EFFICACY OF SIMULATION BASED TRAINING FOR LAPAROSCOPIC CHOLECYSTECTOMY IN IMPROVING SURGICAL SKILLS
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Abstract
Background: Laparoscopic cholecystectomy, a minimally invasive procedure for gallbladder removal, is widely regarded as the gold standard for treating symptomatic cholelithiasis. However, simulation-based training significantly improves the acquisition of laparoscopic skills compared to traditional methods
Method: It is a randomized control conducted at department of general surgery, Jinnah international hospital, Abbottabad from April 2023 to April 2024. A total of 50 residents from 1st, 2nd and 3rd year with minimal to no experience of laparoscopic surgery were included in this study. A pre-test assessing GOAL score, time duration and complication rate was conducted followed by a post-test after 12 weeks of training. The results were analyzed using SPSS 24. P-values of ≤0.05 will be significant
Result: The mean age of participants in Group A was 25.1 ± 6.9 years, while in Group B was 24.9 ±7.2 years. In Group A, mean pre-test GOAL score was 5.36 ± 0.89, which increased significantly to 15.84 ± 1.93 post-training. In Group B mean pre-test GOAL score of 5.61 ± 0.73 and in post-test score was 9.83 ± 1.85(p < 0.01). Group A's mean time decreased from 26.73 ± 5.72 minutes to 22.81 ± 4.96 minutes, while Group B's duration changed from 26.15 ± 6.11 minutes to 25.89 ± 7.91 minutes. Group A saw a decrease from 7 (28%) complications pre-test to 2 (8%) post-test, whereas Group B had a reduction from 8 (32%) to 5 (20%)
Conclusion: Simulation-based training for laparoscopic cholecystectomy shows promise in improving surgical skills and reducing procedural time, though ongoing research is needed to optimize training protocols and assess long-term outcomes in surgical practice.
References
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Dr. Muhammad Iqbal
Associate Professor Surgery, Bolan Medical Complex Hospital, Quetta - Pakistan
Dr. Fazli Junaid
Assistant Professor General Surgery, Ayub Medical College, Abbottabad - Pakistan
Dr. Babar Sultan Khaghan
Associate Professor Surgery, Ayub Teaching Hospital, Abbottabad - Pakistan
Dr. Syna Pervaiz Singha
Associate Professor Anatomy, Isra University, Hyderabad - Pakistan
Dr. Ashiq Hussain
Associate Professor Anatomy, Women Medical College, Abbottabad - Pakistan
Dr. Sadaf Shaheen
Associate Professor Anatomy, Women Medical College, Abbottabad Pakistan
Dr. Anum Fatima
Registered Dental Surgeon, Islamabad Medical and Dental College, Islamabad Pakistan