Usefulness of a stepwise training program for laparoscopic gastrectomy
Introduction Laparoscopic gastrectomy (LG) is a complicated procedure with a long learning curve. This study was performed to investigate the usefulness of our stepwise training program for LG for improving the quality of the surgery. Methods The stepwise training method comprised the following four...
Gespeichert in:
| Veröffentlicht in: | Asian journal of endoscopic surgery 2022-01, Vol.15 (1), p.121-127 |
|---|---|
| Hauptverfasser: | , , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 127 |
|---|---|
| container_issue | 1 |
| container_start_page | 121 |
| container_title | Asian journal of endoscopic surgery |
| container_volume | 15 |
| creator | Nishi, Masaaki Shimada, Mitsuo Yoshikawa, Kozo Tokunaga, Takuya Kashihara, Hideya Takasu, Chie Yoshimoto, Toshiaki Iwahashi, Shoko |
| description | Introduction
Laparoscopic gastrectomy (LG) is a complicated procedure with a long learning curve. This study was performed to investigate the usefulness of our stepwise training program for LG for improving the quality of the surgery.
Methods
The stepwise training method comprised the following four steps: (1) basic training using a dry box and checking by mentors; (2) advanced training, including the use of animals and cadavers; (3) clinical experience, including standardization and preoperative three‐dimensional simulation; and (4) self‐assessment and feedback. In total, 153 patients who underwent curative gastrectomy for gastric cancer were included in this study.
Results
The operative time gradually decreased for both laparoscopic distal gastrectomy (LDG) (2013, 395 minutes; 2017, 278 minutes; P |
| doi_str_mv | 10.1111/ases.12979 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2572211277</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2615861089</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3819-16f691d735bb1cf08f27e8744ec4bc303551afdf2834c102b01068d894f228bd3</originalsourceid><addsrcrecordid>eNp9kEFLwzAUx4Mobk4vfgApeBGhMy9pm_Q4xqbCwMPcOaRpMjrapiYtY9_ezs4dPPgu7x1-_Pm_H0L3gKfQz4v02k-BpCy9QGNgMQ_jFPDl-cZkhG6832GcMIjoNRrRKIaIQTpGy43Xpitr7X1gTSAD3-pmX3gdtE4WdVFvg8bZrZNVYKwLStlIZ72yTaGCrfSt06q11eEWXRlZen132hO0WS4-52_h6uP1fT5bhYpySENITJJCzmicZaAM5oYwzVkUaRVlimIaxyBNbginkQJMMgw44TlPI0MIz3I6QU9Dbl_qq9O-FVXhlS5LWWvbeUFiRggAYaxHH_-gO9u5um8nSAIxTwDztKeeB0r1b3mnjWhcUUl3EIDF0a442hU_dnv44RTZZZXOz-ivzh6AAdgXpT78EyVm68V6CP0GmraEEg</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2615861089</pqid></control><display><type>article</type><title>Usefulness of a stepwise training program for laparoscopic gastrectomy</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><creator>Nishi, Masaaki ; Shimada, Mitsuo ; Yoshikawa, Kozo ; Tokunaga, Takuya ; Kashihara, Hideya ; Takasu, Chie ; Yoshimoto, Toshiaki ; Iwahashi, Shoko</creator><creatorcontrib>Nishi, Masaaki ; Shimada, Mitsuo ; Yoshikawa, Kozo ; Tokunaga, Takuya ; Kashihara, Hideya ; Takasu, Chie ; Yoshimoto, Toshiaki ; Iwahashi, Shoko</creatorcontrib><description>Introduction
Laparoscopic gastrectomy (LG) is a complicated procedure with a long learning curve. This study was performed to investigate the usefulness of our stepwise training program for LG for improving the quality of the surgery.
Methods
The stepwise training method comprised the following four steps: (1) basic training using a dry box and checking by mentors; (2) advanced training, including the use of animals and cadavers; (3) clinical experience, including standardization and preoperative three‐dimensional simulation; and (4) self‐assessment and feedback. In total, 153 patients who underwent curative gastrectomy for gastric cancer were included in this study.
Results
The operative time gradually decreased for both laparoscopic distal gastrectomy (LDG) (2013, 395 minutes; 2017, 278 minutes; P < .001; ρ = −0.68) and laparoscopic total gastrectomy (LTG) (2013, 476 minutes; 2017, 319 minutes; P < .001; ρ = −0.56). The blood loss volume gradually decreased for both LDG (2013, 43.0 mL; 2017, 18.6 mL; P < .005; ρ = −0.30) and LTG (2013, 143.8 mL; 2017, 13.5 mL; P < .005; ρ = −0.41).
