title: Model for simulated training of laparoscopic gastroenterostomy.
abstract: To develop a model of gastroenterostomy and to analyze the acquisition of skills after training by simulation.
  Experimental longitudinal study and of a quantitative character. The sample consisted of twelve general surgery residents from four hospitals. The training consisted of making ten anastomoses divided equally into five sessions and it took place over a period of six weeks. The evaluation of the anastomoses considered the time and the analysis of the operative technique through the global evaluation scale Objective Structured Assessment of Technical Skills (OSATS).
  Residents showed a reduction in operative time and evolution in the surgical technique statistically significant (p<0.01). The correlation index of 0.545 and 0.497 showed a high linear correlation between time variables and OSATS.
  The preparation of ten gastroenterostomies is an exercise capable of transferring basic and advanced skills in laparoscopy through a standardized training using synthetic organs and a simulator.
authors.affiliation: MD, General Surgeon, Hospital Universitário Walter Cantídio, Fortaleza-CE, Brazil. Conception and design of the study; technical procedures; acquisition, interpretation and analysis of data; manuscript preparation and writing.
authors.forename: Márcio Alencar
authors.initials: MA
authors.lastname: Barreira
authors.affiliation: MD, General Surgeon, Hospital Universitário Walter Cantídio, Fortaleza-CE, Brazil. Technical procedures, acquisition of data, critical revision.
authors.forename: Delano Gurgel
authors.initials: DG
authors.lastname: Siveira
authors.affiliation: PhD, Assistant Professor, Professional Master's Degree Program in Minimally Invasive Technology and Simulation in Health, Centro Universitário Christus (UNICHRISTUS), Fortaleza-CE, Brazil. Conception and design of the study, statistical analysis, interpretation of data, critical revision.
authors.forename: Hermano Alexandre Lima
authors.initials: HA
authors.lastname: Rocha
authors.affiliation: PhD, Hospital Geral Dr. César Cals, Professional Master's Degree Program in Minimally Invasive Technology and Simulation in Health, UNICHRISTUS, Fortaleza-CE, Brazil. Conception and design of the study, critical revision.
authors.forename: Luiz Gonzaga de
authors.initials: LG
authors.lastname: Moura
authors.affiliation: PhD, Professional Master's Degree Program in Minimally Invasive Technology and Simulation in Health, UNICHRISTUS, Fortaleza-CE, Brazil. Conception and design of the study, interpretation and analysis of data, critical revision, final approval.
authors.forename: Charles Jean Gomes de
authors.initials: CJ
authors.lastname: Mesquita
authors.affiliation: MD, Holy House of Mercy of Fortaleza, Professional Master's Degree Program in Minimally Invasive Technology and Simulation in Health, UNICHRISTUS, Fortaleza-CE, Brazil. Conception and design of the study, interpretation and analysis of data, critical revision, final approval.
authors.forename: Gleydson Cesar de Oliveira
authors.initials: GC
authors.lastname: Borges
mesh_terms: D000328:Adult; D005260:Female; D005763:Gastroenterostomy / Q000193:education*; D013502:General Surgery / Q000193:education*; D006801:Humans; D007396:Internship and Residency; D010535:Laparoscopy / Q000193:education*; D008137:Longitudinal Studies; D008297:Male; D008953:Models, Anatomic; D000066908:Simulation Training / Q000379:methods*