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技能从实验模型向患者的转移。

Transfer of skills from the experimental model to the patients.

作者信息

Piechaud P Thierry, Pansadoro A

机构信息

Department of Urology, Clinique Saint Augustin, 114 Avenue d'Ares, 33074 Bordeauz, France.

出版信息

Curr Urol Rep. 2006 Mar;7(2):96-9. doi: 10.1007/s11934-006-0066-1.

DOI:10.1007/s11934-006-0066-1
PMID:16526992
Abstract

Laparoscopy is a major part of urologists' daily practice. It is becoming more and more popular and interest in it is increasing, as is the number of urologists attracted by it. Patients also frequently demand a treatment through a laparoscopic approach. Nevertheless, laparoscopy is a physically and technically demanding surgery. It has been proven that it has a long learning curve with a high complication rate at the beginning. Thus, there is need for a training program that can effectively reduce its time of apprenticeship. The learning path is a multistep process that involves several phases. The pelvic trainer is the first step of this path that is made with increasing difficulty. Gradually and gently the trainee faces up to different levels under the guidance of a mentor. At the end of training, trainees should be able to perform every procedure, both easy and difficult ones, by themselves.

摘要

腹腔镜检查是泌尿外科医生日常工作的重要组成部分。它越来越受欢迎,对其的兴趣不断增加,被其吸引的泌尿外科医生数量也在增加。患者也经常要求通过腹腔镜手术进行治疗。然而,腹腔镜检查是一项对身体和技术要求都很高的手术。事实证明,它的学习曲线很长,开始时并发症发生率很高。因此,需要一个能够有效缩短其学徒期的培训项目。学习过程是一个多步骤的过程,涉及几个阶段。盆腔训练器是这条道路的第一步,其难度逐渐增加。在导师的指导下,学员逐渐、平缓地面对不同难度级别。培训结束时,学员应能够独立完成各种手术,无论是简单的还是困难的。

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Cadaver as a model for laparoscopic training.尸体作为腹腔镜训练的模型。
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2
Ten years of laparoscopic adrenalectomy: lesson learned from 104 procedures.十年腹腔镜肾上腺切除术:从104例手术中汲取的经验教训。
Am Surg. 2005 Apr;71(4):321-5.
3
Laparoscopic assisted radical cystectomy: the montsouris experience after 84 cases.腹腔镜辅助根治性膀胱切除术:蒙苏里医院84例手术经验
Eur Urol. 2005 Jun;47(6):780-4. doi: 10.1016/j.eururo.2005.04.001. Epub 2005 Apr 11.
4
The Heilbronn laparoscopic training program for laparoscopic suturing: concept and validation.海尔布隆腹腔镜缝合培训项目:概念与验证
J Endourol. 2005 Mar;19(2):230-8. doi: 10.1089/end.2005.19.230.
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Laparoscopic radical prostatectomy.腹腔镜根治性前列腺切除术
J Urol. 2005 Apr;173(4):1072-9. doi: 10.1097/01.ju.0000154970.63147.90.
6
Laparoscopic pyeloplasty: current status.腹腔镜肾盂成形术:现状
BJU Int. 2005 Mar;95 Suppl 2:102-5. doi: 10.1111/j.1464-410X.2005.05208.x.
7
Development of laparoscopic surgery and training facilities in Europe: results of a survey of the European Society of Uro-Technology (ESUT).欧洲腹腔镜手术及培训设施的发展:欧洲泌尿技术学会(ESUT)的一项调查结果
Eur Urol. 2005 Mar;47(3):346-51. doi: 10.1016/j.eururo.2004.10.017. Epub 2004 Dec 16.
8
Feedback from operative performance to improve training program of laparoscopic radical prostatectomy.
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