Curry J I
Great Ormond Street Hospital for Children, London.
S Afr J Surg. 2011 Mar 14;49(1):4-6.
Minimally invasive techniques are now well established in paediatric surgery. Training has traditionally been based on an apprenticeship model, as for open surgery. More recently the constraints of litigation, finance and restriction of doctors' working hours have led to a need to rethink this training. Simulation to learn and improve skills is by no means a new concept, but has been suggested as a way to address the above issues because it provides an ideal platform for acquiring the necessary skills for modern laparoscopic surgery. This paper explores some of the current issues of learning minimally invasive surgical skills in a simulated environment, and suggests that such simulation should not be seen in isolation but as a part of a wider and encompassing curriculum of learning for the 21st-century surgeon.
微创技术目前在小儿外科已得到广泛应用。传统上，培训如同开放手术一样，是基于师徒模式。最近，诉讼、资金以及医生工作时间限制等因素促使人们重新思考这种培训方式。通过模拟来学习和提高技能绝非新概念，但有人提出将其作为解决上述问题的一种途径，因为它为掌握现代腹腔镜手术所需技能提供了理想平台。本文探讨了在模拟环境中学习微创外科手术技能的一些当前问题，并指出这种模拟不应被孤立看待，而应作为21世纪外科医生更广泛、综合性学习课程的一部分。
