Surgical Education Lab

Surgical Education Laboratory

PGY1 Residents

Each intern must attend 5 training lab sessions during the year, which will consist of principles and basics of minimally invasive surgery.

1st Lab session (Dry Lab)

Basic Skills

Overview of surgical instruments- going through the various specialty trays; how to load staplers; names of various instruments
Knots 101- an introduction to knot-tying (two- handed, one- handed, instrument tie, deep orifice tie)

Basic skills of Laparoscopic surgery

Introduction to instruments & equipment
Access and Camera navigation
Use of Laparoscopic Instruments
Tasks with direct view ( eye-hand coordination): Grasps
Lift and grasp different size and texture objects.

Equipment requirements(knowledge, set up and use)

Insufflation Machine-Type of Gas use
Video Monitor, Light Sources
Laparoscopic: Size 5 and 10mm. Angles (0, 30, 45 degree)

Instrumentation ( knowledge and use)

Trocars
Graspers/ Dissectors/Scissors
Suturing: Devices, Needle Types, needle Holders

2nd Lab session (Dry Lab)

Basic skills of Laparoscopic surgery

Access and Camera navigation.
Use of laparoscopic instruments.
Tasks with direct and laparoscopic view ( eye-hand coordination): Grasping, Cutting, Lift and grasp, and suturing.
Dissection of different types of fruit peels. Trocar placement and its mechanism
Top Gun

Equipment requirements ( set up, use and troubleshooting)

Insufflation Machine
Video Monitors, Light Sources
Laparoscopic: Size 5 and 10 mm, Angles (0, 30, 45 degree)

Instrumentation (Knowledge and use)

Trocars
Graspers/Dissectors/Scissors
Suturing: Devices, Needle Types, Needle Holders.
Retractors: Size , applications
Tissue approximation Devices: Clip Appliers, Linear Staples (size, application)
Hemostatic Devices: Monopolar Cautery, Bipolar Cautery, harmonic

3rd Lab session (Dry Lab)

Basic skills

Vascular anastomosis
How to sew a basic vascular end to side anastomosis

Basic skills of Laparoscopic surgery

Camera navigation
Use of Laparoscopic instruments
Tasks with laparoscopic view (hand-eye- monitor coordination): Grasping, Cutting ,Lift and grasp Intra-corporeal
Suturing

Equipment requirements ( set up, use and troubleshooting)

Insufflation Machine.
Video Monitord
Light Sources
Laparoscopes:
Size 5 and 10 mm
Angles(0, 30, 45 degree)

Instrumentation (Knowledge and use)

Trocars
Graspers /Dissectors/Scissors
Suturing: Devices, Needle Types, Needle Holders
Retractors: Size, application
Tissue approximation Devices: Clip Appliers, Linear Staples (size, application)
Hemostatic Devices: Monopolar Cautery, Bipoloar Cautery , Harmonic

4th Lab session (Dry Lab)

Basic skills

GI anastomosis – how to do a hand-sewn basic-anastomosis as well as stomas

Basic skills of Laparoscopic surgery

Camera navigation
Use of Laparoscopic Instruments
Tasks with laparoscopic view (hand-eye-monitor coordination): Grasping, Cutting, Lift and Grasp, Intra-corporeal
Suturing Clip applying, Precision & speed. Dissection and suturing on different types of animal tissues

5th Lab session (Dry Lab)

ICU procedure day

How to do a central venous lines, arterial lines, chest tubes, diagnostic peritoneal lavage, compartment pressures, and abdominal compartment pressure

PGY2 Residents

Each resident must attend 5 training lab. Sessions during the year, which will consist in basic skills in open, laparoscopic and robotic surgery

1st Lab session (Dry Lab)

Basic skills

Knots 101 – an introduction to knot –tying ( two-handed, one –handed, instrument tie, deep orifice tie)
Overview of surgical instruments- going through the various specialty trays; how to load staplers; names of various instruments

Basic skills of Laparoscopic surgery

Introduction to instruments & equipment
Access and Camera navigation
Use of Laparoscopic Instruments
Tasks with direct (hand-eye coordination) and laparoscopic view ( hand-eye monitor coordination):
Grasping, Cutting, Lift and grasp, Suturing, Clip applying, Precision& speed. Dissection of different types of fruit peels

