Chikazawa Kenro, Kanao Hiroyuki, Hada Tomonori, Netsu Sachiho, Kuwata Tomoyuki, Konno Ryo
Jichi Medical University, Saitama Medical Center, Saitama, Japan.
Department of Gynecology, Cancer Institute Hospital, Tokyo, Japan.
Eplasty. 2018 Feb 8;18:e8. eCollection 2018.
This study evaluated the self-timed trial training for laparoscopic suturing. The set task involved grasping the suture, aligning the needle with a needle holder, passing the suture, making 3 knots, holding the 2 tails of the suture with one grasper, and cutting them. Trainees were given an instruction for suturing and reducing their suturing time. The same instruction was given 3 months later. Suturing times for the first and second trials and the last trial after the second instruction of the 9 trainees were measured. Their mean suturing times were statistically significantly shorter after instruction (before instruction: 276.7 ± 43.4 seconds, after instruction: 177.4 ± 46.1 seconds; = .0035). Four trainees were trained twice during the second instruction. Their suturing times were shorter than those of the other trainees, and the standard deviation decreased (120.5 ± 21.2 seconds, = .017). A self-timed trial training for laparoscopic suturing using a dry box makes training interesting and motivates trainees.
本研究评估了腹腔镜缝合的自我计时试验训练。设定的任务包括抓取缝线、将针与持针器对齐、穿过缝线、打3个结、用一个抓钳夹住缝线的两个尾端并剪断它们。对学员进行了缝合指导并要求他们缩短缝合时间。3个月后给予相同的指导。测量了9名学员在第一次和第二次试验以及第二次指导后的最后一次试验中的缝合时间。指导后他们的平均缝合时间在统计学上显著缩短（指导前：276.7±43.4秒，指导后：177.4±46.1秒；P = .0035）。4名学员在第二次指导期间接受了两次训练。他们的缝合时间比其他学员短，标准差降低（120.5±21.2秒；P = .017）。使用干燥箱进行腹腔镜缝合的自我计时试验训练使训练变得有趣并激励学员。
