Easwaramoorthy Sundaram, Chandrasekar Sakthivel, Manickavasakam Kanagavel, Sridhar Pranesh, Govindan Gurusamy, Sundarrajan Haridra
Department of Minimal Access Surgery, Lotus Hospital, Erode, Tamil Nadu, India.
Department of Surgery, Lotus Hospital, Erode, Tamil Nadu, India.
J Minim Access Surg. 2025 Jul 1;21(3):297-302. doi: 10.4103/jmas.jmas_24_25. Epub 2025 Jul 14.
: Since the invention of laparoscopic cholecystectomy, there have been tremendous developments in minimal access surgery and an increasing need for well-structured laparoscopic training courses. There is a need to analyse the real benefit of short training courses. The study was conducted to find whether a focused 3-day structured laparoscopy training course conducted by the Indian Association of Gastrointestinal Endo Surgeons (IAGES) could improve the cognitive and technical skills of surgeons in essential laparoscopic surgery.
: The Indian Association of Gastrointestinal Endo Surgeons conducted this prospective study during 2023–2024. Five hundred and fifty one candidates under the examination category in 14 consecutive courses were considered as the study groups to compare their pre- and post-test multiple-choice question (MCQ) scores to find the improvement in their knowledge base. A survey of candidates using Google Forms was also done at 6 months to find out the impact of the course. The following outcome measures were analysed: Improvement in the mean score in post-test MCQ when compared to pre-test MCQ. We compared the pre- and post-test scores after categorising the candidates into three grades according to the marks scored by them. Grade A: Above 75% marks. Grade B: 50%–75% marks. Grade C: <50% marks. Quality of laparoscopy training modules including hands-on suture training module and live demonstration of laparoscopic procedures. The volume of laparoscopic procedures done before and after the course.
: The paired -test.
: There were 551 examination category candidates for FIAGES during this study period with pre- and post-test scores (grades) available for evaluation. Four hundred and fourteen candidates submitted the 15-question Google Forms which were also taken for further analysis of the impact of the training course. After the FIAGES course, it was evident that most of the participants obtained Grade A in the post-test as compared to the pre-test (5.4% vs. 41.4%), and only very few participants obtained Grade C (0.9%). It was also evident that the candidates started performing more basic laparoscopic cases after the FIAGES score ( < 0.001).
: The FIAGES course has established itself as a famous well-structured laparoscopic training course. It improved the knowledge base of the registrants and also helped with their career progress. Efforts are on the way to make FIAGES with a more elaborate course curriculum to enable accreditation by statutory bodies.
自腹腔镜胆囊切除术发明以来，微创外科取得了巨大发展，对结构完善的腹腔镜培训课程的需求也日益增加。有必要分析短期培训课程的实际益处。本研究旨在探讨由印度胃肠内镜外科医生协会（IAGES）举办的为期3天的聚焦式结构化腹腔镜培训课程是否能提高外科医生在基本腹腔镜手术方面的认知和技术技能。
印度胃肠内镜外科医生协会在2023 - 2024年期间开展了这项前瞻性研究。连续14期课程中处于考试类别的551名考生被视为研究组，通过比较他们测试前和测试后的多项选择题（MCQ）分数来评估其知识库的提升情况。在6个月时还通过谷歌表单对考生进行了调查，以了解该课程的影响。分析了以下结果指标：测试后MCQ的平均分与测试前相比的提高情况。根据考生的得分将其分为三个等级后比较测试前和测试后的分数。A级：75%以上分数。B级：50% - 75%分数。C级：低于50%分数。腹腔镜培训模块的质量，包括实践缝合培训模块和腹腔镜手术的现场演示。课程前后进行的腹腔镜手术数量。
配对t检验。
在本研究期间，有551名IAGES考试类别的考生有测试前和测试后的分数（等级）可供评估。414名考生提交了15道题的谷歌表单，这些表单也用于进一步分析培训课程的影响。IAGES课程结束后，很明显与测试前相比，大多数参与者在测试后获得了A级（5.4%对41.4%），只有极少数参与者获得了C级（0.9%）。同样明显的是，考生在IAGES课程后开始进行更多的基本腹腔镜手术（P < 0.001）。
IAGES课程已成为一门著名的结构完善的腹腔镜培训课程。它提高了注册学员的知识库，也有助于他们的职业发展。目前正在努力使IAGES课程的课程设置更加精细，以便获得法定机构的认证。