Equipment requirements (knowledge, set up, use and troubleshooting)

Insufflation Machine- Type of Gas use
Video Monitors, Light Sources
Laparoscopes: Size 5 and 10 mm, angles (0, 30, 45 degree)

Instrumentation ( Knowledge and Use)

Trocars
Graspers/Dissectors/Scissors
Suturing: Devices, Needle Types, Needle Holders
Retractors: Size, application
Tissue approximation Devices: Clip appliers, Linear Staples (size, applications)

2nd Lab session (Dry Lab)

Basic Skills

Vascular anastomosis – how to sew a basic vascular end to side anastomosis
GI anastomosis – how to do a hand-sewn basic anastomosis as well as stomas
Top Gun
Basic skills of Laparoscopic surgery: Camera navigation
Use of Laparoscopic Instruments
Tasks with Laparoscopic view (hand – eye monitor coordination): Grasping, Cutting, Lift and grasp, Suturing, Clip applying, Precision & speed. Dissection and suturing on different types of animal tissues

3rd Lab session (Animal Lab)

Skills in Laparoscopic surgery

Laparoscopic Cholecystectomy
Principle of operative techniques: Proper instrument selection, trocar placement, exposure of the operating field and principle of intracorporeal suturing. Major complications and their avoidance

Equipment requirements ( Set up, use and troubleshooting)

Video Monitors
Light Sources
Laparoscopes: Size 5 and 10 mm, Angles ( 0, 30, 45 degree

Instrumentation ( Knowledge and use )

Trocars
Graspers/Dissectors/Scissors
Suturing: Devices, Needle Types, Needle Holders
Retractors: Size, applications
Tissue approximation Devices : Clip Appliers, Linear Staples ( size and application)
Hemostatic Devices: Monopolar Cautery, Bipolar Cautery, Harmonic

4th Lab session (Animal Lab)

Skills in Laparoscopic surgery

Diagnostic Laparoscopy
Biopsy
Lap Suturing
Hemorrhage and hemostasis
Laparoscopic Appendectomy and Gastrostomy
Principle of operative techniques: Proper instrument selection, trocar placement, exposure of the operative field and intracorporeal suturing. Major complications and their avoidance

5th Lab session (Dry Lab)

Skills in Robotic Surgery: Introduction to Robotic Surgery

Principles of Robotic Surgery
Introduction to the DaVinci system
Principles of functioning, set up and proper instrument selection
Tasks with Robotic view (eye –hand coordination): Grasping, Cutting, Lift and grasp, and suturing
Dissection of different types of fruit peels

PGY 3 Residents

Each resident must attend 6 laparoscopic training lab sessions during the year, which will consist in skills improvement in laparoscopic and robotic surgery.

1st Lab session (Dry Lab)

Basics of Laparoscopic surgery

Camera navigation.
Use of laparoscopic Instruments
Tasks with Laparoscopic view ( hand-eye monitor coordination): Grasping, Cutting, Lift and grasp, Suturing, Clip applying, Dissection and suturing on different types of animal tissues, Precision & speed
Top Gun

2nd Lab session (Animal Lab)

Skills in Laparoscopic Surgery

Diagnostic Laparoscopy
Biopsy
Lap Suturing
Hemorrhage and hemostasis
Jejunostomy, Percutaneous Endoscopic Gastrotomy (PEG), Use of circular stapler

3rd Lab session (Animal Lab)

Skills in Laparoscopic Surgery

Esophageal Surgery: Heller Myotomy, Lap Nissen and Upper Endoscopy
Principle of operative techniques: Proper instruments selection, trocar placement, exposure of the operating field. Major complications and their avoidance

4th Lab session (Animal Lab)

Skills in Laparoscopic Surgery

Ventral Hernia Repair
Principle of operative techniques; Proper instruments selection, trocar placement, exposure of operating field. Major complications and their avoidance

5th Lab session (Animal Lab)

One group of residents will be assigned to the robotic room while the other two groups will be performing the Laparoscopic procedures. At certain intervals residents will rotate between rooms

