Fundación Hospitalaria Maternal-Pediatric Hospital, Buenos Aires (Argentina).
Cir Pediatr. 2024 Oct 4;37(4):147-151. doi: 10.54847/cp.2024.04.10.
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.
An anonymous survey was launched on various social media in November 2022. Surgeon responses were analyzed.
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.
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.
评估拉丁美洲微创外科（MIS）培训的现状，并确定获得腹腔镜技能的主要障碍。
2022 年 11 月，在各种社交媒体上发布了一项匿名调查。分析外科医生的回应。
来自 16 个拉丁美洲国家的 98 个外科机构的 131 名儿科外科医生对调查做出了回应。在具有 > 20 年经验的外科医生中，有 45.9%接受过住院医师培训的 MIS 培训，而在具有 < 10 年经验的外科医生中，这一比例为 95.2%。116 名外科医生（88.5%）完成了中位数为 3 门课程（IQR：2；5），其中 70.2%的课程时长不超过 3 天，且 85.4%为自费。参加这些课程的主要障碍是缺乏资金和/或缺乏本地课程（80%）。100 名（76.3%）受访者认为虚拟课程是获得腹腔镜技能的一种可行选择。
在过去几十年中，拉丁美洲的 MIS 培训呈指数级增长。然而，培训计划还有改进的空间，这意味着培训高度依赖外科医生，因为课程是由外科医生自己选择和自费的。
