Desenvolvimento de habilidades motoras em cirurgia minimamente invasiva

• Ano de defesa: 2014
• Autor(a) principal: Pereira, Gustavo Becker
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade Positivo; Brasil; Pós-Graduação; Programa de Pós-Graduação em Biotecnologia Industrial; UP
• Palavras-chave em Português: Cirurgia laparoscópica; Biotecnologia industrial; Videocirurgia; Cirurgia - Avaliação; CNPQ::CIENCIAS BIOLOGICAS::BIOLOGIA GERAL
• Link de acesso: https://repositorio.cruzeirodosul.edu.br/handle/123456789/2581

Introduction: videolaparoscopy represents one of the greatest advances in modern surgery. The introduction of the laparoscopic techniques brought the need for a new surgical learning with the development of specific technical skills. However, there is still an ideal training method for the acquisition of skills in laparoscopic surgery. Objective: to evaluate the development of skills of videosurgery, in surgeons under training and cumulative exposure, through a curriculum with distributed practice. Method: longitudinal, prospective and quantitative study, based on the execution of five exercises of Fundamentals of Laparoscopic Surgery (FLS), in Black Box type simulator with students who attended a postgraduate course in minimally invasive surgery. A group of experienced laparoscopic surgeons served as the basis of the students ' score. Results: 54 students were included in the period of 2 years of the study and their evaluations carried out during the course. With training, 82% of students showed considerable improvement in performance, averaging 158.08% gain. It was also evidenced significant drop of mistakes made. In the first exercise the reduction of errors was of 92.5%, in the second of 26.66%, in the third of 89.28%, 100% in the fourth and 83,78% in the fifth. Conclusion: videosurgery skills acquired through training are entered into a long-term curriculum distributed practice. This training has a significant effect on performance and gain in reducing errors, and may attend with greater patient safety in the operating room. We also improved performance when compared to short courses with practice collected and distributed, according to the literature. These results may have implications for planning and configuration of skills training programs in videosurgery.