FLS (stands for Fundamentals of Laparoscopic Surgery) is a comprehensive training course consisted of skills training and assessment component and basic theoretical package required in basic laparoscopic surgery.
FLS Program is obligatory for surgical residents, fellows and practicing physicians and has the purpose to enable acquisition of guarantee practice laparoscopic skills level and basic theories. The FLS Test measures cognitive knowledge, case/problem management skills and manual dexterity. It has been endorsed by the American College of Surgeons (ACS) and is a joint educational offering of SAGES and ACS. FLS is also CME accredited.
The practical part consists of the five tasks:
Task 1 —Peg Transfer:
Six plastic objects are transferred on a pegboard. Errors are defined as objects that drop outside the surgeon’s field of view.
Task 2 —Precision Cutting:
A circular pattern is cut along a 1-mm-wide line. Errors are defined as any deviation from the template.
Task 3—Endo Loop:
A loop is placed at a 1-mm-wide line on a foam appendage. Errors are defined as inaccuracy of loop placement and knot insecurity.
Task 4— Extracorporeal Suturing:
A 120-cm-long suture is passed through two targets on a Penrose drain, and three knots tied in an extracorporeal fashion are placed using a knot pusher. Errors defined as inaccuracy of suture placement, poor tissue approximation, knot insecurity and pulling the model from its Velcro attachment.
Task 5—Intracorporeal Suturing:
With Intracorporeal Knot-Tying (similar to task 4): A 12-cm-long suture is used, and three knots are tied in an intracorporeal fashion. The error definition is identical to that for task four.
These five tasks are the part of the course BESTA as well.
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