Bansal Virinder Kumar, Panwar Rajesh, Misra Mahesh C, Bhattacharjee Hemanga K, Jindal Vikas, Loli Athiko, Goswami Amit, Krishna Asuri, Tamang Tseten
Department of Surgical Disciplines, All India Institute of Medical Sciences, New Delhi, India.
Surg Laparosc Endosc Percutan Tech. 2012 Apr;22(2):154-60. doi: 10.1097/SLE.0b013e3182478e6c.
The best training method in laparoscopic surgery has not been defined. We evaluated the efficacy of laparoscopic skills acquisition in a short-term focused program. Two hundred fifty-six participants undergoing training on a phantom model were divided into 2 groups. Group 1 had no exposure and group 2 had performed a few laparoscopic surgeries. Acquisition of laparoscopic skills was assessed by operation time and the modified Global Operative Assessment of Laparoscopic Skills (GOALS) scale. A questionnaire was sent to the participants after 3 to 6 months for assessment of impact of training. There was a statistically significant improvement in the assessed parameters and in the mean score of all 5 domains of GOALS. The participants in group 2 performed better than those in group 1 in the first case. The difference between both the groups disappeared after the training. Participants who responded to the questionnaire felt that training helped them in improving their performance in the operation theater.
腹腔镜手术的最佳训练方法尚未确定。我们评估了在一个短期集中培训项目中腹腔镜技能习得的效果。256名在模拟模型上接受培训的参与者被分为两组。第一组没有接触过相关操作，第二组已经做过一些腹腔镜手术。通过手术时间和改良的腹腔镜技能全球手术评估（GOALS）量表来评估腹腔镜技能的习得情况。在3至6个月后向参与者发放问卷，以评估培训的影响。评估参数以及GOALS所有5个领域的平均得分均有统计学上的显著改善。在第一例手术中，第二组的参与者比第一组表现得更好。训练后两组之间的差异消失了。回复问卷的参与者认为培训帮助他们提高了在手术室的表现。
