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Abstract
Objective: To determine the changes in surgical skills and abilities in laparoscopy before and after basic training with simulators in the Aragua Endosurgical Unit from September 2023 to December 2024. Methods: An observational, analytical, prospective longitudinal study was carried out, in which 116 physicians enrolled in the basic course were included, who received targeted training for the performance of laparoscopic procedures in simulators. The results showed a significant improvement in theoretical grades, from an average of 10.28 points in the pre-test to 15.16 points in the post-test (p=0.000). In terms of practical skills, significant improvements were also observed in all the categories evaluated: depth perception, bimanual dexterity, efficiency, tissue handling and autonomy. For example, depth perception increased from 149 to 247 points, and bimanual dexterity from 142 to 232 points. Participants come from various regions and universities, with a mean age of 38.2 years and a gender distribution of 55.17% women. In addition, the degree of satisfaction was high, with 88.79% of the doctors reporting being "Very Satisfied" with the training program. In conclusion, this study has shown that training with simulators in the Aragua Endosurgical Unit is highly effective in improving the laparoscopic surgical skills and abilities of resident physicians and specialists, both in practical performance and in theoretical knowledge.
Keywords: Training program, laparoscopy, simulation, skills and abilities
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