Balogh Brigitta, Kovács Tamás
Gyermekgyógyászati Klinika, Szegedi Tudományegyetem Szeged.
Orv Hetil. 2018 Oct;159(43):1747-1753. doi: 10.1556/650.2018.31189.
Minimally invasive techniques are gaining popularity in pediatric surgery, confident knowledge in endoscopies is one of the main purposes of the training. This survey analyzed the laparoscopic training for pediatric surgeons.
We sent questionnaires to all trainees and pediatric surgeons specialized after 2012 by e-mail. The questionnaire focused on their opportunities for laparoscopy during the training and their subjective opinions.
34 questionnaires were sent by email. 17 trainees and 11 specialists responded (82%). The rate of endoscopic surgeries is 15% in the clinical centers without trauma surgery, and 2-10% in other training centers. Routine laparoscopies are performed in all centers, and in 40-60% of the centers, advanced endoscopies are also applied. Half of the surgeons performed laparoscopy in the first 2 years of training. An average of 20 laparoscopies were carried out by trainees in the 3-6th year. 50% of the trainees had the opportunity to use pelvitrainer, however, video-watching (100%) is the most common preparation before endoscopies. The surgeons' subjective opinion about having enough laparoscopic experience by the time of the specialty exam was yes: n = 6 (21%), sufficient: n = 12 (43%) and no: n = 10 (36%). The training could be more effective with more equipment, free courses on pelvitrainers or animal models, and with more patient and dedicated attitude of the instructors.
Laparoscopy is in everyday practice in major centers, however, trainees do not have enough experience in terms of its confident use. Endoscopic training could be better with the regular use of pelvitrainers and more surgical practice. Revision of the operation list and the rise in the number of laparoscopies are necessary. Orv Hetil. 2018; 159(43): 1747-1753.
微创技术在小儿外科越来越受欢迎，掌握内镜技术是培训的主要目的之一。本调查分析了小儿外科医生的腹腔镜培训情况。
我们通过电子邮件向所有2012年后结业的学员和小儿外科专科医生发送了问卷。问卷聚焦于他们在培训期间进行腹腔镜操作的机会以及他们的主观意见。
通过电子邮件发送了34份问卷。17名学员和11名专科医生回复（82%）。在没有创伤外科的临床中心，内镜手术率为15%，在其他培训中心为2 - 10%。所有中心都进行常规腹腔镜手术，40 - 60%的中心还应用先进的内镜技术。一半的外科医生在培训的前两年进行腹腔镜手术。学员在第3 - 6年平均进行20次腹腔镜手术。50%的学员有机会使用盆腔训练器，然而，观看视频（100%）是内镜操作前最常见的准备方式。关于在专科考试时是否有足够腹腔镜经验，外科医生的主观意见为：是：n = 6（21%），足够：n = 12（43%），否：n = 10（36%）。配备更多设备、提供盆腔训练器或动物模型的免费课程以及教员更耐心专注的态度，培训可能会更有效。
腹腔镜手术在主要中心是日常实践，但学员在熟练使用方面经验不足。定期使用盆腔训练器和增加手术实践，内镜培训可以得到改善。有必要修订手术清单并增加腹腔镜手术数量。《匈牙利医学周报》。2018年；159(43): 1747 - 1753。
