Top Gun Level 3:
Laparoscopic
Anastomosis Course
Course Description:
Once surgeons have become adept at basic laparoscopic
suturing techniques using the Rosser method for intracorporeal
knot tying, they are ready to move on to the next level
of training. The Top Gun Level 2 course is designed to
empower surgeons with the proper techniques and skills
necessary to place a uniform, structurally sound anastomosis.
With an emphasis on peer review and self-analysis, surgeons
will become proficient at identifying obstacles before
they happen, thereby allowing them to deploy the appropriate
countermeasures and avoid leakage.
Course Objectives:
Initially, the surgeons will be put through a short preliminary
course to evaluate their Level 1 skills, using the scientifically
validated drills designed by Dr. Rosser and utilized in
the Level 1 course. This includes Cobra Rope, Slam Dunk,
Terrible Triangle, and intracorporeal suturing on animate
tissue. This will be followed by a short refresher course
on intracorporeal suturing, in which Dr. Rosser will review
his suturing algorithm with participants and allow them
to practice.
Next is a lecture series detailing the correct procedure
for placement of an intracorporeal anastomosis, complete
with CD-ROM demonstration, lecture, photo review, and
a detailed explanation of the criteria for evaluation
of an anastomosis. Once students have become familiar
with the methodology, the real challenge begins. Participants
are first separated into teams of two, and must cooperate
in the placement of an anastomosis on inanimate tissue,
which must have no less than eight interrupted sutures
on the back wall and a running anastomosis on the front
wall. Surgeons will then be instructed in Dr. Rosser’s
principles regarding optical correctness, port placement,
and overall preparation. The participants must then perform
the anastomosis on a section of pig bowel, which is much
more difficult to work with than inanimate tissue. Once
the anastomosis has been completed, it is then examined
by instructors using strict grading criteria such as:
proper length and depth, uniformity of sutures, placement,
knot integrity, ability to work as a team, and overall
anastomosis integrity.
To view the course itinerary, please
click here.
To view the course brochure, please
click here.
For
more information, please call 212-844-1413.