TY - JOUR
T1 - How to Learn a Complex Endoscopic Procedure
T2 - Knots in Transanal Endoscopic Surgery: Different Skill among Surgeons
AU - Serra-Aracil, Xavier
AU - Gracia-Roman, Raquel
AU - Badía-Closa, Jesus
AU - Mora-Lopez, Laura
AU - Pallisera-Lloveras, Anna
AU - Serra-Pla, Sheila
AU - Garcia-Nalda, Albert
AU - Navarro-Soto, Salvador
N1 - Publisher Copyright:
© 2021 Lippincott Williams and Wilkins. All rights reserved.
PY - 2021/12
Y1 - 2021/12
N2 - Purpose: The intrarectal suture is considered a high technically complex procedure. The study's objectives were to assess the feasibility of making an intrarectal knot, through an in vitro study and assessing whether the video tutorial facilitates learning. Materials and Methods: A detailed description of the technique. A comparative observational cross-sectional study in surgeons with no previous experience in intrarectal knots. Results: Twenty-one of these 32 participants passed the intrarectal knot test without video tutorial (T1) (65.6%), and 26 (81.2%) after the video tutorial (T2) (P=0.26). The mean time taken to tie the knot fell from 74 seconds (SD=46) in T1 to 41 seconds (SD=41) in T2 (P<0.001). At T1, 26 participants (81.3%) described the technique as difficult, but only 7 (21.9%) at T2 (P<0.001). Conclusions: Performing the intrarectal knot suture is feasible. Despite the technical difficulty, the video tutorial is sufficient for surgeons to learn the technique.
AB - Purpose: The intrarectal suture is considered a high technically complex procedure. The study's objectives were to assess the feasibility of making an intrarectal knot, through an in vitro study and assessing whether the video tutorial facilitates learning. Materials and Methods: A detailed description of the technique. A comparative observational cross-sectional study in surgeons with no previous experience in intrarectal knots. Results: Twenty-one of these 32 participants passed the intrarectal knot test without video tutorial (T1) (65.6%), and 26 (81.2%) after the video tutorial (T2) (P=0.26). The mean time taken to tie the knot fell from 74 seconds (SD=46) in T1 to 41 seconds (SD=41) in T2 (P<0.001). At T1, 26 participants (81.3%) described the technique as difficult, but only 7 (21.9%) at T2 (P<0.001). Conclusions: Performing the intrarectal knot suture is feasible. Despite the technical difficulty, the video tutorial is sufficient for surgeons to learn the technique.
KW - intracorporeal knots
KW - intrarectal knots
KW - minimal invasive surgery technique
KW - rectal suturing
KW - transanal endoscopic surgery
UR - http://www.scopus.com/inward/record.url?scp=85110883291&partnerID=8YFLogxK
U2 - 10.1097/SLE.0000000000000969
DO - 10.1097/SLE.0000000000000969
M3 - Article
C2 - 34238868
AN - SCOPUS:85110883291
SN - 1530-4515
VL - 31
SP - 669
EP - 673
JO - Surgical Laparoscopy, Endoscopy and Percutaneous Techniques
JF - Surgical Laparoscopy, Endoscopy and Percutaneous Techniques
IS - 6
ER -