Abstract: With the widespread adoption of minimally invasive technology, the importance of learning laparoscopic skills has become increasingly prominent. The conventional approach of on-site surgical observation for learning has several inherent limitations, such as limited space in the operating room and insufficient surgical explanations. To address these shortcomings, this study introduced a simple portable laparoscopic surgery live streaming system as an auxiliary tool for general surgical internship teaching. In addition to routine clinical internship activities such as handovers, ward rounds, dressing changes, and doctor-patient communication skills training, theoretical courses on laparoscopic surgery, live surgery streaming, surgery review sessions, and Q&A sessions were included. From February 2023 to June 2023, this innovative teaching method was applied to 30 preclinical students at the Department of Gastrointestinal Surgery,The First Affiliated Hospital of Soochow University. The teaching effectiveness was evaluated through knowledge assessments, skills assessments and subjective questionnaires. The results showed that the students who received the teaching method utilizing laparoscopy surgery live streaming achieved a pass rate of 100.0% (30/30) in both knowledge and skills assessments, with 96.7% (29/30) achieving good to excellent scores in knowledge assessments and 86.7% (26/30) obtaining good to excellent scores in skills assessments.Survey results indicated students' high satisfaction with utilizing the portable laparoscopic surgery live streaming system as an auxiliary teaching tool. Across 10 questions related to various dimensions of learning effectiveness, including understanding surgical content, enhancing learning engagement and interactivity, promoting active learning, improving learning flexibility, and overall effectiveness, 92.7% (278/300) of the responses had satisfaction ratings of ≥4 points, where 4 points represent the “satisfactory” level on a Likert five-level scale. In summary, the teaching effectiveness of utilizing the portable laparoscopic surgery live streaming system as an auxiliary teaching tool was commendable, accompanied by high student satisfaction.

Key words: Students, medical, Surgical operation, Live streaming system, Clinical teaching