Skills in Laparoscopic Surgery

Solid Organ surgery: Hand Assisted Laparoscopic Splenectomy/ Nephrectomy/Adrenalectomy
Principle of operative techniques: proper instruments selection, trocar placement, exposure of operating field
Major complications and their avoidance

Skills In Robotic Surgery

Principles of Robotic Surgery
Introduction to the DaVinci system
Principles of functioning, set up, and proper instrument selection.
Tasks with Robotic view (eye-hand coordination): Grasping, Cutting, Lift and grasp, and suturing
Dissection of different types of fruit peels

6th Lab session (Animal Lab)

One group of residents will be assigned to the robotic room while the other two groups will be performing the Laparoscopic procedures. At certain intervals residents will rotate between the rooms.

Skills in Laparoscopic Surgery

Cholecystectomy
Gastrojejunostomy
Principle of operative techniques: Proper instruments selection, trocar placement, exposure of the operating field. Major complications and their avoidance

Skills in Robotic Surgery

Cholecystectomy, Nissen fundoplication
Principles of functioning, set up and proper instruments selection
Principle of operative techniques: Proper instrument selection, trocar placement, exposure of operating field
Major complications and their avoidance

PGY 4 Residents

Each resident must attend 6 Laparoscopic training lab sessions during the year, which will consist in skills improvement in laparoscopic an and robotic Surgery

1st Lab session (Animal Lab)

Fundamentals in Laparoscopic surgery course. (FLS)

Skills in Laparoscopic Surgery:

Esophageal surgery: Heller Myotomy, Lap Nissen and Upper Endoscopy.
Principle of operative techniques: proper instruments selection, trocar placement, exposure of the operating field.
Major complications and their avoidance

2nd Lab session (Animal Lab)

Fundamentals in Laparoscopic surgery course. (FLS)

Skills in Laparoscopic Surgery:

Solid organ surgery: Hand Assisted laparoscopic Nephrectomy/ Adrenalectomy/Splenectomy
Principle of operative techniques: Proper instruments selection, trocar placement, exposure of operating field
Major complications and their avoidance

3rd Lab session (Animal Lab)

Fundamentals in Laparoscopic surgery course. (FLS)

Skills in Laparoscopic Surgery

Ventral Hernia Repair
Principle of operative techniques: Proper instruments selection, trocar placement, exposure of operating field
Major complications and their avoidance

4th Lab session (Animal Lab)

One group of residents will be assigned to the robotic room while the other two groups will be performing the Laparoscopic procedures. At certain intervals residents will rotate between rooms.

Skills in Laparoscopic Surgery: Colorectal Surgery ( Colectomy, Colostomy, Hand Assisted Colectomy)

Principle of operative techniques: Proper instruments selection, trocar placement, exposure of operating field
Major Complications and their avoidance

Skills in Robotic Surgery: Principles of Robotic Surgery

Introduction to the DaVinci System
Principles of functioning, set up, and proper instruments selection
Tasks with Robotic view (eye-hand coordination): Grasping, Cutting, Lift and grasp, and suturing
Dissection of different types of fruit peels

5th Lab session (Animal Lab)

One group of residents will be assigned to the robotic while the other two groups will be performing the Laparoscopic procedures. At certain intervals residents will rotate between rooms.

Skills in Laparoscopic Surgery

Bariatric Surgery
Principle of operative techniques: Proper instruments selection, trocar placement, exposure of the operating field. Major complications and their avoidance

Skills in Robotic Surgery

Cholecystectomy, Nissen Fundoplication
Principles of functioning. Set up and proper instrument selection
Principle of operative techniques: Proper instruments selection, trocar placement, exposure of the operating field. Major complications and their avoidance

6th Lab session (Animal Lab)

One group of residents will be assigned to the robotic room while the other two groups will be performing the Laparoscopic procedures. At certain intervals residents will rotate between rooms

Skills in Robotic Surgery

Cholecystectomy, Nissen Fundoplication
Principle of functioning, set up and proper instrument selection
Principle of operative techniques: Proper instruments selection, trocar placement, exposure of the operating field. Mayor complications and their avoidance