Training in pediatric endoscopic surgery

Abstract

In the past surgical training has always been one of master and apprentice. Although this approach has produced many skilled surgeons, in recent years more attention has been paid to standardization and credentialing of surgical training. Skills laboratories have been established where surgical procedures can be practiced and postgraduate courses have been instituted to keep the surgeon updated with recent developments and new techniques. Training in pediatric surgery has followed a similar course. As pediatric endoscopic surgery is being more generally accepted, an increasing number of centers are willing to start up minimally invasive procedures in children. This implies that an increasing number of complications will occur when no proper training is offered. This could ultimately result in peer groups turning away from endosurgery, as has occurred in adult surgery (van der Zee and Bax 2003). Prerequisites for pediatric endoscopic surgery are a structured organization with a well-trained staff, adequate acquaintance with the devices and instruments used, proper training for all personnel involved, and a thorough consultation with the anesthesiology department. © Springer-Verlag Berlin Heidelberg 2008.