@article {Hallet92, author = {Julie Hallet and Olivier Mailloux and Mony Chhiv and Roger C. Gr{\'e}goire and Jean-Pierre Gagn{\'e}}, title = {The integration of minimally invasive surgery in surgical practice in a Canadian setting: results from 2 consecutive province-wide practice surveys of general surgeons over a 5-year period}, volume = {58}, number = {2}, pages = {92--99}, year = {2015}, doi = {10.1503/cjs.019713}, publisher = {Canadian Journal of Surgery}, abstract = {Background: Although minimally invasive surgery (MIS) has been quickly embraced, the introduction of advanced procedures appears more complex. We assessed the evolution of MIS in the province of Quebec over a 5-year period to identify areas for improvement in the modern surgical era.Methods: We developed, test-piloted and conducted a self-administered questionnaire among Quebec general surgeons in 2007 and 2012 to examine stated MIS practice, MIS training and barriers and facilitators to the use of MIS.Results: Response rates were 51.3\% (251 of 489) in 2007 and 31.3\% (153 of 491) in 2012. A significant increase was observed for performance of most advanced MIS procedures, especially for colectomy for benign (66.0\% v. 84.3\%, p \< 0,001) and malignant diseases (43.3\% v. 77.8\%, p \< 0,001) and for rectal surgery for malignancy (21.0\% v. 54.6\%, p \< 0.001). More surgeons practised 3 or more advanced MIS procedures in 2012 than in 2007 (82.3\% v. 64.3\%, p \< 0,001). At multivariate analysis, the 2007 survey administration was associated with fewer surgeons practising advanced MIS (odds ratio 0.13, 95\% confidence interval 0.06{\textendash}0.29). In 2012, more respondents stated they gained their skills during residency (p = 0.028).Conclusion: From 2007 to 2012 there was a significant increase in advanced MIS procedures practised by general surgeons in Qu{\'e}bec. This technique appears well established in current surgical practice. The growing place of MIS in residency training seems to be a paramount part of this development. Results from this study could be used as a baseline for studies focusing on ways to further improve the MIS practice.}, issn = {0008-428X}, URL = {https://www.canjsurg.ca/content/58/2/92}, eprint = {https://www.canjsurg.ca/content/58/2/92.full.pdf}, journal = {Canadian Journal of Surgery} }