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Acquiring advanced laparoscopic colectomy skills - the issues

Colorectal surgery has been revolutionised towards minimally invasive surgery with the emergence of enhanced recovery protocol after surgery initiatives. However, laparoscopic colectomy has yet to be widely adopted, due mainly to the steep learning curve. We aim to review and discuss the methods of...

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Main Authors: Amin-Tai, Hizami, Elnaim, Abdel Latif Khalifa, Wong, Michael Pak Kai, Sagap, Ismail
Format: Article
Language:English
Published: Universiti Sains Malaysia 2020
Online Access:http://psasir.upm.edu.my/id/eprint/87752/1/ABSTRACT.pdf
http://psasir.upm.edu.my/id/eprint/87752/
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7605826/
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spelling my.upm.eprints.877522022-06-15T08:15:07Z http://psasir.upm.edu.my/id/eprint/87752/ Acquiring advanced laparoscopic colectomy skills - the issues Amin-Tai, Hizami Elnaim, Abdel Latif Khalifa Wong, Michael Pak Kai Sagap, Ismail Colorectal surgery has been revolutionised towards minimally invasive surgery with the emergence of enhanced recovery protocol after surgery initiatives. However, laparoscopic colectomy has yet to be widely adopted, due mainly to the steep learning curve. We aim to review and discuss the methods of overcoming these learning curves by accelerating the competency level of the trainees without compromising patient safety. To provide this mini review, we assessed 70 articles in PubMed that were found through a search comprised the keywords laparoscopic colectomy, minimal invasive colectomy, learning curve and surgical education. We found England's Laparoscopic Colorectal National Training Programme (LAPCO-NTP) England to be by far the most structured programme established for colorectal surgeons, which involves pre-clinical and clinical phases that end with an assessment. For budding colorectal trainees, learning may be accelerated by simulator-based training to achieve laparoscopic dexterity coupled with an in-theatre proctorship by field experts. Task-specific checklists and video recordings are essential adjuncts to gauge progress and performance. As competency is established, careful case selections with the proctor are essential to maintain motivation and ensure safe performances. A structured programme to establish competency is vital to help both the proctor and trainee gauge real-time progress and performance. However, training systems both inside and outside the operating theatre (OT) are equally useful to achieve the desired performance. Universiti Sains Malaysia 2020 Article PeerReviewed text en http://psasir.upm.edu.my/id/eprint/87752/1/ABSTRACT.pdf Amin-Tai, Hizami and Elnaim, Abdel Latif Khalifa and Wong, Michael Pak Kai and Sagap, Ismail (2020) Acquiring advanced laparoscopic colectomy skills - the issues. Malaysian Journal of Medical Sciences, 27 (5). 24 - 35. ISSN 1394-195X https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7605826/ 10.21315/mjms2020.27.5.3
institution Universiti Putra Malaysia
building UPM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Putra Malaysia
content_source UPM Institutional Repository
url_provider http://psasir.upm.edu.my/
language English
description Colorectal surgery has been revolutionised towards minimally invasive surgery with the emergence of enhanced recovery protocol after surgery initiatives. However, laparoscopic colectomy has yet to be widely adopted, due mainly to the steep learning curve. We aim to review and discuss the methods of overcoming these learning curves by accelerating the competency level of the trainees without compromising patient safety. To provide this mini review, we assessed 70 articles in PubMed that were found through a search comprised the keywords laparoscopic colectomy, minimal invasive colectomy, learning curve and surgical education. We found England's Laparoscopic Colorectal National Training Programme (LAPCO-NTP) England to be by far the most structured programme established for colorectal surgeons, which involves pre-clinical and clinical phases that end with an assessment. For budding colorectal trainees, learning may be accelerated by simulator-based training to achieve laparoscopic dexterity coupled with an in-theatre proctorship by field experts. Task-specific checklists and video recordings are essential adjuncts to gauge progress and performance. As competency is established, careful case selections with the proctor are essential to maintain motivation and ensure safe performances. A structured programme to establish competency is vital to help both the proctor and trainee gauge real-time progress and performance. However, training systems both inside and outside the operating theatre (OT) are equally useful to achieve the desired performance.
format Article
author Amin-Tai, Hizami
Elnaim, Abdel Latif Khalifa
Wong, Michael Pak Kai
Sagap, Ismail
spellingShingle Amin-Tai, Hizami
Elnaim, Abdel Latif Khalifa
Wong, Michael Pak Kai
Sagap, Ismail
Acquiring advanced laparoscopic colectomy skills - the issues
author_facet Amin-Tai, Hizami
Elnaim, Abdel Latif Khalifa
Wong, Michael Pak Kai
Sagap, Ismail
author_sort Amin-Tai, Hizami
title Acquiring advanced laparoscopic colectomy skills - the issues
title_short Acquiring advanced laparoscopic colectomy skills - the issues
title_full Acquiring advanced laparoscopic colectomy skills - the issues
title_fullStr Acquiring advanced laparoscopic colectomy skills - the issues
title_full_unstemmed Acquiring advanced laparoscopic colectomy skills - the issues
title_sort acquiring advanced laparoscopic colectomy skills - the issues
publisher Universiti Sains Malaysia
publishDate 2020
url http://psasir.upm.edu.my/id/eprint/87752/1/ABSTRACT.pdf
http://psasir.upm.edu.my/id/eprint/87752/
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7605826/
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score 13.211869

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