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减重手术模拟:SimLife,一种新型动态模拟人体模型的初步研究评估。

Bariatric Surgical Simulation: Evaluation in a Pilot Study of SimLife, a New Dynamic Simulated Body Model.

机构信息

ABS LAB, University Medical School of Poitiers, rue de la Milétrie, Bâtiment D1, TSA 51115, 86073, Poitiers Cedex, France.

Departemant of Visceral, Digestif and Endocrine Surgery, University Hospital of Poitiers, 2 rue de la Miletrie, BP 577, 86021, Poitiers Cedex, France.

出版信息

Obes Surg. 2020 Nov;30(11):4352-4358. doi: 10.1007/s11695-020-04829-1. Epub 2020 Jul 3.

Abstract

BACKGROUND

The demand for bariatric surgery is high and so is the need for training future bariatric surgeons. Bariatric surgery, as a technically demanding surgery, imposes a learning curve that may initially induce higher morbidity. In order to limit the clinical impact of this learning curve, a simulation preclinical training can be offered. The aim of the work was to assess the realism of a new cadaveric model for simulated bariatric surgery (sleeve and Roux in Y gastric bypass).

AIM

A face validation study of SimLife, a new dynamic cadaveric model of simulated body for acquiring operative skills by simulation. The objectives of this study are first of all to measure the realism of this model, the satisfaction of learners, and finally the ability of this model to facilitate a learning process.

METHODS

SimLife technology is based on a fresh body (frozen/thawed) given to science associated to a patented technical module, which can provide pulsatile vascularization with simulated blood heated to 37 °C and ventilation.

RESULTS

Twenty-four residents and chief residents from 3 French University Digestive Surgery Departments were enrolled in this study. Based on their evaluation, the overall satisfaction of the cadaveric model was rated as 8.52, realism as 8.91, anatomic correspondence as 8.64, and the model's ability to be learning tool as 8.78.

CONCLUSION

The use of the SimLife model allows proposing a very realistic surgical simulation model to realistically train and objectively evaluate the performance of young surgeons.

摘要

背景

对减重手术的需求很高,因此对未来减重外科医生的培训需求也很高。减重手术作为一项技术要求很高的手术,其学习曲线可能最初会导致更高的发病率。为了限制这一学习曲线的临床影响,可以提供模拟临床前培训。本研究的目的是评估一种新的用于模拟减重手术(袖状胃切除术和 Roux-en-Y 胃旁路术)的尸体模拟模型的逼真程度。

目的

对 SimLife 进行了一项正面验证研究,SimLife 是一种新的动态尸体模拟模型,用于通过模拟获得手术技能。本研究的目的首先是衡量该模型的逼真度、学习者的满意度,最后是该模型促进学习过程的能力。

方法

SimLife 技术基于捐赠给科学的新鲜尸体(冷冻/解冻),并结合专利技术模块,该模块可以提供模拟血液加热至 37°C 的脉动血管化和通气。

结果

来自法国 3 个大学消化外科系的 24 名住院医师和主治住院医师参加了这项研究。根据他们的评估,对尸体模型的总体满意度评分为 8.52,逼真度评分为 8.91,解剖对应评分为 8.64,模型作为学习工具的能力评分为 8.78。

结论

SimLife 模型的使用允许提出一种非常逼真的手术模拟模型,以真实地培训和客观地评估年轻外科医生的手术表现。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e1af/7333933/1701b0503ad9/11695_2020_4829_Fig1_HTML.jpg

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