Sleiman Z, Tanos V, Van Belle Y, Carvalho J L, Campo R
Department of Obstetrics and Gynecology , Middle East Institute of Health, Bsalim, Lebanon.
Department of Obstetrics and Gynecology, Aretaeio hospital Andrea Avraamidi 55-57, Strovolos 2024, Cyprus.
Facts Views Vis Obgyn. 2015;7(3):153-60.
The efficiency of suturing training and testing (SUTT) model by laparoscopy was evaluated, measuring the suturingskill acquisition of trainee gynecologists at the beginning and at the end of a teaching course. During a workshop organized by the European Academy of Gynecological Surgery (EAGS), 25 participants with three different experience levels in laparoscopy (minor, intermediate and major) performed the 4 exercises of the SUTT model (Ex 1: both hands stitching and continuous suturing, Ex 2: right hand stitching and intracorporeal knotting, Ex 3: left hand stitching and intracorporeal knotting, Ex 4: dominant hand stitching, tissue approximation and intracorporeal knotting). The time needed to perform the exercises is recorded for each trainee and group and statistical analysis used to note the differences. Overall, all trainees achieved significant improvement in suturing time (p < 0.005) as measured before and after completion of the training. Similar significantly improved suturing time differences (p < 0.005) were noted among the groups of trainees with different laparoscopic experience. In conclusion a short well-guided training course, using the SUTT model, improves significantly surgeon's laparoscopic suturing ability, independently of the level of experience in laparoscopic surgery.
Endoscopy, laparoscopic suturing, psychomotor skills, surgery, teaching, training suturing model.
评估了腹腔镜缝合训练与测试(SUTT)模型的效率,测量了实习妇科医生在教学课程开始和结束时的缝合技能习得情况。在欧洲妇科外科学院(EAGS)组织的一次研讨会上,25名具有三种不同腹腔镜经验水平(初级、中级和高级)的参与者进行了SUTT模型的4项练习(练习1:双手缝合和连续缝合,练习2:右手缝合和体内打结,练习3:左手缝合和体内打结,练习4:优势手缝合、组织对合和体内打结)。记录了每个学员和小组完成练习所需的时间,并进行统计分析以找出差异。总体而言,所有学员在训练前后测量的缝合时间上均取得了显著改善(p < 0.005)。在具有不同腹腔镜经验的学员组中也观察到了类似的显著改善的缝合时间差异(p < 0.005)。总之,使用SUTT模型进行的简短且指导良好的训练课程能显著提高外科医生的腹腔镜缝合能力,且与腹腔镜手术经验水平无关。
内窥镜检查、腹腔镜缝合、心理运动技能、外科手术、教学、训练缝合模型。