caa a22 4500 475779657 CHVBK 20180406123640.0 cr unu---uuuuu 170329e20001201xx s 000 0 eng 10.1007/s004640000264 doi (NATIONALLICENCE)springer-10.1007/s004640000264 Telementoring as an adjunct to training and competence-based assessment in laparoscopic cholecystectomy [Elektronische Daten] [J. P. Byrne, M. M. Mughal] Background: We set out to assess telementoring as a training adjunct and an objective means of assessing competence in laparoscopic cholecystectomy (LC). Methods: Consecutive patients underwent LC performed by a higher surgical trainee (HST). The laparoscopic image was relayed to an adjoining theater, where the trainer observed as he operated during a parallel operating list. Interaction occurred between trainer and trainee as appropriate; and interaction, procedure difficulty, and duration were recorded. Results: LC was accomplished in 33 of 34 patients, with one (2.9%) open conversion and one (2.9%) postoperative bile collection. In 21 cases (69%), there was no interaction; in 11 cases (32.4%), there was verbal interaction; and in two cases (5.9%), the trainer scrubbed. Interaction rates for difficulty grades 1, 2, and 3 were 15% (2/13), 41.2% (7/17), and 50% (2/4), with median operating times of 35, 45, and 92 min, respectively. Conclusions: Telementoring in LC is feasible, appears to be safe, and may generate objective assessment of a trainee's performance and progress. Evaluation of this technique in a cohart of trainees at different stages is now required. Springer-Verlag New York Inc., 2000 Byrne J. P. Department of General Surgery, Chorley and South Ribble NHS Trust, Preston Road, Chorley, Lancashire, PR7 1PP England, GB aut Mughal M. M. Department of General Surgery, Chorley and South Ribble NHS Trust, Preston Road, Chorley, Lancashire, PR7 1PP England, GB aut Surgical Endoscopy Springer-Verlag 14/12(2000-12-01), 1159-1161 0930-2794 14:12<1159 2000 14 464 https://doi.org/10.1007/s004640000264 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s004640000264 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Byrne J. P. Department of General Surgery, Chorley and South Ribble NHS Trust, Preston Road, Chorley, Lancashire, PR7 1PP England, GB aut NATIONALLICENCE 700 1- Mughal M. M. Department of General Surgery, Chorley and South Ribble NHS Trust, Preston Road, Chorley, Lancashire, PR7 1PP England, GB aut NATIONALLICENCE 773 0- Surgical Endoscopy Springer-Verlag 14/12(2000-12-01), 1159-1161 0930-2794 14:12<1159 2000 14 464 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer