The learning curve of laparoscopic percutaneous extraperitoneal closure (LPEC) for inguinal hernia: protocoled training in a single center for six pediatric surgical trainees
Abstract Background Laparoscopic percutaneous extraperitoneal closure (LPEC) has become a common procedure for repairing inguinal hernia. As a laparoscopic approach, pediatric surgical trainees require more training to learn LPEC than a traditional open approach. This study aimed to clarify the expe...
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| Format: | Article |
| Language: | English |
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BMC
2019-01-01
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| Series: | BMC Surgery |
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| Online Access: | http://link.springer.com/article/10.1186/s12893-019-0470-3 |
| _version_ | 1818034457052971008 |
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| author | Soichi Shibuya Naho Fujiwara Takanori Ochi Momoko Wada Toshiaki Takahashi Kyeong Deok Lee Eiji Miyazaki |
| author_facet | Soichi Shibuya Naho Fujiwara Takanori Ochi Momoko Wada Toshiaki Takahashi Kyeong Deok Lee Eiji Miyazaki |
| author_sort | Soichi Shibuya |
| collection | DOAJ |
| description | Abstract Background Laparoscopic percutaneous extraperitoneal closure (LPEC) has become a common procedure for repairing inguinal hernia. As a laparoscopic approach, pediatric surgical trainees require more training to learn LPEC than a traditional open approach. This study aimed to clarify the experience needed to acquire the skill to perform LPEC adequately. Methods This descriptive single-center study used clinical data from patients who underwent LPEC between May 2009 and May 2016. The mean operative time for ten consecutive unilateral repairs was used as an index of proficiency with the procedure. The number of repairs performed before the mean operative time became less than 20 min was evaluated for each trainee. Results During the study period, six pediatric surgical trainees participated in the training independently. The number of the patients was 987. The total number of repairs was 1436, including 538 unilateral repairs and 449 concurrent bilateral repairs. Overall, the mean operative time was 21.8 ± 8.1 min for unilateral repair and 31.4 ± 9.7 min for concurrent bilateral repairs. The mean number of repairs performed before the acquisition of skill for dexterous LPEC was 125.1 ± 29.5. Conclusions Although there were individual differences, all trainees acquired the skill to perform LPEC adequately within one year. With appropriate guidance, LPEC can become a standard technique for pediatric surgical trainees, along with traditional open surgery. These results provide valuable information for planning LPEC training. |
| first_indexed | 2024-12-10T06:39:28Z |
| format | Article |
| id | doaj.art-d8cdf5346f774e38809c4380a79d4d3d |
| institution | Directory Open Access Journal |
| issn | 1471-2482 |
| language | English |
| last_indexed | 2024-12-10T06:39:28Z |
| publishDate | 2019-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Surgery |
| spelling | doaj.art-d8cdf5346f774e38809c4380a79d4d3d2022-12-22T01:58:50ZengBMCBMC Surgery1471-24822019-01-011911610.1186/s12893-019-0470-3The learning curve of laparoscopic percutaneous extraperitoneal closure (LPEC) for inguinal hernia: protocoled training in a single center for six pediatric surgical traineesSoichi Shibuya0Naho Fujiwara1Takanori Ochi2Momoko Wada3Toshiaki Takahashi4Kyeong Deok Lee5Eiji Miyazaki6Department of Pediatric Surgery, Seirei Hamamatsu General HospitalDepartment of Pediatric Surgery, Seirei Hamamatsu General HospitalDepartment of Pediatric Surgery, Seirei Hamamatsu General HospitalDepartment of Pediatric Surgery, Seirei Hamamatsu General HospitalDepartment of Pediatric Surgery, Seirei Hamamatsu General HospitalDepartment of Pediatric Surgery, Seirei Hamamatsu General HospitalDepartment of Pediatric Surgery, Seirei Hamamatsu General HospitalAbstract Background Laparoscopic percutaneous extraperitoneal closure (LPEC) has become a common procedure for repairing inguinal hernia. As a laparoscopic approach, pediatric surgical trainees require more training to learn LPEC than a traditional open approach. This study aimed to clarify the experience needed to acquire the skill to perform LPEC adequately. Methods This descriptive single-center study used clinical data from patients who underwent LPEC between May 2009 and May 2016. The mean operative time for ten consecutive unilateral repairs was used as an index of proficiency with the procedure. The number of repairs performed before the mean operative time became less than 20 min was evaluated for each trainee. Results During the study period, six pediatric surgical trainees participated in the training independently. The number of the patients was 987. The total number of repairs was 1436, including 538 unilateral repairs and 449 concurrent bilateral repairs. Overall, the mean operative time was 21.8 ± 8.1 min for unilateral repair and 31.4 ± 9.7 min for concurrent bilateral repairs. The mean number of repairs performed before the acquisition of skill for dexterous LPEC was 125.1 ± 29.5. Conclusions Although there were individual differences, all trainees acquired the skill to perform LPEC adequately within one year. With appropriate guidance, LPEC can become a standard technique for pediatric surgical trainees, along with traditional open surgery. These results provide valuable information for planning LPEC training.http://link.springer.com/article/10.1186/s12893-019-0470-3Pediatric surgeryInguinal herniaLearning curveLaparoscopic surgeryOperative timeSurgical training |
| spellingShingle | Soichi Shibuya Naho Fujiwara Takanori Ochi Momoko Wada Toshiaki Takahashi Kyeong Deok Lee Eiji Miyazaki The learning curve of laparoscopic percutaneous extraperitoneal closure (LPEC) for inguinal hernia: protocoled training in a single center for six pediatric surgical trainees BMC Surgery Pediatric surgery Inguinal hernia Learning curve Laparoscopic surgery Operative time Surgical training |
| title | The learning curve of laparoscopic percutaneous extraperitoneal closure (LPEC) for inguinal hernia: protocoled training in a single center for six pediatric surgical trainees |
| title_full | The learning curve of laparoscopic percutaneous extraperitoneal closure (LPEC) for inguinal hernia: protocoled training in a single center for six pediatric surgical trainees |
| title_fullStr | The learning curve of laparoscopic percutaneous extraperitoneal closure (LPEC) for inguinal hernia: protocoled training in a single center for six pediatric surgical trainees |
| title_full_unstemmed | The learning curve of laparoscopic percutaneous extraperitoneal closure (LPEC) for inguinal hernia: protocoled training in a single center for six pediatric surgical trainees |
| title_short | The learning curve of laparoscopic percutaneous extraperitoneal closure (LPEC) for inguinal hernia: protocoled training in a single center for six pediatric surgical trainees |
| title_sort | learning curve of laparoscopic percutaneous extraperitoneal closure lpec for inguinal hernia protocoled training in a single center for six pediatric surgical trainees |
| topic | Pediatric surgery Inguinal hernia Learning curve Laparoscopic surgery Operative time Surgical training |
| url | http://link.springer.com/article/10.1186/s12893-019-0470-3 |
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