Skip to main content
Log in

European society of pediatric endoscopic surgeons (ESPES) guidelines for training program in pediatric minimally invasive surgery

  • Original Article
  • Published:
Pediatric Surgery International Aims and scope Submit manuscript

Abstract

Purpose

The aim of this paper was to propose structured guidelines for a European pediatric MIS training program created by ESPES.

Methods

A questionnaire, focused on how the pediatric training program in MIS has to be structured, was proposed to all participants at the ESPES Congress in Marseille in 2013.

Results

We received 178 questionnaires but only 139 questionnaires were fully completed and analyzed. All respondents agree that the training program has to be divided into 4 steps: (1) theoretical part: 2 theoretical courses in laparoscopy (101/139 respondents, 72.7 %), 1 theoretical course in retroperitoneoscopy (99/139 respondents, 71.2 %) and 1 in thoracoscopy (91/139 respondents, 65.5 %); (2) experimental part: 10–20 h of training on pelvic trainer (103/139 respondents, 74.1 %) and 10 h of training on animal models (91/139 respondents, 65.5 %); (3) stages in European centers of reference for MIS: a 1–3 months stage (96/139 respondents, 69.1 %); (4) personal experience: 30 procedures as cameraman (98/139 respondents, 70.5 %) and >50 basic MIS procedures as main surgeon under supervision (114/139 respondents, 82 %).

Conclusions

On the basis of our survey ESPES MIS training curriculum for pediatric surgeons must contain the following educational components: (1) theoretical knowledge; (2) practice-based learning and improvement in experimental setting; (3) stages in European centers of reference for MIS; (4) personal operative experience. At the end of the training program, ESPES will analyze the candidate training booklet and release for each applicant an ESPES certification after an exam.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Bethlehem MS, Kramp KH, van Det MJ et al (2014) Development of a standardized training course for laparoscopic procedures using Delphi methodology. J Surg Educ 71:810–816

    Article  PubMed  Google Scholar 

  2. Keeley FX Jr, Eden CG, Tolley DA, Joyce AD (2007) The British association of urological surgeons: guidelines for training in laparoscopy. BJU Intern 100:379–381

    Article  Google Scholar 

  3. Keeley FX Jr, Tolley DA (1998) A review of our first 100 cases of laparoscopic nephrectomy: defining risk factors for complications. Br J Urol 82:615–618

    Article  CAS  PubMed  Google Scholar 

  4. Marks JM, Nussbaum MS, Pritts TA, Scheeres DE (2001) Evaluation of endoscopic and laparoscopic training practices in surgical residency programs. Surg Endosc 15:1011–1015

    Article  CAS  PubMed  Google Scholar 

  5. Leichtner AM, Gillis LA, Gupta S, Heubi J, Kay M, Narkewicz MR, Rider EA, Rufo PA, Sferra TJ, Teitelbaum J, NASPGHAN Training Committee, North American Society for Pediatric Gastroenterology (2013) NASPGHAN guidelines for training in pediatric gastroenterology. J Pediatr Gastroenterol Nutr 56(Suppl 1):S1–S8

    Article  PubMed  Google Scholar 

  6. McFadden CL, Cobb WS, Lokey JS et al (2007) The impact of a formal minimally invasive service on the resident’s ability to achieve new ACGME guidelines for laparoscopy. J Surg Educ 64:420–423

    Article  PubMed  Google Scholar 

  7. Brar SS, Wright F, Okrainec A, Smith AJ (2011) A structured strategy to combine education for advanced MIS training in surgical oncology training programs. Surg Oncol 20:129–133

    Article  CAS  PubMed  Google Scholar 

  8. Van Hove C, Perry KA, Spight DH et al (2008) Predictors of technical skill acquisition among resident trainees in a laparoscopic skills education program. World J Surg 32:1917–1921

    Article  PubMed  Google Scholar 

  9. Jalink MB, Goris J, Heineman E et al (2014) Construct and concurrent validity of a Nintendo Wii video game made for training basic laparoscopic skills. Surg Endosc 28(2):537–542

    Article  CAS  PubMed  Google Scholar 

  10. Zhang J, Liu C (2013) A training model for laparoscopic dismembered pyeloplasty. Nan Fang Yi Ke Da Xue Xue Bao 33(10):1541–1543

    PubMed  Google Scholar 

  11. Sroka G, Feldman LS, Vassiliou MC et al (2010) Fundamentals of laparoscopic surgery simulator training to proficiency improves laparoscopic performance in the operating room—a randomized controlled trial. Am J Surg 199:115–120

    Article  PubMed  Google Scholar 

  12. Seymour NE, Gallagher AG, Roman SA et al (2002) Virtual reality training improves operating room performance: results of a randomized, double-blinded study. Ann Surg 236:458–463

    Article  PubMed Central  PubMed  Google Scholar 

  13. La Torre M, Caruso C (2013) The animal model in advanced laparoscopy resident training. Surg Laparosc Endosc Percutan Tech 23(3):271–275

    Article  PubMed  Google Scholar 

  14. Narayanan SK, Cohen RC, Shun A (2014) Technical tips and advancements in pediatric minimally invasive surgical training on porcine based simulations. Pediatr Surg Int 30(6):655–661

    Article  PubMed  Google Scholar 

  15. Cruz JA, Passerotti CC, Frati RM et al (2012) Surgical performance during laparoscopic radical nephrectomy is improved with training in a porcine model. J Endourol 26(3):278–282

    Article  PubMed  Google Scholar 

  16. Kirlum HJ, Heinrich M, Till H (2005) The rabbit model serves as a valuable operative experience and helps to establish new techniques for abdominal and thoracic endosurgery. Pediatr Surg Int 21:91–93

    Article  PubMed  Google Scholar 

  17. Heinrich M, Tillo N, Kirlum HJ, Till H (2006) Comparison of different training models for laparoscopic surgery in neonates and small infants. Surg Endosc 20:641–644

    Article  CAS  PubMed  Google Scholar 

  18. Zhang H, Payandeh S, Dill J, Lomax AJ (2004) Acquiring laparoscopic manipulative skills: a virtual tissue dissection training module. Stud Health Technol Inform 98:419–421

    PubMed  Google Scholar 

  19. Van Det MJ, Meijerink WJHJ, Hoff C et al (2011) The learning effect of intraoperative video-enhanced surgical procedure training. Surg Endosc 25:2261–2267

    Article  PubMed Central  PubMed  Google Scholar 

  20. Van Det MJ, Meijerink WJHJ, Hoff C et al (2013) Effective and efficient learning in the operating theater with intraoperative video-enhanced surgical procedure training. Surg Endosc 27:2947–2954

    Article  PubMed  Google Scholar 

  21. Dunnington GL, Williams RG (2003) Addressing the new competencies for residents’ surgical training. Acad Med 78:14–21

    Article  PubMed  Google Scholar 

  22. Ritter EM, Scott DJ (2007) Design of a proficiency-based skills training curriculum for the fundamentals of laparoscopic surgery. Surg Innov 14:107

    Article  PubMed  Google Scholar 

  23. Peters JH, Fried GM, Swanstrom LL et al (2004) Development and validation of a comprehensive program of education and assessment of the basic fundamentals of laparoscopic surgery. Surgery 135:21–27

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Ciro Esposito.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Esposito, C., Escolino, M., Saxena, A. et al. European society of pediatric endoscopic surgeons (ESPES) guidelines for training program in pediatric minimally invasive surgery. Pediatr Surg Int 31, 367–373 (2015). https://doi.org/10.1007/s00383-015-3672-5

Download citation

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00383-015-3672-5

Keywords

Navigation