{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T00:38:58Z","timestamp":1747183138476,"version":"3.40.5"},"reference-count":26,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2022,6,16]],"date-time":"2022-06-16T00:00:00Z","timestamp":1655337600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2022,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Because of special technical challenges, laparoendoscopic single\u2010site surgery (LESS) has been introduced into surgical practice, with surgeons required to have adequate training. The COVID\u201019 pandemic has significantly affected every aspect of healthcare systems, including LESS training, which must be modified to minimize the impact of the COVID\u201019 pandemic.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A 3\u2010session training programme was designed in 2020 during the epidemic, which was modified in 2019 before the pandemic. Session 1 was an online study on LESS knowledge. Session 2 involved the trainees' self\u2010directed simulator\u2010training. Task performance was evaluated using the fundamentals of laparoscopic surgery (FLS) scoring. Session 3 was practical training, including trainers' live surgical video demonstrations and trainees' surgical video feedback after training. Video feedback performance was evaluated using the modified global rating scale (GRS). Furthermore, trainees completed a general self\u2010efficacy (GSE) instrument. Forty\u2010two gynaecology trainees were allocated into two groups: novices (<jats:italic>n<\/jats:italic>\u00a0=\u00a032) and experts (<jats:italic>n<\/jats:italic>\u00a0=\u00a010).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Compared with pre\u2010training, FLS scores improved in peg transfer (<jats:italic>P<\/jats:italic>\u00a0&lt;\u20090.001 and <jats:italic>P<\/jats:italic>\u00a0=\u20090.01) and pattern cutting (<jats:italic>P<\/jats:italic>\u00a0=\u20090.02 and <jats:italic>P<\/jats:italic>\u00a0&lt;\u20090.001) for novices and experts, respectively. Participants (81% versus 67%) provided first and second video feedback, respectively. Compared to the first feedback, the GRS scores of both groups improved significantly in the second feedback. All trainees showed an increase in GSE after training (<jats:italic>P<\/jats:italic>\u00a0&lt;\u20090.001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The modified LESS training programme is a practical and effective option that allows trainees to continue training during the epidemic.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ans.17819","type":"journal-article","created":{"date-parts":[[2022,5,20]],"date-time":"2022-05-20T15:33:17Z","timestamp":1653060797000},"page":"2102-2108","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["How to minimize the impact of <scp>COVID<\/scp>\u201019 on laparoendoscopic single\u2010site surgery training?"],"prefix":"10.1111","volume":"92","author":[{"given":"Jingyun","family":"Xu","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology, Zhongda Hospital, School of Medicine Southeast University  Nanjing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhihao","family":"Zhou","sequence":"additional","affiliation":[{"name":"Department of Emergency, Zhongda Hospital, School of Medicine Southeast University  Nanjing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kai","family":"Chen","sequence":"additional","affiliation":[{"name":"Section of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, Howard University Hospital Howard University College of Medicine  Washington District of Columbia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yue","family":"Ding","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, School of Medicine Southeast University  Nanjing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yue","family":"Hua","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, School of Medicine Southeast University  Nanjing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mulan","family":"Ren","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Zhongda Hospital, School of Medicine Southeast University  Nanjing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3313-5062","authenticated-orcid":false,"given":"Yang","family":"Shen","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Zhongda Hospital, School of Medicine Southeast University  Nanjing China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,6,16]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2213-2600(20)30076-X"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41586-020-2012-7"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.scitotenv.2020.138277"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaut.2020.102433"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00404-017-4323-y"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.4293\/JSLS.2017.00065"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2009.11.034"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2012.01.031"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41433-020-01139-9"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2011.02.026"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-002-8828-4"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.7115"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9610(97)89597-9"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2008.07.009"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.4103\/ijo.IJO_1067_20"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2589-7500(19)30217-1"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1177\/1553350608316683"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2017.05.017"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijsu.2018.12.001"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1097\/ACM.0000000000003586"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1097\/SIH.0b013e318266d0c6"},{"key":"e_1_2_11_23_1","first-page":"172","article-title":"Use of box simulators for improving intraoperative laparoscopic skills: an essential tool for the surgeon in training","volume":"25","author":"Malik AA","year":"2015","journal-title":"J. Coll. Phys. Surg. Pakistan JCPSP"},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000003931"},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.1155\/2010\/598165"},{"key":"e_1_2_11_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2008.02.023"},{"key":"e_1_2_11_27_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.11923"}],"container-title":["ANZ Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ans.17819","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/ans.17819","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ans.17819","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,23]],"date-time":"2023-08-23T10:48:57Z","timestamp":1692787737000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ans.17819"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,6,16]]},"references-count":26,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2022,9]]}},"alternative-id":["10.1111\/ans.17819"],"URL":"https:\/\/doi.org\/10.1111\/ans.17819","archive":["Portico"],"relation":{},"ISSN":["1445-1433","1445-2197"],"issn-type":[{"type":"print","value":"1445-1433"},{"type":"electronic","value":"1445-2197"}],"subject":[],"published":{"date-parts":[[2022,6,16]]},"assertion":[{"value":"2021-09-21","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-05-15","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-06-16","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}