title: [Surgical resident training program in minimally invasive surgery experimental laboratory (CENDOS)].
abstract: BACKGROUND
  The rapid development of laparoscopic surgery makes resident training programmes necessary.
  
  
  OBJECTIVE
  To analyse the results of a structured programme of laparoscopic training in an experimental laboratory.
  
  
  METHODS
  From 2003 until 2007, we trained 11 general surgery residents for 20 h every 3 months, for three years. The practice consisted of suture and anastomosis in Endo-Trainer with animal organs, as well as laparoscopic techniques in live animals. In the Endo-Trainer practice we evaluated the time and quality of anastomosis performance. In laparoscopic techniques (cholecystectomy and anti-reflux surgery) a task table was evaluated, from 0 (no errors) to 100 (severe lesion).
  
  
  RESULTS
  In total, 314 anastomosis were performed by the 11 residents, with a median of 28.5 per resident (24-42). The mean time for the first gastro-jejunal anastomosis was 135 min (100-140) and 65 min (57.5-105) for the first jejunal-jejunal anastomosis. Maximum learning was achieved after 45 training hours. There were no appreciable differences between both types of anastomosis. There was inadequate anastomosis quality due to leakage in 17.1% during the learning period and 13.7% during the consolidation period. In the animal, 172 procedures were performed. In cholecystectomy and anti-reflux surgery the mean scores were 2.4 and 5.6 points, respectively. In the remaining procedures, subjectively evaluated by the monitors, the quality was adequate in 65%, deficient in 22% and highly deficient in 13%.
  
  
  CONCLUSIONS
  This structured programme of laparoscopic skills based on intestinal anastomosis allows for quicker resident training.
authors.affiliation: Hospital Universitario Valdecilla, Santander, Cantabria, España. jcmanuel@humv.es
authors.forename: José Carlos
authors.initials: JC
authors.lastname: Manuel-Palazuelos
authors.forename: Joaquín
authors.initials: J
authors.lastname: Alonso-Martín
authors.forename: Juan Carlos
authors.initials: JC
authors.lastname: Rodríguez-Sanjuan
authors.forename: María José
authors.initials: MJ
authors.lastname: Fernández Díaz
authors.forename: José Manuel
authors.initials: JM
authors.lastname: Gutiérrez Cabezas
authors.forename: Santiago
authors.initials: S
authors.lastname: Revuelta-Alvarez
authors.forename: Dieter José
authors.initials: DJ
authors.lastname: Morales-García
authors.forename: Luis
authors.initials: L
authors.lastname: Herrera Noreña
authors.forename: Manuel
authors.initials: M
authors.lastname: Gómez-Fleitas
mesh_terms: D000714:Anastomosis, Surgical / Q000193:education*; D000818:Animals; D004724:Endoscopy / Q000193:education*; D007396:Internship and Residency; D010535:Laparoscopy; D019060:Minimally Invasive Surgical Procedures / Q000193:education*; D011446:Prospective Studies; D013536:Suture Techniques / Q000193:education*