Urology. 2010 Aug;76(2):352-6. doi: 10.1016/j.urology.2009.09.098. Epub 2010 Mar 29.
To investigate whether a training system using a dry box is feasible for training young urologists. Despite laparoscopic surgery being widely indicated for several urological diseases, a laparoscopic training system for young urologists has not been fully established yet. However, the learning curve for laparoscopic surgery has not yet been ascertained.
We continued to test 11 sixth-year residents (postgraduate year: PGY6) and third-year residents (PGY3) in our department in terms of surgical skills using a dry box. We gave them several tasks (cutting and suturing) and let them practice until task completion. We continued to test all participants by these tasks for 16 weeks.
At the beginning of the present study, the PGY6 residents achieved significantly better scores than the PGY3 residents. However, the difference between the 2 groups became insignificant over time. Furthermore, statistical analysis revealed that a practice time of 100 minutes per week was the only significant factor affecting the last test score. For the final test, the mean practice time for all participants was 79.1 minutes per week.
These results suggest that laparoscopic surgical skills can definitely be polished by adequate voluntary practice.
探讨使用干燥箱的培训系统是否可用于培训年轻泌尿科医师。尽管腹腔镜手术已广泛应用于多种泌尿科疾病，但针对年轻泌尿科医师的腹腔镜培训系统尚未完全建立。然而，腹腔镜手术的学习曲线尚未确定。
我们继续使用干燥箱对本部门的 11 名六年级住院医师（PGY6）和三年级住院医师（PGY3）进行手术技能测试。我们为他们分配了几个任务（切割和缝合），并让他们练习直至完成任务。我们连续 16 周通过这些任务对所有参与者进行测试。
在本研究开始时，PGY6 住院医师的得分明显优于 PGY3 住院医师。但是，随着时间的推移，两组之间的差异变得不显著。此外，统计分析表明，每周 100 分钟的练习时间是唯一影响最后测试得分的显著因素。对于最终测试，所有参与者的平均每周练习时间为 79.1 分钟。
这些结果表明，腹腔镜手术技能可以通过足够的自愿练习得到提高。
