Schijven M, Klaassen R, Jakimowicz J, Terpstra O T
Department of Surgery, Catharina Hospital Eindhoven, Michelangelolaan 2, P.O. Box 1350, 5602 ZA, Eindhoven, The Netherlands.
Surg Endosc. 2003 Dec;17(12):1978-84. doi: 10.1007/s00464-003-9000-5. Epub 2003 Oct 23.
This study was undertaken to establish residents' progress in minimal access surgery (MAS) after attending the Intercollegiate Basic Surgical Skills Course (BSSC) by means of the Xitact LS500 laparoscopy simulator assessment program.
Twenty-five surgical residents attended the BSSC in Leiden and Eindhoven, The Netherlands. Before and after the course, participants performed three "runs" on the Xitact LS500, featuring a standardized laparoscopic cholecystectomy clip-and-cut task. A control group of 25 interns not attending the course also performed two sessions of three runs. Parameters of interest were "score" and "time for completion of task".
No significant differences were found within the resident group for the parameters "time" and "score" when comparing outcomes pre- and post-BSSC. No significant differences were found comparing time and score between residents and interns on each of the six runs, except for time in run 2. Over six runs, both residents and interns became significantly faster.
The Xitact LS500 cholecystectomy simulator did not detect significant improvement in MAS performance among a group of surgical residents attending the BSSC.
本研究旨在通过Xitact LS500腹腔镜模拟器评估程序，确定参加校际基本外科技能课程（BSSC）后住院医师在微创外科手术（MAS）方面的进展。
25名外科住院医师参加了在荷兰莱顿和埃因霍温举办的BSSC。在课程前后，参与者在Xitact LS500上进行了三次“操作”，内容为标准化的腹腔镜胆囊切除术夹闭和切割任务。一个由25名未参加该课程的实习生组成的对照组也进行了两期各三次的操作。感兴趣的参数为“分数”和“完成任务的时间”。
在比较BSSC前后的结果时，住院医师组内的“时间”和“分数”参数未发现显著差异。在六次操作中的每次操作中，住院医师和实习生之间在时间和分数上均未发现显著差异，但第二次操作的时间除外。在六次操作中，住院医师和实习生都明显加快了速度。
Xitact LS500胆囊切除术模拟器未检测到参加BSSC的一组外科住院医师在MAS表现上有显著改善。
