Summary
Televised endoscopy and the concept of the “assisted” endoscopic operation is of great help in teaching surgical endoscopic techniques. The use of training dummies provides a new method of training manual dexterity and surgical skills in special courses or in surgical skill laboratories. We have developed a training system for transanal endoscopic microsurgery. Operations with our technique were performed on 116 patients. Like other microsurgical techniques, our method requires a special introduction and intensive training. This paper presents our multistage, video-supported training course for teaching transanal endoscopic microsurgery. The one-day training session is divided into four steps: (1) becoming acquainted with the technology; (2) training on cloth phantom; (3) training on opened bowel; (4) training on closed bovine bowel distended by gas insufflation. Each step is introduced by a short videotape didactically demonstrating the particular aspects of the method.
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References
Ballantyne DL, Reiffel RS, Harper AD (1980) A systematic learning program for microvascular technique. Plast Reconstr Surg 65: 80–82
Barnes RW (1987) Surgical handicraft: teaching and learning surgical skills. Am J Surg 153: 422–427
Bevan PG (1981) The anastomosis workshop. Ann R Coll Surg Engl 63: 405–410
Buess G, Kipfmüller K, Naruhn M, Junginger T (1987) Transanal endoscopic microsurgery of rectal tumors. Endoscopy 19: 38–42
Buess G, Kipfmüller K, Ibald R, Braunstein S, Gabbert H, Junginger T (1988) Transanale endoskopische Mikrochirurgie beim Rectumcarcinom. Chirurg 59 (in press)
Fermelia D, Berci G (1987) Diagnostic and therapeutic laparoscopy. Surg Endosc 1: 73–77
Gall FP, Hermanek P (1987) Präventive Operationsindikationen bei Präcancerosen im Gastrointestinaltrakt. Chirurg 58: 228–233
Habal SM, Fitzpatrick HF, Green GE (1977) Training in microvascular surgery. Surgery 81: 596–598
Hermanek P, Gall FP (1986) Early (microinvasive) colorectal carcinoma. Int J Colorect Dis 1: 79–84
Kraske P (1885) Zur Exstirpation hochsitzender Mastdarmkrebse. Verh Dtsch Ges Chir 14: 464–474
Mason AY (1974) Surgical access to the rectum — a transsphincteric exposure. Proc R Soc Med 63: 91–94
Parks AG (1968) A technique for extensive villous papillomatous change in the lower rectum. Proc R Soc Med 61: 441–442
Rogers DW, Blackman J, Lanzafame RJ, Hinshaw JR (1986) Two simple models for teaching fiberoptic choledochoscopy techniques. Surg Gynecol Obstet 162: 584–586
Schiessel R, Wunderlich M, Kerner-Hanusch J (1986) Transanale Excision und Anastomosentechnik. Chirurg 57: 773–778
Schildberg FW, Wenk H (1986) Der posteriore Zugang zum Rectum. Chirurg 57: 779–791
Semm K (1984) Ausbildung für die endoskopische Operation. In: Buess G, Unz F, Pichlmaier H (eds) Endoskopische Techniken. Deutscher Ärzte-Verlag, Köln, pp 158–162
Semm K (1984) Operationslehre für endoskopische Abdominalchirurgie. Schattauer, Stuttgart
Semm K (1986) Pelvi-Trainer, ein Übungsgerät für die operative Pelviskopie zum Erlernen endoskopischer Ligatur und Nahttechniken. Geburtsh Frauenheilkd 46: 60–62
Spencer FC (1979) Competence and compassion: two qualities of surgical excellence. Bull Am Coll Surg 64: 15–22
Stotter AT, Becket AJ, Hansen JPR, Capperauld I, Dudley HAF (1986) Simulation in surgical training using freeze-dried material. Br J Surg 73: 52–54
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Kipfmüller, K., Buess, G., Naruhn, M. et al. Training program for transanal endoscopic microsurgery. Surg Endosc 2, 24–27 (1988). https://doi.org/10.1007/BF00591394
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DOI: https://doi.org/10.1007/BF00591394