ФАКТОРЫ, ВЛИЯЮЩИЕ НА СКОРОСТЬ ФОРМИРОВАНИЯ БАЗОВЫХ МАНУАЛЬНЫХ НАВЫКОВ В ЛАПАРОСКОПИЧЕСКОЙ ХИРУРГИИ

Abstract

Basic laparoscopic surgical skills are an essential prerequisite for safe operation and further development of laparoscopic techniques in the operating room. The Department of Intermediate Level Surgery (Faculty surgery) No.1 of Moscow State University of Medicine and Dentistry came up with an method of basic laparoscopic skills simulation training with “training boxes” and elicited factors affecting the speed of skill formation. We have studied the skill level possessed by the surgeons that actively practice laparoscopic techniques and consider it as a reference standard. We have analyzed the speed and dynamics that 82 students demonstrated while moving towards the reference level and the impact their personality had on the progress. We found out that in our observation group an unstructured experience in endoscopic surgery, gender, personality of individual and temperament had little o no affect on the speed of basic laparoscopic manual skills formation. The results of the study proved that before beginning practicing laparoscopic techniques in the operating room to make them safe, all specialists should complete a standard training course on the development of basic laparoscopic skills. The Department of Intermediate Level Surgery No. 1 of Moscow State University of Medicine and Dentistry found an effective method of basic laparoscopic skills development with “training boxes”, gave scientific credence to its efficiency and elicited its optimal duration.