{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T09:16:48Z","timestamp":1788513408192,"version":"build-2803163510"},"reference-count":18,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2025,6,16]],"date-time":"2025-06-16T00:00:00Z","timestamp":1750032000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,6,16]],"date-time":"2025-06-16T00:00:00Z","timestamp":1750032000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100001691","name":"Japan Society for the Promotion of Science","doi-asserted-by":"publisher","award":["21K12754"],"award-info":[{"award-number":["21K12754"]}],"id":[{"id":"10.13039\/501100001691","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Endosurgery has several advantages over open surgery in the context of global surgery. Simulation\u2010based training (SBT) is a highly effective educational modality for pediatric endoscopic surgery. This study assessed the effectiveness of SBT using a disease\u2010specific simulator for laparoscopic percutaneous extraperitoneal closure (LPEC) in low\u2010 and middle\u2010income countries (LMICs).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We developed a disease\u2010specific simulator for LPEC surgery that reproduces an infant's small pelvic cavity and lower abdomen. We held a workshop for LPEC surgery in Kathmandu, Nepal. The workshop consisted of lectures, hands\u2010on training using the LPEC simulator, and live surgery for LPEC. To assess the effectiveness of the workshop, skill evaluation tests were conducted before and after the workshop. In addition, a follow\u2010up survey was conducted 8\u00a0months after the workshop to investigate whether or not LPEC surgery was implemented.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Twenty\u2010three participants completed the workshops. The skill evaluation tests using the LPEC simulator revealed that participants' skills had improved significantly after the workshop with regard to task completion time (650.4\u00a0\u00b1\u00a0363.4 vs. 389.0\u00a0\u00b1\u00a0179.1\u00a0s,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.01). In live surgery, the first LPEC surgery in Nepal was successfully performed by a local pediatric surgeon without intraoperative complications. Five institutions out of 6 responded to the follow\u2010up questionnaire survey (response rate: 83.3%). LPEC surgery was implemented in 4 out of 6 institutions (66.7%). In the 8\u00a0months following the workshop, a total of 725 surgeries for pediatric inguinal hernia were performed at 5 hospitals, of which 68 (9.4%) were LPEC surgeries. There were no intraoperative complications or recurrences during these 68 LPEC surgeries.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>SBT using a disease\u2010specific simulator is effective for safe introduction of new pediatric endoscopic surgical procedures in LMICs.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/wjs.12672","type":"journal-article","created":{"date-parts":[[2025,6,17]],"date-time":"2025-06-17T00:28:49Z","timestamp":1750120129000},"page":"1862-1869","source":"Crossref","is-referenced-by-count":1,"title":["Successful Introduction of a New Pediatric Endoscopic Procedure in Nepal by Simulation\u2010Based Training Using a Disease\u2010Specific Simulator"],"prefix":"10.1002","volume":"49","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9247-4216","authenticated-orcid":false,"given":"Masakazu","family":"Murakami","sequence":"first","affiliation":[{"name":"Department of Pediatric Surgery Research Field in Medical and Health Sciences Medical and Dental Area Research and Education Assembly Kagoshima University  Kagoshima Japan"},{"name":"Department of Pediatric Surgery Hokkaido Medical Center for Child Health and Rehabilitation  Sapporo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saseem","family":"Poudel","sequence":"additional","affiliation":[{"name":"Department of Gastroenterological Surgery II Hokkaido University Graduate School of Medicine  Sapporo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jasmine","family":"Bajracharya","sequence":"additional","affiliation":[{"name":"Department of Surgery Nepal Medical College Teaching Hospital  Kathmandu Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shinichiro","family":"Yokoyama","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery Hokkaido Medical Center for Child Health and Rehabilitation  Sapporo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rameshwar Prasad","family":"Pokharel","sequence":"additional","affiliation":[{"name":"Department of Paediatric Surgery Tribhuvan University Teaching Hospital  Kathmandu Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ramnandan P.","family":"Chaudhary","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery Ishan Children &amp; Women's Hospital  Basundhara Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Satoshi","family":"Ieiri","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery Research Field in Medical and Health Sciences Medical and Dental Area Research and Education Assembly Kagoshima University  Kagoshima Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,6,16]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0140\u20106736(15)60160\u2010x"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2018.11.005"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2015.2205"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464\u2010015\u20104201\u20102"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1089\/lps.1995.5.163"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1089\/lap.2021.0307"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00383\u2010023\u201005550\u20107"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00383\u2010019\u201004539\u20105"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/ases.12676"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12893\u2010022\u201001787\u20106"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2006.08.032"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00595\u2010019\u201001819\u20104"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2022.07.003"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.2196\/23287"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.9738\/cc103.1"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00383\u2010024\u201005958\u20109"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00595\u2010019\u201001847\u20100"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1080\/13645706.2024.2321950"}],"container-title":["World Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/wjs.12672","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/wjs.12672","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/wjs.12672","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T08:56:20Z","timestamp":1788512180000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/wjs.12672"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,6,16]]},"references-count":18,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2025,7]]}},"alternative-id":["10.1002\/wjs.12672"],"URL":"https:\/\/doi.org\/10.1002\/wjs.12672","archive":["Portico"],"relation":{},"ISSN":["0364-2313","1432-2323"],"issn-type":[{"value":"0364-2313","type":"print"},{"value":"1432-2323","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,6,16]]}}}