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Training for endoscopic surgical procedures should be performed in the dissection room: a randomized study

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Abstract

Background

Laparoscopic surgery is associated with a shallow learning curve. AnubiFiX embalming technique enables laparoscopic surgical training on supple embalmed and hence insufflatable human specimens in the dissection room. Aim of the present trial is to test whether dissection-based anatomy education is superior to classical frontal classroom education on the short and long term.

Methods

A total of 112 medical students were randomized in three groups. Group I attended classroom education, group II laparoscopic dissection-based education and group III received both. All groups completed an anatomy test on human specimens before, immediately after and 3 weeks after the anatomy training.

Results

Group II and III scored significantly better compared to group I immediately after the anatomy training (p I–II < 0.001, p I–III < 0.001). This difference was still significant after 3 weeks (p I–II < 0.001, p I–III < 0.001). No significant difference was found between group II and group III immediately after the course (p = 0.86), nor at the follow-up (p = 0.054).

Conclusions

The AnubiFiX™ embalming technique enables laparoscopic anatomy education in human specimens, with superior outcomes on the short and long term, as compared to classical frontal classroom education.

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Authors and Affiliations

  1. Department of Surgery, Erasmus Medical Center Rotterdam, ‘s Gravendijkwal 230, PO BOX 2040, 3000, CA, Rotterdam, The Netherlands

    Pieter J. Klitsie, Bart ten Brinke & Johan F. Lange

  2. Department of Psychiatry, Section of Medical Psychology and Psychotherapy and the Institute of Medical Education Research Rotterdam (iMERR), Rotterdam, The Netherlands

    Reinier Timman & Jan J. V. Busschbach

  3. Department of Surgery, VieCuri Medical Center, Venlo, The Netherlands

    Hilco P. Theeuwes

  4. Department of Neuroscience and Anatomy, Erasmus Medical Center Rotterdam, Rotterdam, The Netherlands

    Gert-Jan Kleinrensink

Authors
  1. Pieter J. Klitsie
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  2. Bart ten Brinke
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  3. Reinier Timman
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  4. Jan J. V. Busschbach
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  5. Hilco P. Theeuwes
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  6. Johan F. Lange
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  7. Gert-Jan Kleinrensink
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Corresponding author

Correspondence to Pieter J. Klitsie.

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Disclosures

Pieter J. Klitsie, Bart ten Brinke, Reinier Timman, Jan J. V. Busschbach, Hilco P. Theeuwes, Johan F. Lange and Gert-Jan Kleinrensink have no conflicts of interest or financial ties to disclose.

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Klitsie, P.J., ten Brinke, B., Timman, R. et al. Training for endoscopic surgical procedures should be performed in the dissection room: a randomized study. Surg Endosc 31, 1754–1759 (2017). https://doi.org/10.1007/s00464-016-5168-3

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  • DOI: https://doi.org/10.1007/s00464-016-5168-3

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