Yiasemidou Marina, Roberts David, Glassman Daniel, Tomlinson James, Biyani Shekhar, Miskovic Danilo
The John Goligher Academic Surgical Unit, St. James University Hospital, Level 7, Clinical Science Building, Beckett Str., Leeds, YSW, LS9 7TF, UK.
School of Surgery, Health Education, Yorkshire and the Humber, Willow Terrace, University of Leeds, Leeds, LS2 9JT, UK.
World J Surg. 2017 May;41(5):1201-1207. doi: 10.1007/s00268-016-3868-4.
Changes in UK legislation allow for surgical procedures to be performed on cadavers. The aim of this study was to assess Thiel cadavers as high-fidelity simulators and to examine their suitability for surgical training.
Surgeons from various specialties were invited to attend a 1 day dissection workshop using Thiel cadavers. The surgeons completed a baseline questionnaire on cadaveric simulation. At the end of the workshop, they completed a similar questionnaire based on their experience with Thiel cadavers. Comparing the answers in the pre- and post-workshop questionnaires assessed whether using Thiel cadavers had changed the surgeons' opinions of cadaveric simulation.
According to the 27 participants, simulation is important for surgical training and a full-procedure model is beneficial for all levels of training. Currently, there is dissatisfaction with existing models and a need for high-fidelity alternatives. After the workshop, surgeons concluded that Thiel cadavers are suitable for surgical simulation (p = 0.015). Thiel were found to be realistic (p < 0.001) to have reduced odour (p = 0.002) and be more cost-effective (p = 0.003). Ethical constraints were considered to be small.
Thiel cadavers are suitable for training in most surgical specialties.
英国立法的变化允许对尸体进行外科手术。本研究的目的是评估蒂尔尸体作为高保真模拟器的效果,并检验其在外科培训中的适用性。
邀请了来自各个专业的外科医生参加为期1天的使用蒂尔尸体的解剖工作坊。外科医生完成了一份关于尸体模拟的基线调查问卷。在工作坊结束时,他们根据对蒂尔尸体的体验完成了一份类似的调查问卷。通过比较工作坊前后调查问卷的答案,评估使用蒂尔尸体是否改变了外科医生对尸体模拟的看法。
根据27名参与者的反馈,模拟对于外科培训很重要,全流程模型对各级培训都有益。目前,外科医生对现有模型不满意,需要高保真的替代模型。工作坊结束后,外科医生得出结论,蒂尔尸体适用于外科模拟(p = 0.015)。发现蒂尔尸体逼真(p < 0.001)、气味减轻(p = 0.002)且成本效益更高(p = 0.003)。伦理限制被认为较小。
蒂尔尸体适用于大多数外科专业的培训。