Innovation and challenges: minimally invasive surgery training in Latin America.

L Rollan, C Gigena, I Diaz Saubidet, S Valverde, G Bellia-Munzon, C Millán
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Abstract

Objective: Our objective was to assess the current status of minimally invasive surgery (MIS) training in Latin America and to identify the primary hurdles for the acquisition of laparoscopic skills.

Materials and methods: An anonymous survey was launched on various social media in November 2022. Surgeon responses were analyzed.

Results: 131 pediatric surgeons from 98 surgical institutions in 16 Latin-American countries replied to the survey. MIS training during residency was found in 45.9% of the surgeons with >  20 years' experience, and in 95.2% of the surgeons with < 10 years' experience. A median of 3 courses (IQR: 2; 5) had been completed by 116 surgeons (88.5%), 70.2% of them ≤ 3 days long, and 85.4% self-funded. The primary hurdles to attend them were the lack of financial resources and/or the absence of local courses (80%). Virtual courses were regarded as a recommendable option to acquire laparoscopic skills by 100 (76.3%) respondents.

Conclusions: MIS training in Latin America has exponentially increased in the last decades. However, training programs have room for improvement, which means training is highly surgeon-dependent, since courses are selected and self-funded by surgeons themselves.

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创新与挑战:拉丁美洲的微创外科培训。
目的我们的目的是评估拉丁美洲微创手术(MIS)培训的现状,并确定掌握腹腔镜技能的主要障碍:2022 年 11 月,在各种社交媒体上发起了一项匿名调查。对外科医生的回复进行了分析:来自 16 个拉美国家 98 个外科机构的 131 名小儿外科医生回复了调查。45.9%拥有20年以上经验的外科医生和95.2%有结论的外科医生在实习期间接受了MIS培训:过去几十年来,拉丁美洲的 MIS 培训急剧增加。然而,培训计划仍有改进的余地,这意味着培训高度依赖于外科医生,因为课程是由外科医生自己选择和自费的。
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Evaluation of quality of life and satisfaction in patients undergoing laparoscopic Mitrofanoff procedure. How far do we want to go? Innovation and challenges: minimally invasive surgery training in Latin America. Necrotizing enterocolitis and congenital heart disease: differences in management and prognosis. Optimizing pediatric laparoscopic cholecystectomy: trocar reduction with percutaneous gallblader traction.
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