Suga Hilkiah, Woldehana Nathnael, Mikru Filagot, Wakwoya Segni, Fanta Ebenezer, Belete Nahom, Berihun Abiye, Malore Efeson
Department of Research, Minimally Invasive Surgery Africa, Addis Ababa, Ethiopia.
Department of Training, Minimally Invasive Surgery Africa, Addis Ababa, Ethiopia.
Surg Endosc. 2025 Aug 26. doi: 10.1007/s00464-025-12143-z.
Laparoscopic surgery offers significant benefits in modern healthcare, including reduced recovery times and fewer complications. However, mastering these techniques requires specialized training, which is often limited in resource-constrained settings like Ethiopia. Simulator-based training has been shown to be an effective method for improving surgeons' understanding of basic laparoscopic surgery concepts, particularly in resource-limited settings. By providing hands-on practice in a simulated environment, this approach enables participants to refine their skills and enhance their knowledge of key techniques. This study aims to assess the impact of a two-day simulator-based laparoscopy training program on Ethiopian surgeons' knowledge.
This is a quasi-experimental study conducted in Ethiopia on April 20 and 21, 2024. Surgeons were randomly selected from those who registered for the study, after which the selected surgeons underwent a two-day simulator-based laparoscopy training. Structured pre-test and post-test questionnaires with a maximum score of 20 were administered. A paired sample t-test was performed to evaluate the effect of the intervention.
The study included 14 surgeons, 12 of whom were male. Only one surgeon had prior laparoscopy training, and 6 (42%) had experience either performing or assisting in laparoscopic procedures. Participants demonstrated significant improvement from the pre-test (M = 10.57, SD ± 4.54) to the post-test (M = 14.64, SD ± 2.47), indicating substantial improvements in surgical knowledge following the training (95% CI 1.88-6.26, p = 0.001).
The short-term simulator-based training significantly improved the knowledge of Ethiopian surgeons in laparoscopic surgery, as evidenced by the increase in post-test scores. These findings highlight the importance of simulator-based training in enhancing surgical knowledge, particularly in resource-limited settings.
腹腔镜手术在现代医疗保健中具有显著优势，包括缩短恢复时间和减少并发症。然而，掌握这些技术需要专门培训，而在埃塞俄比亚等资源有限的环境中，此类培训往往受限。基于模拟器的培训已被证明是提高外科医生对基本腹腔镜手术概念理解的有效方法，尤其是在资源有限的环境中。通过在模拟环境中提供实践操作，这种方法使参与者能够完善技能并增强对关键技术的了解。本研究旨在评估为期两天的基于模拟器的腹腔镜培训项目对埃塞俄比亚外科医生知识水平的影响。
这是一项于2024年4月20日和21日在埃塞俄比亚进行的准实验研究。从报名参加该研究的外科医生中随机选取，所选外科医生接受了为期两天的基于模拟器的腹腔镜培训。采用满分20分的结构化预测试和后测试问卷。进行配对样本t检验以评估干预效果。
该研究纳入了14名外科医生，其中12名男性。只有一名外科医生曾接受过腹腔镜培训，6名（42%）有进行或协助腹腔镜手术的经验。参与者从预测试（M = 10.57，SD ± 4.54）到后测试（M = 14.64，SD ± 2.47）有显著改善，表明培训后手术知识有大幅提高（95% CI 1.88 - 6.26，p = 0.001）。
基于模拟器的短期培训显著提高了埃塞俄比亚外科医生在腹腔镜手术方面的知识水平，后测试分数的提高证明了这一点。这些发现凸显了基于模拟器的培训在增强手术知识方面的重要性，尤其是在资源有限的环境中。
