared group novices during their learning curve on simulator.MethodsThe novice participants repeatedly performed task EoSim simulator (up maximum 20 repetitions). The (>50 procedures and advanced experience) completed same once. first last exercises expert tasks were all blindly recorded assessed by two independent assessors using Laparoscopic Suturing Competency Assessment Tool (LS-CAT). Additionally, objective assessment parameters, "time" "distance", instrument tracking, collected. scores then novices.ResultsAt end training, significantly outperformed both (LS-CAT: 16.8 versus 26.8, P = 0.001) parameters (median time: 190 s 161 s, < 0.001; median distance: 6.1 m 3.6 m, 0.001). Although showed slightly better performance than task, difference was not significant (LS-CAT 16.8, 20.5, 0.057).ConclusionsOur findings underscore significance continued training for residents surgeons. In this study, trained demonstrated outperformance quantitative qualitative outcome within simulated setting.