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Table 1 Summary of potential laparoscopic operative experience required through general surgery training [6,7,8,9,10]

From: Supporting laparoscopic general surgery training with digital technology: The United Kingdom and Ireland paradigm

 

ST3/Phase 2 Entry

ST4 benchmark

ST6/Phase 3 Entry benchmark

CCT

  

Levelc

Numberd

Levelc

Numberd

Levelc

Numberd

Levelc

Numberd

 

Coordination of camera and instruments from a 2D display during surgical endoscopy

2

–

–

–

–

–

–

–

 

Placement of laparoscopic ports

1

–

–

–

–

–

–

–

 

Procedures logged c

–

 > 20

–

–

–

–

–

–

Operative experience

Appendicectomy

2

–

3

–

3

70

4

80

 

Inguinal Hernia

–

–

–

–

4

50

–

–

 

Cholecystectomya

Cholecystectomyb

–

–

–

–

2

–

–

–

4

4

40

60

4

4

50

110

 

Anterior resection (high)a

–

–

1

–

2

5

4

30

 

Segmental colectomya

–

–

2

–

3

20

4

50

 

Major UGI proceduresb

•Liver resection

•Pancreatic

resection

•Oesophagectomy

•Gastrectomy

•Anti-reflux surgery

–

–

2

–

2

10

3

35

  1. aColorectal special interest trainees
  2. bUGI special interest trainees who will concentrate on either oesophogastric or hepatopancreaticobilary procedures
  3. cCompetence levels 1—Has observed, 2a—Guidance required for most/all of the procedure (or part performed) 2b Guidance or intervention required for key steps only 3a—Procedure performed with minimal guidance or intervention (needed occasional help) 3b—Procedure performed competently without guidance or intervention but lacked fluency 4 a- Procedure performed fluently without guidance or intervention 4b—As 4a and was able to anticipate, avoid and/or deal with common problems/complications
  4. dNo specific proportion of laparoscopic cases specified