Enhancing surgical skills through telesimulation : a multicenter randomized controlled trial on laparoscopic inguinal hernia repair

Kiriyama, Kotoe; Kurashima, Yo; Poudel, Saseem; Watanabe, Yusuke; Ito, Yoichi M.; Hirano, Satoshi

Enhancing surgical skills through telesimulation : a multicenter randomized controlled trial on laparoscopic inguinal hernia repair

Kiriyama, Kotoe; Kurashima, Yo; Poudel, Saseem et al.

Surgery, 2025, 180, 109136

Permalink : https://hdl.handle.net/2115/97413

このアイテムのアクセス数:48件（2026-07-20 06:21 集計）

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論文情報

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アクセス権	open access
URI	https://hdl.handle.net/2115/97413
タイトル	Enhancing surgical skills through telesimulation : a multicenter randomized controlled trial on laparoscopic inguinal hernia repair
著者	Kiriyama, Kotoe ; Kurashima, Yo ; Poudel, Saseem ; Watanabe, Yusuke ; Ito, Yoichi M. ; Hirano, Satoshi
著者名 Kiriyama, Kotoe
e-Rad_Researcher 40374350 著者名 Kurashima, Yo
e-Rad_Researcher 80811489 著者名 Poudel, Saseem
著者名 Watanabe, Yusuke
e-Rad_Researcher 10334236 著者名 Ito, Yoichi M.
e-Rad_Researcher 50322813 著者名 Hirano, Satoshi
言語	英語
キーワード	Telesimulation
	Laparoscopic inguinal hernia repair
	Transabdominal Preperitoneal (TAPP)
	Surgical education
発行日	2025-01-21
出版者	Elsevier
収録物名	Surgery
巻(号)	180
ページ	109136
抄録	Background Telesimulation has been shown to be effective for teaching simple surgical techniques; however, its usefulness for teaching advanced skills remains unclear. The aim of this randomized controlled trial was to investigate the impact of a telesimulation program on training for laparoscopic inguinal hernia repair. Methods Novice trainees were randomly assigned to the intervention group or control group using a permuted block design. Intervention group participants received a 1-hour didactic telelecture and three 1-hour telesimulation sessions with a hernia specialist, whereas control group participants engaged in self-directed training using the same simulator and materials. Trainees’ procedural videos, recorded before and after training, were assessed using the transabdominal preperitoneal checklist and the Global Operative Assessment of Laparoscopic Skills-Groin Hernia. Pre- and post-training tests were performed to evaluate knowledge of inguinal hernias and self-confidence in transabdominal preperitoneal procedures. Results Forty-three participants from 16 institutions in Japan were enrolled, with 22 and 19 in the intervention group and control group, respectively, completing the final analysis. Median post-test transabdominal preperitoneal checklist scores were 16 (interquartile range: 15–18.5) in the intervention group and 11 (interquartile range: 8.5–14.5) in the control group; intervention group participants significantly outperformed their counterparts (P < .001). However, comparison of pre- and post-test scores showed skill improvements in both groups (P < .001). Both groups also showed increased knowledge and confidence. Conclusion The telesimulation program effectively enhanced the surgical skills of novice trainees in learning laparoscopic inguinal hernia repair, demonstrating superiority over self-directed learning.
資源タイプ	学術雑誌論文
出版タイプ	Accepted Manuscript
権利情報	Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International
権利情報	© 2025. This manuscript version is made available under the CC-BY-NC-ND 4.0 license https://creativecommons.org/licenses/by-nc-nd/4.0/
PISSN	0039-6060
関連情報 (isVersionOf)	出版社版DOI https://doi.org/10.1016/j.surg.2024.109136