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Effect of proctoring on implementation and results of elective laparoscopic colon surgery

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International Journal of Colorectal Disease Aims and scope Submit manuscript

Abstract

Purpose

A steep learning curve exists for surgeons to become skilled in laparoscopic colon resection. Our institute offers a proctored training programme. The purpose of this descriptive study was to evaluate whether the course resulted in adoption of laparoscopic colorectal surgery into clinical practice, explore post-course practice patterns and analyse the outcome of surgical performance.

Methods

Between 2003 and 2008, 26 surgeons were trained by our institute. The course consisted of 24 elective laparoscopic resections under direct supervision. A questionnaire and a prospective post-course web-based registration were used to analyse the effect of the training and the outcome of surgical performance.

Results

The response rate of the questionnaire was 85%. The majority had not performed any laparoscopic colon resections before attending the course. All 24 respondents successfully implemented laparoscopy into daily practice. After the course, 70% of all sigmoid resections were performed laparoscopically in contrast with 0% of all transverse colon resections. The results of the trainees after following the course are equal to results of other studies.

Conclusions

A proctored training programme, consisting of 24 supervised cases, is safe and feasible. For adequate monitoring, participating in a post-course registry should be obligatory.

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Author information

Authors and Affiliations

  1. Department of Surgery, Deventer Hospital, PO Box 5001, 7400 GC, Deventer, The Netherlands

    Robbert Bosker

  2. Department of Epidemiology, University Medical Center, Groningen, The Netherlands

    Henk Groen

  3. Department of Surgery, Medical Center Leeuwarden, Leeuwarden, The Netherlands

    Robbert Bosker, Christiaan Hoff, Eric Totte & Jean Pierre Pierie

  4. Leeuwarden Institute for Minimally Invasive Surgery (LIMIS), Leeuwarden, The Netherlands

    Robbert Bosker, Christiaan Hoff, Eric Totte & Jean Pierre Pierie

  5. Department of Surgery, University Medical Center Groningen, Groningen, The Netherlands

    Rutger Ploeg

Authors
  1. Robbert Bosker
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  2. Henk Groen
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  3. Christiaan Hoff
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  4. Eric Totte
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  5. Rutger Ploeg
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  6. Jean Pierre Pierie
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Corresponding author

Correspondence to Robbert Bosker.

Additional information

On behalf of the scientific committee of the Leeuwarden Institute for Minimally Invasive Surgery (LIMIS): S.A. Koopal, MD and E.R. Manusama MD, PhD.

Supplement 1: The questionnaire

Supplement 1: The questionnaire

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Bosker, R., Groen, H., Hoff, C. et al. Effect of proctoring on implementation and results of elective laparoscopic colon surgery. Int J Colorectal Dis 26, 941–947 (2011). https://doi.org/10.1007/s00384-011-1161-4

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  • DOI: https://doi.org/10.1007/s00384-011-1161-4

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