Oviedo-Peñata Carlos A, Giraldo Mejía Gloria E, Riaño-Benavides Carlos Humberto, Maldonado-Estrada Juan G, Lemos Duque Juan D
Tropical Animal Production Research Group, Faculty of Veterinary Medicine and Zootechny, University of Cordoba, Monteria, Colombia.
OHVRI-Research Group, Faculty of Agrarian Sciences, College of Veterinary Medicine, University of Antioquia, Medellín, Colombia.
Front Vet Sci. 2022 Oct 5;9:936144. doi: 10.3389/fvets.2022.936144. eCollection 2022.
The development of innovative simulation models for veterinary laparoscopic surgery training is a priority today. This study aimed to describe a didactic simulation tool for the training of total laparoscopic gastropexy (TLG) with intracorporeal sutures in dogs. CALMA Veterinary Lap-trainer composite simulator (CLVTS) was developed from a plaster cast of 2 Great Dane canines mimicking the space and the correct position to carry out a TLG. After video instruction, 16 veterinarians with different degrees of experience in minimally invasive surgery (Experts, = 6 and intermediates, = 10) evaluated four sequential simulating TLG with intracorporeal suturing in the CLVTS. Subsequently, they completed an anonymous questionnaire analyzing the realism, usefulness, and educational quality of the simulator. The CLVTS showed a good preliminary acceptance (4.7/5) in terms of the usefulness and adequacy of the exercises that, in the participants' opinion, are appropriate and are related to the difficulty of the TLG. In addition, both experienced and intermediate surgeons gave high marks (4.5/5) to the feeling of realism, design, and practicality. There were no significant differences between the responses of the two groups. The results suggest that the CVLTS has both face and content validity. Where it can be practiced in a structured environment for the development of a total laparoscopic gastropexy with intracorporeal suture and without compromising patient safety, but still has some limitations of the scope of the study. Further studies are needed to establish the ability to assess or measure technical skills, including the degree of transferability to the actual surgical environment.
开发用于兽医腹腔镜手术训练的创新模拟模型是当今的一项优先任务。本研究旨在描述一种用于犬类体内缝合全腹腔镜胃固定术（TLG）训练的教学模拟工具。CALMA兽医腹腔镜训练复合模拟器（CLVTS）是根据2只大丹犬的石膏模型开发的，该模型模拟了进行TLG的空间和正确位置。在视频指导后，16名在微创手术方面具有不同经验程度的兽医（专家，n = 6；中级，n = 10）在CLVTS中评估了四个连续的模拟体内缝合TLG。随后，他们完成了一份匿名问卷，分析模拟器的逼真度、实用性和教育质量。CLVTS在练习的实用性和适当性方面显示出良好的初步接受度（4.7/5），在参与者看来，这些练习是合适的，并且与TLG的难度相关。此外，经验丰富的外科医生和中级外科医生对逼真感、设计和实用性都给予了高分（4.5/5）。两组的回答之间没有显著差异。结果表明，CVLTS具有表面效度和内容效度。在该模拟器中可以在结构化环境中进行体内缝合全腹腔镜胃固定术的练习，且不危及患者安全，但该研究范围仍有一些局限性。需要进一步研究以确定评估或测量技术技能的能力，包括向实际手术环境转移的程度。