Conclusions
Our stepwise training program contributes to reduce operation time and blood loss in LG.</description><identifier>ISSN: 1758-5902</identifier><identifier>EISSN: 1758-5910</identifier><identifier>DOI: 10.1111/ases.12979</identifier><identifier>PMID: 34514719</identifier><language>eng</language><publisher>Kyoto, Japan: John Wiley & Sons Australia, Ltd</publisher><subject>Gastrectomy ; Gastric cancer ; Gastrointestinal surgery ; Humans ; laparoscopic gastrectomy ; Laparoscopy ; Retrospective Studies ; stepwise training ; Stomach Neoplasms - surgery ; Training ; Treatment Outcome</subject><ispartof>Asian journal of endoscopic surgery, 2022-01, Vol.15 (1), p.121-127</ispartof><rights>2021 Asia Endosurgery Task Force and Japan Society of Endoscopic Surgery and John Wiley & Sons Australia, Ltd.</rights><rights>2022 Asia Endosurgery Task Force and Japan Society of Endoscopic Surgery and John Wiley & Sons Australia, Ltd</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3819-16f691d735bb1cf08f27e8744ec4bc303551afdf2834c102b01068d894f228bd3</citedby><cites>FETCH-LOGICAL-c3819-16f691d735bb1cf08f27e8744ec4bc303551afdf2834c102b01068d894f228bd3</cites><orcidid>0000-0003-3845-457X ; 0000-0003-0383-0504 ; 0000-0003-0739-2126 ; 0000-0001-9751-1007</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fases.12979$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fases.12979$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34514719$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nishi, Masaaki</creatorcontrib><creatorcontrib>Shimada, Mitsuo</creatorcontrib><creatorcontrib>Yoshikawa, Kozo</creatorcontrib><creatorcontrib>Tokunaga, Takuya</creatorcontrib><creatorcontrib>Kashihara, Hideya</creatorcontrib><creatorcontrib>Takasu, Chie</creatorcontrib><creatorcontrib>Yoshimoto, Toshiaki</creatorcontrib><creatorcontrib>Iwahashi, Shoko</creatorcontrib><title>Usefulness of a stepwise training program for laparoscopic gastrectomy</title><title>Asian journal of endoscopic surgery</title><addtitle>Asian J Endosc Surg</addtitle><description>Introduction
Laparoscopic gastrectomy (LG) is a complicated procedure with a long learning curve. This study was performed to investigate the usefulness of our stepwise training program for LG for improving the quality of the surgery.
Methods
The stepwise training method comprised the following four steps: (1) basic training using a dry box and checking by mentors; (2) advanced training, including the use of animals and cadavers; (3) clinical experience, including standardization and preoperative three‐dimensional simulation; and (4) self‐assessment and feedback. In total, 153 patients who underwent curative gastrectomy for gastric cancer were included in this study.
Results
The operative time gradually decreased for both laparoscopic distal gastrectomy (LDG) (2013, 395 minutes; 2017, 278 minutes; P < .001; ρ = −0.68) and laparoscopic total gastrectomy (LTG) (2013, 476 minutes; 2017, 319 minutes; P < .001; ρ = −0.56). The blood loss volume gradually decreased for both LDG (2013, 43.0 mL; 2017, 18.6 mL; P < .005; ρ = −0.30) and LTG (2013, 143.8 mL; 2017, 13.5 mL; P < .005; ρ = −0.41).
Conclusions
Our stepwise training program contributes to reduce operation time and blood loss in LG.</description><subject>Gastrectomy</subject><subject>Gastric cancer</subject><subject>Gastrointestinal surgery</subject><subject>Humans</subject><subject>laparoscopic gastrectomy</subject><subject>Laparoscopy</subject><subject>Retrospective Studies</subject><subject>stepwise training</subject><subject>Stomach Neoplasms - surgery</subject><subject>Training</subject><subject>Treatment Outcome</subject><issn>1758-5902</issn><issn>1758-5910</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kEFLwzAUx4Mobk4vfgApeBGhMy9pm_Q4xqbCwMPcOaRpMjrapiYtY9_ezs4dPPgu7x1-_Pm_H0L3gKfQz4v02k-BpCy9QGNgMQ_jFPDl-cZkhG6832GcMIjoNRrRKIaIQTpGy43Xpitr7X1gTSAD3-pmX3gdtE4WdVFvg8bZrZNVYKwLStlIZ72yTaGCrfSt06q11eEWXRlZen132hO0WS4-52_h6uP1fT5bhYpySENITJJCzmicZaAM5oYwzVkUaRVlimIaxyBNbginkQJMMgw44TlPI0MIz3I6QU9Dbl_qq9O-FVXhlS5LWWvbeUFiRggAYaxHH_-gO9u5um8nSAIxTwDztKeeB0r1b3mnjWhcUUl3EIDF0a442hU_dnv44RTZZZXOz-ivzh6AAdgXpT78EyVm68V6CP0GmraEEg</recordid><startdate>202201</startdate><enddate>202201</enddate><creator>Nishi, Masaaki</creator><creator>Shimada, Mitsuo</creator><creator>Yoshikawa, Kozo</creator><creator>Tokunaga, Takuya</creator><creator>Kashihara, Hideya</creator><creator>Takasu, Chie</creator><creator>Yoshimoto, Toshiaki</creator><creator>Iwahashi, Shoko</creator><general>John Wiley & Sons Australia, Ltd</general><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-3845-457X</orcidid><orcidid>https://orcid.org/0000-0003-0383-0504</orcidid><orcidid>https://orcid.org/0000-0003-0739-2126</orcidid><orcidid>https://orcid.org/0000-0001-9751-1007</orcidid></search><sort><creationdate>202201</creationdate><title>Usefulness