Van Cleynenbreugel Ben S E P, Gözen Ali S, Tokas Theodoros
aDepartment of Urology, University Hospital Gasthuisberg, Catholic University Leuven, Leuven, Belgium bDepartment of Urology, SLK-Kliniken, University of Heidelberg, Heilbronn, Germany cDepartment of Urology and Andrology, General Hospital Hall i.T., Hall in Tirol, Austria.
Curr Opin Urol. 2017 Jul;27(4):337-341. doi: 10.1097/MOU.0000000000000400.
Numerous factors have reduced the training opportunities of surgical residents in the operating room. There is also the question of patient's safety. This gives a need for increased training opportunities outside the operating room. We look if there is an added value in simulation-based training (SBT) in the acquisition of laparoscopic skills.
Incorporating SBT into the medical students curriculum reduces surgical complication rates in the operating room.
Reduction in opportunities to train surgical skills in the operating room, increased complexity of surgical procedures, and justified concerns for patients' safety require training opportunities outside the operating room. Data proves that skills, acquired in the lab during SBT, are transferable to the operating room. Moreover, incorporating an evidence-based laparoscopic simulation curriculum shortens the clinical learning curve and reduces surgical adverse events.
众多因素减少了外科住院医师在手术室的培训机会。同时还存在患者安全问题。这就需要增加手术室之外的培训机会。我们探讨基于模拟的培训（SBT）在获取腹腔镜技能方面是否具有附加价值。
将SBT纳入医学生课程可降低手术室的手术并发症发生率。
手术室中外科技能培训机会的减少、手术操作复杂性的增加以及对患者安全的合理担忧都需要手术室之外的培训机会。数据证明，在SBT实验室中获得的技能可转移至手术室。此外，纳入基于证据的腹腔镜模拟课程可缩短临床学习曲线并减少手术不良事件。
