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对新手进行腹腔镜手术培训。挑战越多越好。

Training the novice in laparoscopy. More challenge is better.

作者信息

Ali M R, Mowery Y, Kaplan B, DeMaria E J

机构信息

Department of Surgery, Medical College of Virginia, 1200 East Broad Street, West Hospital, Floor 15, P.O. Box 980519, Richmond, VA 23298, USA.

出版信息

Surg Endosc. 2002 Dec;16(12):1732-6. doi: 10.1007/s00464-002-8850-6. Epub 2002 Jul 29.

Abstract

BACKGROUND

Virtual reality simulation is effective in training the novice to perform basic laparoscopic skills.

METHODS

Using the Minimally Invasive Surgery Training--Virtual Reality (MIST-VR) trainer, 27 honors high school students were tested at the easy level, prospectively randomized to eight training sessions at the easy (group A, n = 14) or medium (group B, n = 13) level, then retested at the easy level.

RESULTS

Both groups were statistically similar at baseline. All scores improved significantly (50.1% to 81.3%) over the period of training (p < 0.05). Although the group A scores were significantly better than the group B scores throughout training (p < 0.05), on final testing at the easy level, group B surpassed group A for all the tasks except TransferPlace (p = 0.054).

CONCLUSIONS

Virtual simulation is an effective laparoscopic training method for the novice, providing significant improvement in skill levels over a relatively short period. More challenging training seems to predict greater improvement over time and better final skill levels.

摘要

背景

虚拟现实模拟在培训新手进行基本腹腔镜技能方面是有效的。

方法

使用微创手术训练——虚拟现实(MIST-VR)训练器,对27名优秀高中生在简单水平进行测试,前瞻性随机分为在简单水平(A组,n = 14)或中等水平(B组,n = 13)进行八次训练,然后在简单水平重新测试。

结果

两组在基线时统计学上相似。在训练期间,所有分数均显著提高(从50.1%提高到81.3%)(p < 0.05)。尽管在整个训练过程中A组分数显著高于B组分数(p < 0.05),但在简单水平的最终测试中,除TransferPlace任务外,B组在所有任务上均超过了A组(p = 0.054)。

结论

虚拟模拟是一种对新手有效的腹腔镜训练方法,能在相对较短时间内显著提高技能水平。更具挑战性的训练似乎预示着随着时间推移有更大的进步和更好的最终技能水平。

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