Aguilera Bazán Alfredo, Gómez Rivas Juan, Linares-Espinós Estefanía, Alvarez-Maestro Mario, Martínez-Piñeiro Luis
Servicio de Urología. Hospital Universitario La Paz. Madrid. España.
Servicio de Urología. Hospital Universitario La Paz. Madrid. España. European Association of Urology/Young Academics Urologists. Uro-Technology and communications working party. (ESUT-YAUwp). Arnhem. The Netherlands.
Arch Esp Urol. 2018 Jan;71(1):85-88.
Nowadays in urology, laparoscopic surgery is a reality that implies a very high percentage of the daily surgical activity. The interest in laparoscopy in urological pathology is undeniable, and the advantages for our patients with this approach are clear in most cases. But how do we deal with learning curve of this technique? What is the difficulty in laparoscopy training? What future perspectives might offer this approach? Difficulties in learning laparoscopy are easily identified and clear. The loss of the image in 3 dimensions, loss of touch, great dependence on surgical instruments, among others. For all these reasons, it seems common sense that the learning of laparoscopic surgery is structured and organized in a progressive increase in the difficulty of the exercises, which will seek to acquire the necessary skills before facing the patient inside the operating room.
如今在泌尿外科领域,腹腔镜手术已成为现实,这意味着其在日常手术活动中占比很高。腹腔镜技术在泌尿外科疾病治疗中的应用价值不可否认,在大多数情况下,这种手术方式给患者带来的益处显而易见。但我们该如何应对这项技术的学习曲线呢?腹腔镜手术培训的难点是什么?这种手术方式未来有哪些前景?腹腔镜手术学习中的难点很容易识别且十分明显。比如三维视野图像的丢失、触觉的丧失、对手术器械的极大依赖等等。基于所有这些原因,腹腔镜手术的学习以循序渐进增加练习难度的方式进行结构化和系统化安排似乎是合乎常理的,这样做是为了在进入手术室面对患者之前掌握必要的技能。