Department of Human Structure and Repair, Ghent University Faculty of Medicine, Ghent, Belgium.
Division of Gastrointestinal Surgery, Ghent University Hospital, Ghent, Belgium.
World J Surg. 2019 Nov;43(11):2902-2908. doi: 10.1007/s00268-019-05103-x.
The purpose of this study was to evaluate the feedback of participants upon laparoscopic liver surgery (LLS) course on Thiel-embalmed human bodies.
From 2010 to 2017, ten LLS masterclasses have been organized by the Department of Hepatobiliary Surgery at Ghent University Hospital. A 23-question anonymous survey was electronically sent to 119 participants between November 2017 and January 2018, exploring their characteristics and asking for evaluation of the course. The obstacles for implementing LLS in their centers have been assessed.
Sixty-four surgeons (53.8%) responded to the survey; 42 (65.6%) were employed at a university hospital; and 39 (60.9%) were in the first decade of their practice as a consultant surgeon. Forty-three (67.2%) surgeons reported an increased percentage of LLS cases afterward. Training on Thiel cadavers was considered superior (49.2%) to other training options including proctoring in the operating room (34.9%), virtual reality (6.3%), video training (4.8%) and practicing on pigs (4.8%). Obstacles identified contained inadequate training, patient's referral pattern, financial issues, lack of dedicated surgical team and time constrains.
This survey revealed that a structured short-time program incorporating interactive discussion, live operations and hands-on training on human bodies under proctorship may enhance efficient training in laparoscopic liver surgery. In a step forward for upcoming courses, the importance of team building has to be addressed.
本研究旨在评估参与者对使用泰尔（Thiel）embalmed 人体进行腹腔镜肝脏手术（LLS）课程的反馈。
2010 年至 2017 年，根特大学医院肝胆外科组织了十次 LLS 大师班。2017 年 11 月至 2018 年 1 月期间，通过电子方式向 119 名参与者发送了一份 23 个问题的匿名调查，以了解他们的特点并评估课程。评估了他们中心实施 LLS 的障碍。
64 名外科医生（53.8%）对调查做出了回应；42 名（65.6%）在大学医院工作；39 名（60.9%）在担任顾问外科医生的第一个十年。43 名（67.2%）外科医生报告说，此后 LLS 病例的比例有所增加。在 Thiel 尸体上进行培训被认为优于其他培训选择，包括在手术室监督（34.9%）、虚拟现实（6.3%）、视频培训（4.8%）和在猪身上练习（4.8%）。确定的障碍包括培训不足、患者转诊模式、财务问题、缺乏专门的手术团队和时间限制。
这项调查显示，在监督下，将互动讨论、现场操作和在人体上进行动手培训相结合的结构化短期计划可能会增强腹腔镜肝脏手术的有效培训。在即将到来的课程中，必须解决团队建设的重要性。
