Acceptance and perceived usefulness of surgical video instructions in expert-tutored open and robotic pancreato- and hepaticojejunostomy training with 3D biotissue models
BACKGROUND: Suturing complex anastomoses requires repetitive training for mastery. Expert tutoring is a limited and costly ressource. This study assessed the added value of surgical video instructions in expert-tutored hepatopancreatobiliary (HPB) surgery courses. METHODS: Trainees and tutors used QR codes to access instructional videos of pancreatico- and hepaticojejunostomy (04/2024-09/2025: Davos course for HPB Surgery; Hands-On- Course of the North-German Surgical Association; ESSO Course Pancreatic Surgery). After watching videos and performing anastomoses on 3D-biotissue organ models, participants anonymously completed standardized questionnaires. RESULTS: Out of 51 participants (20 residents; 31 specialists), most reported that QR codes facilitated video access (n=48, 96%). The majority found the videos useful (n=31, 62%). Most preferred a combination of expert tutoring and surgical video instructions (n=49, 96%) and agreed that expert tutoring was more effective when supported by videos (n=44, 86%). Furthermore, 28 (55%) participants felt they could improve their surgical skills with the videos in self-directed training without expert guidance. Older and more experienced participants were more likely to agree that videos added value to expert tutoring. CONCLUSION: Surgical video instructions were well accepted and perceived as valuable additions to expert-tutored courses on HPB anastomoses. Further studies should assess translation into improved training outcomes.
Authors
- H O Wille
- Caroline Williamsson (ORCID: https://orcid.org/0000-0002-9743-3149)
- Matteo Mueller (ORCID: https://orcid.org/0000-0002-1118-156X)
- Jérôme Ammann (ORCID: https://orcid.org/0000-0002-2574-9849)
- Ramez Wahib (ORCID: https://orcid.org/0000-0002-2545-8160)
- A Heumann
- Tarik Ghadban (ORCID: https://orcid.org/0000-0002-1894-9893)
- Eva Boldrini
- J. Sven D. Mieog (ORCID: https://orcid.org/0000-0002-3649-8504)
- Anna Nießen (ORCID: https://orcid.org/0000-0002-1255-6095)
- Christoph Reißfelder (ORCID: https://orcid.org/0000-0003-4591-1046)
- Stefan Breitenstein (ORCID: https://orcid.org/0000-0002-9673-2788)
- Amila Cizmic (ORCID: https://orcid.org/0000-0002-0925-2330)
- Maxime De Wulf
- Benjamin Weixler (ORCID: https://orcid.org/0000-0002-3652-4792)
- K. Meißner (ORCID: https://orcid.org/0000-0002-1616-0856)
- P. Vogelbach (ORCID: https://orcid.org/0000-0003-0829-0957)
- Christian Toso (ORCID: https://orcid.org/0000-0003-1652-4522)
- Alain Sauvanet (ORCID: https://orcid.org/0000-0002-7436-5999)
- Faik G. Uzunoǧlu (ORCID: https://orcid.org/0000-0002-6890-4829)
- Philip C. Müller (ORCID: https://orcid.org/0000-0001-8317-3449)
- Marko Kraljević (ORCID: https://orcid.org/0000-0001-5243-6269)
- Anas Amin Preukschas
- Oliver Mann (ORCID: https://orcid.org/0000-0002-1506-2744)
- Frida Häberle
- Jan Philipp Jonas (ORCID: https://orcid.org/0000-0002-3134-9040)
- Rainer Grotelüschen
- Laetitia Hampe
- Elena Rangelova (ORCID: https://orcid.org/0000-0003-3844-7265)
- Otmar Buyne
- Stefan Bouwense
- Nathaniel Melling
- Felix Nickel
- Stephan Bischofberger (ORCID: https://orcid.org/0009-0009-8434-679X)
- P A Clavien
- W Brunner
- P Busch
- T Hackert
- Stefan Holland-Cunz
- Floris Ferenschild (ORCID: https://orcid.org/0009-0005-2227-9000)
- Piera Domroese
- Friedrich Herbst
- Rebecca Angresius
- Sébastien Gaujoux
- Christiane Bruns
- Lana Fourie
- Beat Peter Müller
- Anna Dupree
- Dieter Hahnloser
- Harry van Goor
- Ville Sallinen
- Stefano Partelli
- Lars Vanderbroeck
Institutions
- National Academy of Medicine (US)
- International Labour Organization (CH)
- University of Helsinki (FI)
- Radboud University Nijmegen (NL)
- Vita-Salute San Raffaele University (IT)
- Universität Hamburg (DE)
- Université Paris Cité (FR)
- Heidelberg University (DE)
- Hôpital Beaujon (FR)
- Kantonsspital St. Gallen (CH)
- Leiden University Medical Center (NL)
- University Hospital Heidelberg (DE)
- Vienna General Hospital (AT)
- TUM Klinikum (DE)
- University Medical Center (US)
- Radboud University Medical Center (NL)
- Temple Street Children's University Hospital (IE)
- Maastricht University (NL)
- Sorbonne Université (FR)
- Kantonsspital Winterthur (CH)
- University Hospital of Zurich (CH)
- University Medical Center Hamburg-Eppendorf (DE)
- University Hospital and Clinics (US)
- Institut de Recherche en Santé Digestive (FR)
- Skåne University Hospital (SE)
- Kantonsspital Graubünden (CH)
- University Hospital Cologne (DE)
- University Medical Centre Mannheim (DE)
- Université Paris 1 Panthéon-Sorbonne (FR)
- Technical University of Munich (DE)
- Geneva College (US)
- University of Gothenburg (SE)
- University of Lausanne (CH)
Publication Details
- Journal
- Minimally Invasive Therapy & Allied Technologies
- Published
- 2026-07-16
- DOI
- https://doi.org/10.1080/13645706.2026.2693302
- Primary Topic
- Surgical Simulation and Training
- Type
- article
- Field-Weighted Citation Impact
- 0.00