Fransson Boel
Washington State University, Department of Veterinary Clinical Sciences, Pullman, WA 99163, USA.
J Feline Med Surg. 2014 Jan;16(1):42-50. doi: 10.1177/1098612X13516571.
Laparoscopic surgery minimizes tissue trauma and speeds recovery, but its uptake into veterinary clinical practice has been slow.
Laparoscopy is distinctly different from traditional open surgery and a reduced working area and loss of depth perception are among the challenges that the surgeon must get to grips with. Indeed, it is often lack of the necessary skills, rather than the cost of equipment, that presents the greatest obstacle.
This article is aimed at practitioners keen to embrace minimally invasive surgery and advises on how to develop excellence in laparoscopic skills. It makes the case for simulation training and outlines methods that can be instituted in practice at low cost and with comparatively little time expenditure. It also describes technological advances that have already increased the success of veterinary 'keyhole' surgery, as well as those that look promising for the future.
Simulation training has been an intense area of research and publication within the past 15 years. This article draws on that evidence base and the experience gained by the author and her research team, which is at the forefront of efforts to develop laparoscopic training for veterinarians.
腹腔镜手术可将组织创伤降至最低,并加快恢复速度,但它在兽医临床实践中的应用进展缓慢。
腹腔镜手术与传统开放手术有显著不同,手术区域缩小和深度感知丧失是外科医生必须应对的挑战。实际上,最大的障碍往往是缺乏必要的技能,而非设备成本。
本文面向热衷于采用微创手术的从业者,就如何提升腹腔镜手术技能提供建议。文章支持模拟训练,并概述了可以在实践中以低成本且相对较少的时间投入实施的方法。它还介绍了已经提高兽医“锁孔”手术成功率的技术进步,以及那些对未来充满希望的技术进步。
在过去15年中,模拟训练一直是研究和发表的热门领域。本文借鉴了该证据基础以及作者及其研究团队所获得的经验,他们处于为兽医开展腹腔镜训练的前沿工作中。