of a stepwise training program for laparoscopic gastrectomy</title><author>Nishi, Masaaki ; Shimada, Mitsuo ; Yoshikawa, Kozo ; Tokunaga, Takuya ; Kashihara, Hideya ; Takasu, Chie ; Yoshimoto, Toshiaki ; Iwahashi, Shoko</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3819-16f691d735bb1cf08f27e8744ec4bc303551afdf2834c102b01068d894f228bd3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Gastrectomy</topic><topic>Gastric cancer</topic><topic>Gastrointestinal surgery</topic><topic>Humans</topic><topic>laparoscopic gastrectomy</topic><topic>Laparoscopy</topic><topic>Retrospective Studies</topic><topic>stepwise training</topic><topic>Stomach Neoplasms - surgery</topic><topic>Training</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nishi, Masaaki</creatorcontrib><creatorcontrib>Shimada, Mitsuo</creatorcontrib><creatorcontrib>Yoshikawa, Kozo</creatorcontrib><creatorcontrib>Tokunaga, Takuya</creatorcontrib><creatorcontrib>Kashihara, Hideya</creatorcontrib><creatorcontrib>Takasu, Chie</creatorcontrib><creatorcontrib>Yoshimoto, Toshiaki</creatorcontrib><creatorcontrib>Iwahashi, Shoko</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Asian journal of endoscopic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nishi, Masaaki</au><au>Shimada, Mitsuo</au><au>Yoshikawa, Kozo</au><au>Tokunaga, Takuya</au><au>Kashihara, Hideya</au><au>Takasu, Chie</au><au>Yoshimoto, Toshiaki</au><au>Iwahashi, Shoko</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Usefulness of a stepwise training program for laparoscopic gastrectomy</atitle><jtitle>Asian journal of endoscopic surgery</jtitle><addtitle>Asian J Endosc Surg</addtitle><date>2022-01</date><risdate>2022</risdate><volume>15</volume><issue>1</issue><spage>121</spage><epage>127</epage><pages>121-127</pages><issn>1758-5902</issn><eissn>1758-5910</eissn><abstract>Introduction
Laparoscopic gastrectomy (LG) is a complicated procedure with a long learning curve. This study was performed to investigate the usefulness of our stepwise training program for LG for improving the quality of the surgery.
Methods
The stepwise training method comprised the following four steps: (1) basic training using a dry box and checking by mentors; (2) advanced training, including the use of animals and cadavers; (3) clinical experience, including standardization and preoperative three‐dimensional simulation; and (4) self‐assessment and feedback. In total, 153 patients who underwent curative gastrectomy for gastric cancer were included in this study.
Results
The operative time gradually decreased for both laparoscopic distal gastrectomy (LDG) (2013, 395 minutes; 2017, 278 minutes; P < .001; ρ = −0.68) and laparoscopic total gastrectomy (LTG) (2013, 476 minutes; 2017, 319 minutes; P < .001; ρ = −0.56). The blood loss volume gradually decreased for both LDG (2013, 43.0 mL; 2017, 18.6 mL; P < .005; ρ = −0.30) and LTG (2013, 143.8 mL; 2017, 13.5 mL; P < .005; ρ = −0.41).
Conclusions
Our stepwise training program contributes to reduce operation time and blood loss in LG.</abstract><cop>Kyoto, Japan</cop><pub>John Wiley & Sons Australia, Ltd</pub><pmid>34514719</pmid><doi>10.1111/ases.12979</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0003-3845-457X</orcidid><orcidid>https://orcid.org/0000-0003-0383-0504</orcidid><orcidid>https://orcid.org/0000-0003-0739-2126</orcidid><orcidid>https://orcid.org/0000-0001-9751-1007</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1758-5902 |
| ispartof | Asian journal of endoscopic surgery, 2022-01, Vol.15 (1), p.121-127 |
| issn | 1758-5902 1758-5910 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2572211277 |
| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Gastrectomy Gastric cancer Gastrointestinal surgery Humans laparoscopic gastrectomy Laparoscopy Retrospective Studies stepwise training Stomach Neoplasms - surgery Training Treatment Outcome |
| title | Usefulness of a stepwise training program for laparoscopic gastrectomy |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-03T03%3A01%3A16IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Usefulness%20of%20a%20stepwise%20training%20program%20for%20laparoscopic%20gastrectomy&rft.jtitle=Asian%20journal%20of%20endoscopic%20surgery&rft.au=Nishi,%20Masaaki&rft.date=2022-01&rft.volume=15&rft.issue=1&rft.spage=121&rft.epage=127&rft.pages=121-127&rft.issn=1758-5902&rft.eissn=1758-5910&rft_id=info:doi/10.1111/ases.12979&rft_dat=%3Cproquest_cross%3E2615861089%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2615861089&rft_id=info:pmid/34514719&rfr_iscdi=true |