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腹腔镜结直肠手术技术的客观评估:现有哪些工具?

Objective assessment of technique in laparoscopic colorectal surgery: what are the existing tools?

作者信息

Foster J D, Francis N K

机构信息

Department of Surgery, Yeovil District Hospital NHS Foundation Trust, Higher Kingston, Yeovil, Somerset, BA21 2RH, UK.

出版信息

Tech Coloproctol. 2015 Jan;19(1):1-4. doi: 10.1007/s10151-014-1242-9. Epub 2014 Nov 27.

DOI:10.1007/s10151-014-1242-9
PMID:25428697
Abstract

Assessment can improve the effectiveness of surgical training and enable valid judgments of competence. Laparoscopic colon resection surgery is now taught within surgical residency programs, and assessment tools are increasingly used to stimulate formative feedback and enhance learning. Formal assessment of technical performance in laparoscopic colon resection has been successfully applied at the specialist level in the English "LAPCO" National Training Program. Objective assessment tools need to be developed for training and assessment in laparoscopic rectal cancer resection surgery. Simulation may have a future role in assessment and accreditation in laparoscopic colorectal surgery; however, existing virtual reality models are not ready to be used for assessment of this advanced surgery.

摘要

评估可以提高外科培训的有效性,并有助于对能力进行有效判断。目前,腹腔镜结肠切除术已纳入外科住院医师培训项目,评估工具也越来越多地用于促进形成性反馈和加强学习。在英国的“LAPCO”国家培训项目中,已成功地在专科层面应用了对腹腔镜结肠切除术技术操作的正式评估。需要开发客观评估工具,用于腹腔镜直肠癌切除术的培训和评估。模拟在腹腔镜结直肠手术的评估和认证中可能会发挥未来作用;然而,现有的虚拟现实模型尚未准备好用于评估这种复杂的手术。

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Open versus laparoscopic surgery for mid-rectal or low-rectal cancer after neoadjuvant chemoradiotherapy (COREAN trial): survival outcomes of an open-label, non-inferiority, randomised controlled trial.新辅助放化疗后中低位直肠肿瘤的开腹与腹腔镜手术比较(COREAN 试验):一项开放标签、非劣效、随机对照临床试验的生存结局。
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虚拟现实模拟器训练在腹腔镜结直肠切除术中的应用:哪些指标具有构建效度?
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Is competency assessment at the specialist level achievable? A study for the national training programme in laparoscopic colorectal surgery in England.专科医师水平的能力评估是否可行?一项针对英国腹腔镜结直肠外科国家培训计划的研究。
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A prospective study demonstrating the reliability and validity of two procedure-specific evaluation tools to assess operative competence in laparoscopic colorectal surgery.一项前瞻性研究,旨在证明两种特定于手术的评估工具在评估腹腔镜结直肠手术手术能力方面的可靠性和有效性。
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