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James C. Rosser, MD; Ludie E. Rosser; Raghu S. Savalgi, MD, PhD, FRCS

Arch Surg. 1997;132(2):200-204.

Abstract
Objectives
To describe a training method with objective evaluation to enhance laparoscopic surgical skills, to provide training in laparoscopic suturing techniques, and to assess whether specific training exercises were helpful in the attainment of intracorporeal suturing skills.

Design
Trainees (N=150) were asked to perform standardized drills with distinct mechanical features, and skill acquisition was determined by accuracy and timing. Trainees were tested for the ability to perform an intracorporeal laparoscopic suture before and after analogous skill training with the drills.

Setting
The training courses were held in teaching and nonteaching hospitals.

Participants
Board-certified or board-eligible surgeons.

Main Outcome Measures
Supervision by trained instructors and documentation of the time required to perform standardized drills.

Results
The trainees showed steady improvement in skill acquisition during 10 trials (P<.001). Significant (P<.001) improvement was noted for the performance of suturing after compared with before the drills.

Conclusion
Three standardized laparoscopic drills have been tested in 150 trainees and demonstrate the incremental acquisition of skills that correlate with improved performance in a challenging and complex laparoscopic skill, intracorporeal suturing.

Arch Surg. 1997;132:200-204

Author Affiliations
From the Department of Surgery, Yale University School of Medicine, New Haven, Conn.

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