Regional education on endoscopic surgery using a teleconference system with high-quality video via the internet: Saga su
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RESEARCH ARTICLE
Open Access
Regional education on endoscopic surgery using a teleconference system with highquality video via the internet: Saga surgical videoconferences Tatsuya Manabe1* , Mitsuhiro Takasaki2, Takao Ide1, Kenji Kitahara3, Seiji Sato3, Seiji Yunotani4, Yoshimi Hirohashi5, Akihiro Iyama6, Masahiko Taniguchi7, Toshiro Ogata7, Shuji Shimizu8 and Hirokazu Noshiro1
Abstract Background: Effective education about endoscopic surgery (ES) is greatly needed for unskilled surgeons, especially at low-volume institutions, to maintain the safety of patients. We have tried to establish the remote educational system using videoconference system through the internet for education about ES to surgeons belonging to affiliate institutions. The aim of this manuscript was to report the potential to establish a comfortable remote educational system and to debate its advantages. Methods: We established a local remote educational conference system by combining the use of a general web conferencing system and a synchronized remote video playback system with annotation function through a highspeed internet. Results: During 2014–2019, we conducted 14 videoconferences to review and improve surgeons’ skills in performing ES at affiliated institutions. At these conferences, while an uncut video of ES that had been performed at one of the affiliated institutions was shown, the surgical procedure was discussed frankly, and expert surgeons advised improvements. The annotation system is useful for easy, prompt recognition among the audience regarding anatomical structures and procedures that are difficult to explain verbally. Conclusions: This system is of low initial cost and offers easy participation and high-quality videos. It would therefore be a useful tool for regional ES education. Keywords: Endoscopic surgery, Videoconference, Remote, High-speed internet
Background Endoscopic surgery (ES)—a minimally invasive surgery introduced during the 1990s—has become popular worldwide. In Japan, the number of ESs has rapidly increased, especially since being covered by insurance. To date, ES has been undertaken at most hospitals and * Correspondence: [email protected] 1 Department of Surgery, Faculty of Medicine, Saga University, 5-1-1 Nabeshima, Saga 849-8501, Japan Full list of author information is available at the end of the article
medical centers [1]. However, there are still differences in short-term and long-term outcomes among institutions and surgeons, depending on their experience (based on the volume of ESs undertaken) and the training environment [2–4]. Because the complicated techniques used in ES necessitate long learning curves [5, 6], an effective educational system should be devised and systematically conducted for surgeons unskilled in ES procedures, especially at low-volume institutions, to ensure patients’ safety.
© The Author(s). 2020 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction
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