Pitfalls and Learning Points for a Trainee in Laparoscopy-Assisted Gastrectomy of Early Gastric Cancer

Hiroshi Kawahira, MD PhD, Hideki Hayashi, MD PhD, Toshiyuki Natsume, MD PhD, Takashi Akai, MD PhD, Yoshihiro Nabeya, MD PhD, Kazufumi Suzuki, MD PhD, Mikito Mori, MD PhD, Daisuke Horibe, MD PhD, Hisahiro Matsubara, MD PhD. Research Center for Frontier Medical Engineering, Chiba University

(1) Objective of this studyLaparoscopic assisted gastrectomy (LAG) has been accepted procedure for early stages of gastric cancer. The numbers of LAG has been increased dramatically in last a few years. We indicate our instruction system for residents. (2) MethodsOur LAG has been performed by an operator, a first assistant and a scopist. A trainee has finished his/her surgical residency and is supposed to have an efficient skill. A scopist is usually a resident or an intern. (3) ResultsFirst, a trainer shows his surgical technique as an operator and a trainee has experienced more than 5 LAG as an assistant. Next, the trainee operated some part of lymph node dissection, from easier to more difficult parts gradually. Finally, the trainee has completed LAG procedure to the last. Based on this instruction, three trainees finished this process and the average number to complete LAG was 13 LAG cases from the beginning. (4) Conclusion and Future planOur instruction is effective for LAG training. The “finished trainee” will be a new “trainer” and instruct LAG technique for more GI surgeons.

Session: Poster
Program Number: P181
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