BACKGROUND The objectives of this study were to investigate the relationship between the acquisition of laparoscopic suturing skills and other operative laparoscopic skills and to provide evidence to determine ideal time and duration to introduce laparoscopic suturing training. METHODS The first part of the study explored the relationship between the acquisition of laparoscopic suturing skills and proficiency of other operative laparoscopic skills. The second part of the study consisted of an opinion survey from senior and junior trainees on aspects of training in laparoscopic suturing. RESULTS One hundred twenty-eight surgical trainees participated in this study. The total scores of task performance of 57 senior surgical trainees in laparoscopic suturing skills consisting of needle manipulation and intracoporeal knot tying were improved significantly after the training course (46.9 ± 5.3 vs 29.5 ± 9.4, P < .001), the improvement rate was 59%. No statistically significant correlations were observed between intracorporeal laparoscopic suturing skills and proficiency in the basic laparoscopic manipulative skills assessed before (r = 0.193; P = 0.149) and after (r = 0.024; P = 0.857) the training course. 91% of senior trainees and 94% junior trainees expressed that intracorporeal suturing should be introduced at an early stage of the training curriculum. CONCLUSIONS There was no statistically significant correlation between the performance on basic operative laparoscopic skills (non-suturing skills) and laparoscopic suturing skills observed in this study. The acquisition of basic laparoscopic skills is not a prerequisite for training in intracorporeal suturing and it may be beneficial for the surgical trainees to learn this skill early in the surgical training curriculum. Surgical trainees want to learn and practice laparoscopic suturing earlier than later in their training.

中文翻译：

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有证据支持将腹腔镜缝合技术尽早引入外科培训课程。

背景技术这项研究的目的是调查腹腔镜缝合技巧的获得与其他腹腔镜手术技巧之间的关系，并提供证据确定引入腹腔镜缝合培训的理想时间和持续时间。方法研究的第一部分探讨了腹腔镜缝合技能的获得与其他手术腹腔镜技能之间的关系。研究的第二部分包括来自高级和初级培训人员的关于腹腔镜缝合培训方面的意见调查。结果一百二十八名外科手术学员参加了这项研究。训练后，由57名高级外科手术学员完成的由针操作和孔内打结组成的腹腔镜缝合技术的任务表现总分得到了显着提高（46.9±5.3对29.5±9.4，P <.001），改善率为59 ％。腹腔镜缝合技巧与熟练腹腔镜基本操作技巧水平之间的差异在统计学上没有显着相关性（r = 0.193; P = 0.149）和之后（r = 0.024; P = 0.857）。91％的高级培训生和94％的初级培训生表示应在培训课程的早期阶段进行体内缝合。结论在这项研究中观察到的基本手术腹腔镜技巧（非缝合技巧）与腹腔镜缝合技巧的表现之间没有统计学上的显着相关性。腹腔镜基本技能的获得不是体内缝合培训的先决条件，对于外科手术学员来说，在外科手术培训课程中尽早学习该技能可能是有益的。外科手术学员希望在培训中早点学习并练习腹腔镜缝合。