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. 2019 Mar 18;34(3):e201900308. doi: 10.1590/s0102-865020190030000008

Chart 1. Checklist for laparoscopic gastroenterostomy training.

Questions evaluated Incorrect Correct
Fitted firm knots and external to the anastomosis (First double and two simple ones).
Needle positioning on the Needle Holder (1 \ 3 distal with 90 degree angle).
Needle penetration (90° skin tissue inlet making the curvature at the exit, with smooth movements and without damaging the tissue).
Use both hands in a coordinated way (Skin tissue presentation and needle assembly).
Skin tissue amount (Penetrate the needle in the same skin tissue amount on both sides of the anastomosis, avoiding picking up too much or too little).
Handling the surgical thread (It draws the thread in its most proximal portion to the tissue. It does not break or damage the thread and removes its remains from the simulator).
Equivalent distance between points (4 to 6 mm, leaving no redundancy between the angles).
It uses the wizard (tissue exposure, suture pull and camera manipulation).
Operation flow (Starts with posterior anastomosis and ends with anterior anastomosis using appropriate tweezers and 2 wires).
Persistent and intact anastomosis (Diameter greater than 3cm and absence of visible fenestrations).
Total of points: