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International Journal of Colorectal Disease

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01-07-2011 | Original Article

Effect of proctoring on implementation and results of elective laparoscopic colon surgery

Authors: Robbert Bosker, Henk Groen, Christiaan Hoff, Eric Totte, Rutger Ploeg, Jean Pierre Pierie

Published in: International Journal of Colorectal Disease | Issue 7/2011

Abstract

Purpose

A steep learning curve exists for surgeons to become skilled in laparoscopic colon resection. Our institute offers a proctored training programme. The purpose of this descriptive study was to evaluate whether the course resulted in adoption of laparoscopic colorectal surgery into clinical practice, explore post-course practice patterns and analyse the outcome of surgical performance.

Methods

Between 2003 and 2008, 26 surgeons were trained by our institute. The course consisted of 24 elective laparoscopic resections under direct supervision. A questionnaire and a prospective post-course web-based registration were used to analyse the effect of the training and the outcome of surgical performance.

Results

The response rate of the questionnaire was 85%. The majority had not performed any laparoscopic colon resections before attending the course. All 24 respondents successfully implemented laparoscopy into daily practice. After the course, 70% of all sigmoid resections were performed laparoscopically in contrast with 0% of all transverse colon resections. The results of the trainees after following the course are equal to results of other studies.

Conclusions

A proctored training programme, consisting of 24 supervised cases, is safe and feasible. For adequate monitoring, participating in a post-course registry should be obligatory.

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Title: Effect of proctoring on implementation and results of elective laparoscopic colon surgery
Authors: Robbert Bosker
Henk Groen
Christiaan Hoff
Eric Totte
Rutger Ploeg
Jean Pierre Pierie
Publication date: 01-07-2011
Publisher: Springer-Verlag
Published in: International Journal of Colorectal Disease / Issue 7/2011
Print ISSN: 0179-1958
Electronic ISSN: 1432-1262
DOI: https://doi.org/10.1007/s00384-011-1161-4

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Effect of proctoring on implementation and results of elective laparoscopic colon surgery

Abstract

Purpose

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

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