Forgione Antonello, Guraya Salman Y
Department of Surgical Oncology and Minimally Invasive Surgery, AIMS Academy, Niguarda Hospital, Milan, Italy.
Department of Surgery, College of Medicine, Taibah University, Almadinah Almunawwarah, Saudi Arabia.
J Res Med Sci. 2017 Apr 26;22:51. doi: 10.4103/jrms.JRMS_809_16. eCollection 2017.
Historically, operating room (OR) has always been considered as a stand-alone trusted platform for surgical education and training. However, concerns about financial constraints, quality control, and patient safety have urged the surgical educators to develop more cost-effective, surgical educational platforms that can be employed outside the OR. Furthermore, trained surgeons need to regularly update their surgical skills to keep abreast with the emerging surgical technologies. This research aimed to explore the value of currently available modern surgical tools that can be used outside the OR and also elaborates the existing laparoscopic surgical training programs in world-class centers across the globe with a view to formulate a blended and unified structured surgical training program.
Several data sources were searched using MeSH terms "Laparoscopic surgery" and "Surgical training" and "Surgical curriculum" and "fundamentals of endoscopic surgery" and "fundamentals of laparoscopic surgery" and "Telementoring" and "Box trainer." The eligibility criteria used in data extraction searched for original and review articles and by excluding the editorial articles, short communications, conference proceedings, personal view, and commentaries. Data synthesis and data analysis were done by reviewing the initially retrieved 211 articles. Irrelevant and duplicate and redundant articles were excluded from the study.
Finally, 12 articles were selected for this systematic review. Data results showed that a myriad of cutting-edge technical innovations have provided modern surgical training tools such as the simulation-based mechanical and virtual reality simulators, animal and cadaveric labs, telementoring, telerobotic-assisted surgery, and video games. Surgical simulators allow the trainees to acquire surgical skills in a tension-free environment without supervision or time constraints.
The existing world-renowned surgical training centers employ various clusters of training tools that essentially endeavor to embed the acquisition of knowledge and technical skills. However, a unified training curriculum that may be accepted worldwide is currently not available.
从历史上看,手术室一直被视为外科教育和培训的独立可靠平台。然而,对财务限制、质量控制和患者安全的担忧促使外科教育工作者开发更具成本效益的外科教育平台,这些平台可在手术室外使用。此外,训练有素的外科医生需要定期更新其手术技能,以跟上新兴手术技术的步伐。本研究旨在探索可在手术室外使用的现有现代手术工具的价值,并阐述全球一流中心现有的腹腔镜手术培训计划,以期制定一个混合统一的结构化外科培训计划。
使用医学主题词“腹腔镜手术”、“外科培训”、“外科课程”、“内镜手术基础”、“腹腔镜手术基础”、“远程指导”和“箱式训练器”搜索了多个数据源。数据提取中使用的纳入标准搜索原创文章和综述文章,并排除社论文章、简短通讯、会议论文集、个人观点和评论。通过回顾最初检索到的211篇文章进行数据综合和数据分析。无关、重复和冗余的文章被排除在研究之外。
最终,选择了12篇文章进行该系统评价。数据结果表明,众多前沿技术创新提供了现代外科培训工具,如基于模拟的机械和虚拟现实模拟器、动物和尸体实验室、远程指导、远程机器人辅助手术和视频游戏。手术模拟器使学员能够在无压力的环境中获得手术技能,无需监督或时间限制。
现有的世界知名外科培训中心采用各种培训工具组合,这些工具本质上致力于将知识和技术技能的获取融入其中。然而,目前尚无一个可能被全球接受的统一培训课程。