title: A specialized course of basic skills training for single-port laparoscopic surgery.
abstract: BACKGROUND
  Single-port laparoscopy (SPL) requires specialized skills; however, there are currently no specialized training courses for SPL. The aim of this study is to present an effective specialized training course of basic skills for SPL.
  
  
  METHODS
  We designed a specialized training course for single-port laparoscopic basic skills. The study included 10 male urology residents. The trainees practiced the traditional training course for laparoscopy basic skills for 5 days. Basic skills were assessed on day 6 and a self-efficacy confidence index was measured. On day 7, all trainees performed a traditional laparoscopic nephrectomy and single-port laparoscopic nephrectomy. The participants were then randomized into 2 groups: 5 trainees performed the specialized training course and the other 5 trainees continued to practice the traditional training course. Both groups were trained for 5 days. After completion, the trainees were tested on completing a porcine single-port laparoscopic nephrectomy. Operative performance was measured by 2 experts who were blinded to which training the student had received, using an altered global rating. In addition, participants completed a general self-efficacy instrument after performing surgeries.
  
  
  RESULTS
  The overall operative performance score for single-port laparoscopic surgery was significantly better in the specialized training group. A significant difference in confidence index was seen between the traditional laparoscopy training and specialized single-port training groups (18.40 ± 2.70 vs 29.4 ± 3.51, respectively; P = .001.). Four relative instrument locations which avoided the problem of crowding were also noted in the specialized training group.
  
  
  CONCLUSIONS
  The specialized training course is effective for developing SPL skills.
authors: Department of Urology, Changhai Hospital, The Second Military Medical University, Shanghai 200433, China.
authors: Bo
authors: B
authors: Yang
authors: Bin
authors: B
authors: Xu
authors: Qinsong
authors: Q
authors: Zeng
authors: Fatih
authors: F
authors: Altunrende
authors: Huiqing
authors: H
authors: Wang
authors: Liang
authors: L
authors: Xiao
authors: Linhui
authors: L
authors: Wang
authors: Chuanliang
authors: C
authors: Xu
authors: Yinghao
authors: Y
authors: Sun
mesh_terms: D002983:Clinical Competence; D004521:Educational Measurement; D006801:Humans; D010535:Laparoscopy / Q000193:education* / Q000295:instrumentation / Q000379:methods*; D008297:Male; D009392:Nephrectomy / Q000295:instrumentation / Q000379:methods; D015397:Program Evaluation; D014572:Urology / Q000193:education* / Q000295:instrumentation / Q000379:methods*