Animate advanced laparoscopic courses improve resident operative performance

Am J Surg. 2004 Aug;188(2):157-60. doi: 10.1016/j.amjsurg.2004.04.002.


Background: The use of animate training laboratories have been touted as an important part of a surgical resident's training. This study determines if there was any benefit in resident performance and whether that benefit persisted.

Methods: Twelve senior surgical residents attended a course in advanced laparoscopy with didactic and laboratory components. The residents' skills were tested by having them perform a laparoscopic fundoplication before, immediately after, and 6 months after the course. The procedure was videotaped, and divided into stages that were timed and scored by a single, masked observer.

Results: Overall performance score was 35.7 +/- 2.5 for the pretest, improving to 16.5 +/- 1.2 (P <0.05) immediately after the course, and 23.7 +/- 5.1 (P <0.05) at 6 months. Significant improvements were seen with trocar insertion, crural closure, division of short gastric arteries, and fundoplication.

Conclusions: The data presented demonstrate significant and persistent improvement in laparoscopic operative skills as a result of focused laboratory skill training.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Clinical Competence*
  • Fundoplication / education
  • General Surgery / education*
  • Humans
  • Internship and Residency*
  • Laparoscopy*
  • Suture Techniques / education