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裸眼盒子训练器和训练盒游戏对新手的训练效果与传统基于视频的盒子训练器相似:一项随机对照试验。

Naked-eye box trainer and training box games have similar training effect as conventional video-based box trainer for novices: A randomized controlled trial.

机构信息

Division of Colon and Rectal Surgery, Department of Surgery, Taipei Veterans General Hospital, Taipei, Taiwan; School of Medicine, National Yang-Ming University, Taipei, Taiwan; Institute of Clinical Medicine, National Yang-Ming University, Taipei, Taiwan.

Division of Colon and Rectal Surgery, Department of Surgery, Taipei Veterans General Hospital, Taipei, Taiwan; School of Medicine, National Yang-Ming University, Taipei, Taiwan.

出版信息

Am J Surg. 2018 Nov;216(5):1022-1027. doi: 10.1016/j.amjsurg.2018.05.015. Epub 2018 May 24.

Abstract

BACKGROUND

Laparoscopic surgery has become a well-established technique for management of various surgical problems. A more efficient training methods are of upmost importance for current surgery residents.

METHODS

This is a prospective, randomized, 3-arm trial to compare the training efficient of the naked-eye box trainer, training box games and conventional video-based box trainer in training laparoscopic suturing skill.

RESULTS

The three training models were well acceptable and all could improve the acquisition of laparoscopic suturing and knotting skill in novices. The completion time was 604 ± 298 s in the box trainer games, 617 ± 335 s in the naked-eye training module, and 491 ± 334 s in the video-based box trainer (p = 0.322). Using the structured procedure-specific checklist, there was no significant difference in scores between these three groups (p = 0.977).

CONCLUSIONS

Naked-eye box trainer and training box games produce similar training effect as the conventional video-based box trainer. The naked-eye box trainer may serve as a convenient way for novice trainees to acquire laparoscopic suturing technique skills before video-based simulation.

摘要

背景

腹腔镜手术已成为处理各种外科问题的成熟技术。对于当前的外科住院医师来说,更有效的培训方法至关重要。

方法

这是一项前瞻性、随机、三臂试验,旨在比较肉眼观察箱式训练器、训练箱游戏和传统基于视频的箱式训练器在培训腹腔镜缝合技能方面的培训效率。

结果

三种培训模式均易于接受,均能提高新手腹腔镜缝合和打结技能的掌握程度。在箱式训练器游戏中,完成时间为 604±298s,在肉眼训练模块中为 617±335s,在基于视频的箱式训练器中为 491±334s(p=0.322)。使用结构化的特定程序检查表,这三组之间的分数没有显著差异(p=0.977)。

结论

肉眼观察箱式训练器和训练箱游戏与传统基于视频的箱式训练器产生相似的培训效果。在使用基于视频的模拟之前,肉眼观察箱式训练器可能是新手受训者获得腹腔镜缝合技术技能的便捷方式。

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