“Siriraj Minimally Invasive Surgery “Siriraj Minimally Invasive Surgery workshop: from basic to advance.” workshop: from basic to advance.” Thawatchai Akaraviputh, MD, Dr. med. Thawatchai Akaraviputh, MD, Dr. med. MIS unit MIS unit Department of Surgery, Department of Surgery, Faculty of Medicine Siriraj Hospital, Faculty of Medicine Siriraj Hospital, Mahidol University, Mahidol University, Bangkok, Thailand Bangkok, Thailand Ethical and Medico-legal concerns of learning new skills on actual patients
moving learning curve out of the moving learning curve out of the operating room operating room Limited operative time Long waiting list Financial constraint Patient safety Ensuring Surgical Competency via a Systemic Skill Development Program
moving learning curve out of the moving learning curve out of the operating room operating room • Hands-on Workshop • Basic level (Box training, Simulator) • Intermediate level (Pig model, Soft Cadaver) • Advanced level (Live Demonstration, Teleconference, Hands-on training) Siriraj Advanced Surgical Siriraj Advanced Surgical Skills Training & Education Skills Training & Education Center Center
Workshop for basic laparoscopic surgery Workshop for basic laparoscopic surgery lecture, knotting, suturing, clipping lecture, knotting, suturing, clipping Lab box training Lab box training every tuesday morning every tuesday morning Hand eye cooperation, Instrument control Hand eye cooperation, Instrument control
endoscopic workshop endoscopic workshop Lecture, Instrument, GI mentor Lecture, Instrument, GI mentor Annually For 3rd year Surgical Resident Annually For 3rd year Surgical Resident Simulator for Lap. Surgery Simulator for Lap. Surgery
GI Mentor GI Mentor ERCP & EUS training ERCP & EUS training
ROBOTI C SI MULATOR TRAI NI NG Laparoscopic TAPP, splenectomy, cholecystectomyOpen entero-enterostomy Laparoscopic TAPP, splenectomy, cholecystectomyOpen entero-enterostomy anastomosis, Ileocolostomy anastomosis anastomosis, Ileocolostomy anastomosis 8th workshop for Laparoscopic surgery 8th workshop for Laparoscopic surgery in Pig MOdel : 2012 in Pig MOdel : 2012
Hands-on workshops in Soft Cadaver Laparoscopic colectomy Prof. S.H. kiM Prof. S.H. kiM “New Frontiers in Colorectal cancer treatment: From laboratory bench to Robotic console” “New Frontiers in Colorectal cancer treatment: From laboratory bench to Robotic console” 16 � 18 � January � 2012, � Siriraj Hospital � 16 � 18 � January � 2012, � Siriraj Hospital � Endoscopic Hands-on training Endoscopic Hands-on training EGD, Colonoscopy, ERCP, EUS EGD, Colonoscopy, ERCP, EUS
Teleconference Teleconference activities activities MIS unit MIS unit Department of Surgery Department of Surgery Faculty of Medicine Siriraj Hospital Faculty of Medicine Siriraj Hospital 2012 2012 High Definition transmission of live surgery Lap. Adrenalectomy Feb 2012 from Korea
May 2012 DVTS system 4 sites were connected Teleconference Teleconference
Conference room Conference room Soft Cadaver Vidyo system Vidyo system Training room
Laparoscopic component separation in soft cadaver Demonstrated by Todd Heniford Aug 2012 Live Demonstration Live Demonstration 8th Annual meeting & teleconference of siriraj GI endoscopy center 8th Annual meeting & teleconference of siriraj GI endoscopy center “The Master of Upper GI Endoscopy” “The Master of Upper GI Endoscopy”
Miller ‘s Pyramid Evaluation
Conclusion Conclusion Technical skills are essential to the practice Technical skills are essential to the practice of minimally invasive surgery of minimally invasive surgery Thank You MIS
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