Chiu Chieh Jack, Lobo Prabhu Kristel, Tan-Tam Clara Chia-Hua, Panton Ormond Neely M, Meneghetti Adam
Department of General Surgery, University of British Columbia, 950 West 10th Avenue, Vancouver, BC V5Z 4E3, Canada.
Department of General Surgery, University of British Columbia, 950 West 10th Avenue, Vancouver, BC V5Z 4E3, Canada.
Am J Surg. 2015 May;209(5):824-827.e1; discussion 827. doi: 10.1016/j.amjsurg.2015.01.007. Epub 2015 Feb 19.
Laparoscopic skills training is an essential component of general surgery training. This study proposes the use of three-dimensional (3D) laparoscopy as the initial training tool for beginners to shorten the learning curve.
This study evaluates the surgical performance and subjective experience of junior and senior trainees with 3D versus two-dimensional laparoscopy. Peg transfer task was used as the objective time measurement. A subjective evaluation of the 2 systems using a questionnaire was also used.
The mean difference in the juniors was 16.33 seconds, while in the seniors it was only 3.46 seconds (P = .036). The time difference between groups was much smaller in the 3D than the two-dimensional (P = .14 vs .02) laparoscopy. In the subjective evaluation, the novice group also scored significantly higher for the 3D system in the bimanual dexterity category (P = .004, .007).
Our study demonstrates the feasibility of using 3D laparoscopy for laparoscopic skills training in novices.
腹腔镜技能培训是普通外科培训的重要组成部分。本研究建议使用三维（3D）腹腔镜作为初学者的初始培训工具，以缩短学习曲线。
本研究评估了初级和高级学员在3D腹腔镜与二维腹腔镜下的手术表现和主观体验。使用钉棒转移任务作为客观时间测量方法。还使用问卷对这两种系统进行主观评估。
初级学员的平均差异为16.33秒，而高级学员仅为3.46秒（P = 0.036）。在3D腹腔镜中，组间时间差异比二维腹腔镜小得多（P = 0.14对0.02）。在主观评估中，新手组在双手灵活性类别中对3D系统的评分也显著更高（P = 0.004，0.007）。
我们的研究证明了使用3D腹腔镜对新手进行腹腔镜技能培训的可行性。
