Our Summary

This research paper examines the impact of the Fundamentals of Laparoscopic Surgery (FLS) program on the confidence levels of surgical residents while performing common laparoscopic operations without faculty assistance. The FLS program, implemented by the Society of American Gastrointestinal and Endoscopic Surgeons (SAGES), has been providing a structured training format for laparoscopic skills since 2004.

The researchers conducted a national survey in 2020, including 9275 residents from 325 US General Surgery Training Programs. The participants were asked if they felt confident in performing the most frequently performed laparoscopic operations, such as Laparoscopic Appendectomy, Laparoscopic Cholecystectomy, Laparoscopic Right Hemicolectomy, and Diagnostic Laparoscopy without supervision.

The results show that 2300 participants had completed the FLS program at the time of the survey. The completion rate of FLS increased from the first post-graduate year (PGY1) to the fifth (PGY5). Those in their first post-graduate year showed the most significant increase in confidence, especially in performing Laparoscopic Appendectomy and Laparoscopic Right Hemicolectomy. Second and third-year residents also showed increased confidence, particularly in Diagnostic Laparoscopy.

The study concludes that the FLS program is most beneficial for junior residents. It provides them with a solid foundation of laparoscopic knowledge and skills, which further residency training can build upon. In essence, the successful completion of the FLS program helps early trainees feel more capable in their abilities.

FAQs

  1. What is the Fundamentals of Laparoscopic Surgery (FLS) program?
  2. How does the FLS program impact the confidence of surgical residents?
  3. Which group of residents benefited the most from the FLS program according to the research study?

Doctor’s Tip

A doctor might tell a patient undergoing laparoscopic surgery to trust in the skills and training of the surgical team, as completing a structured program like the Fundamentals of Laparoscopic Surgery (FLS) can significantly increase their confidence and proficiency in performing common laparoscopic operations. This training program helps ensure that the surgical team is well-prepared to provide the best possible care during the procedure.

Suitable For

In general, laparoscopic surgery is recommended for patients who require minimally invasive procedures for conditions such as gallbladder disease, appendicitis, hernias, and certain types of gastrointestinal issues. Patients who are considered good candidates for laparoscopic surgery are typically those who are in overall good health, have a lower risk of complications, and have conditions that can be effectively treated with minimally invasive techniques.

Specifically, laparoscopic surgery may be recommended for patients who:

  • Have gallbladder disease, such as gallstones or inflammation of the gallbladder (cholecystitis)
  • Have appendicitis and require an appendectomy
  • Have hernias, such as inguinal or umbilical hernias
  • Need procedures on the colon or intestines, such as a colectomy or bowel resection
  • Need diagnostic procedures, such as exploratory laparoscopy for abdominal pain or unexplained symptoms

It is important for patients to discuss their specific medical condition with their healthcare provider to determine if laparoscopic surgery is the best treatment option for them. Each patient’s individual health status, medical history, and the nature of their condition will be taken into consideration when making a recommendation for laparoscopic surgery.

Timeline

Before laparoscopic surgery:

  1. Patient consults with a healthcare provider to discuss the need for surgery and the potential risks and benefits.
  2. Patient undergoes pre-operative testing, such as blood work and imaging, to ensure they are a suitable candidate for surgery.
  3. Patient may need to follow specific pre-operative instructions, such as fasting before surgery.

After laparoscopic surgery:

  1. Patient is monitored in the recovery room immediately after surgery to ensure they are stable.
  2. Patient may experience pain and discomfort at the incision sites, which can be managed with pain medication.
  3. Patient may need to stay in the hospital for a few days for observation and recovery.
  4. Patient will be given post-operative instructions, including restrictions on physical activity and wound care.
  5. Patient will have follow-up appointments with their healthcare provider to monitor their recovery and address any concerns or complications.

What to Ask Your Doctor

Some questions a patient should ask their doctor about laparoscopic surgery include:

  1. What specific laparoscopic procedure will be performed for my condition?
  2. What are the potential risks and complications associated with this laparoscopic surgery?
  3. How experienced is the surgical team in performing laparoscopic procedures?
  4. What is the expected recovery time and post-operative care for this laparoscopic surgery?
  5. Are there any alternative treatment options to consider before undergoing laparoscopic surgery?
  6. How will my pain be managed following the laparoscopic procedure?
  7. Will I need to follow any specific dietary or activity restrictions after laparoscopic surgery?
  8. What is the success rate of this laparoscopic procedure for my condition?
  9. How long will the effects of the laparoscopic surgery last?
  10. Are there any long-term implications or lifestyle changes to consider after undergoing laparoscopic surgery?

Reference

Authors: Schmiederer IS, Kearse LE, Jensen RM, Anderson TN, Dent DL, Payne DH, Korndorffer JR. Journal: Surg Endosc. 2022 Nov;36(11):8509-8514. doi: 10.1007/s00464-022-09443-z. Epub 2022 Sep 15. PMID: 36109359