Levy L Campbell, Adrales Gina, Rothstein Richard I
Section of Gastroenterology and Hepatology, Dartmouth Hitchcock Medical Center, One Medical Center Drive, Lebanon, NH 03756, USA.
Gastrointest Endosc Clin N Am. 2008 Apr;18(2):343-60; x. doi: 10.1016/j.giec.2008.01.010.
The foundation of skills for the performance of natural orifice translumenal endoscopic surgery (NOTES) lies in the training for general surgery (especially laparoscopy) and flexible gastrointestinal endoscopy. Physicians wishing to practice NOTES need to acquire or have both skill sets, or need to partner together to blend complementary capabilities with colleagues. In the future, however, a new cadre of NOTES specialists may emerge who will have developed individual expertise in the full spectrum of NOTES knowledge base requirements. This article highlights a body of knowledge and skills needed to become a NOTES proceduralist and review the current training paradigms for gastrointestinal endoscopists and surgeons.
经自然腔道内镜手术(NOTES)操作技能的基础在于普通外科(尤其是腹腔镜手术)和可弯曲胃肠道内镜检查的培训。希望开展NOTES手术的医生需要掌握这两种技能,或者与同事合作以融合互补的能力。然而,未来可能会出现一批NOTES专科医生,他们将在NOTES知识基础要求的全领域发展个人专长。本文重点介绍了成为一名NOTES手术医生所需的知识和技能体系,并回顾了目前针对胃肠道内镜医生和外科医生的培训模式。