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肾肿瘤材料模型的初步评估。

Preliminary assessment of a renal tumor materials model.

机构信息

Division of Urology, Department of Surgery, Schulich School of Medicine & Dentistry, The University of Western Ontario , London, Ontario, Canada.

出版信息

J Endourol. 2011 Aug;25(8):1371-5. doi: 10.1089/end.2011.0050. Epub 2011 Jul 8.

DOI:10.1089/end.2011.0050
PMID:21740196
Abstract

PURPOSE

To evaluate a materials model for laparoscopic guided cryotherapy or radiofrequency tissue ablation (RFA) of kidney tumors through expert surgeon assessment.

MATERIALS AND METHODS

During the inaugural American Urological Association 2010 Tissue Ablative course content, validity testing of a renal tumor model was undertaken. Five expert faculty in cryotherapy and RFA techniques for renal tumors performed laparoscopic ultrasonography (US) examination of the tumor model. They performed US guided placement and activation of the treatment probe into the tumor of the model. They completed a questionnaire and rated the quality of the renal tumor model on a 5 point Likert scale.

RESULTS

All of the subjects assigned a score of 5 of 5 on the Likert scale regarding the ability to identify the tumor with US, were able to deploy the ablative probe into the model under US guidance, and would recommend the use of this teaching model to residents or fellows. They thought that this tumor model was appropriate for teaching laparoscopic US imaging of a renal tumor during ablative treatment procedures, teaching and practicing laparoscopic US-guided cryotherapy, and teaching and practicing laparoscopic US-guided RFA.

CONCLUSION

We have developed a unique model that simulates small kidney tumors that can be used for training surgeons in ablative techniques.

摘要

目的

通过专家外科医生评估,评估腹腔镜引导冷冻治疗或射频组织消融 (RFA) 治疗肾肿瘤的材料模型。

材料与方法

在美国泌尿协会 2010 年组织消融课程的开幕式期间,对肾肿瘤模型进行了有效性测试。5 名冷冻治疗和 RFA 技术的专家对肿瘤模型进行了腹腔镜超声 (US) 检查。他们在 US 引导下将治疗探头放置并激活到模型中的肿瘤中。他们完成了一份问卷,并根据 5 分制 Likert 量表对肾肿瘤模型的质量进行了评分。

结果

所有受试者在 US 识别肿瘤的能力方面均给予 5 分的 Likert 量表评分,能够在 US 引导下将消融探头部署到模型中,并会推荐使用这种教学模型来培训住院医师或研究员。他们认为这种肿瘤模型适合在消融治疗过程中教授腹腔镜 US 成像、腹腔镜 US 引导下冷冻治疗以及腹腔镜 US 引导下 RFA 的教学和实践。

结论

我们开发了一种独特的模型,可模拟小肾肿瘤,可用于培训消融技术的外科医生。

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