Surgeon-specific factors in the acquisition of laparoscopic surgical skills.

Abstract:

BACKGROUND:Training and experience vary widely among surgeons performing laparoscopic surgery (LS). Visual perceptual demands are greater for LS than for traditional surgery, necessitating greater understanding of surgeon variables in skill acquisition and performance. METHODS:During an LS skills course incorporating didactic and simulator-based instruction, 94 surgeons completed an experience/demographic questionnaire, a test of course-specific knowledge acquisition, 10 trials of three dexterity drills, 15 suturing trials using course-specific methods, and 3 standardized tests of visual perception. RESULTS:Age, years posttraining, and visual perception correlated significantly with time required to complete drills and suturing trials (Pearson correlations ranged from r = 0.21, P <0.05, to r = 0.51, P <0.001) even after statistically controlling for variations in knowledge acquisition, which correlated (r = 0.30, P <0.01) with suturing speed. CONCLUSIONS:Surgeon variables play a significant role in speed of acquisition and performance of LS skills. Further studies need to elucidate their role in quality of LS performance.

journal_name

Am J Surg

authors

Risucci D,Geiss A,Gellman L,Pinard B,Rosser J

doi

10.1016/s0002-9610(01)00574-8

subject

Has Abstract

pub_date

2001-04-01 00:00:00

pages

289-93

issue

4

eissn

0002-9610

issn

1879-1883

pii

S0002-9610(01)00574-8

journal_volume

181

pub_type

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