• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利：CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法，用中文像聊天一样搜索，搜遍4000万医学文献。AI智能推荐，让科研检索更轻松。

立即免费搜索

文件翻译

保留排版，准确专业，支持PDF/Word/PPT等文件格式，支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述，25分钟生成高质量综述，智能提取关键信息，辅助科研写作。

立即免费体验

腹壁内镜疝修补术（TEP）培训模型。扩展完全腹膜外入路（eTEP）。

Training model in abdominal wall endoscopic surgery for ventral hernias. Extended totally extra-peritoneal approach (e-tep).

机构信息

PhD. Department of Gastrosurgery - Universidade Federal de São Paulo (UNIFESP) - Sao Paulo (SP), Brazil.

MD. Hernia Center - Hospital São Lucas - Rio de Janeiro (RJ), Brazil.

出版信息

Acta Cir Bras. 2021 Oct 8;36(8):e360808. doi: 10.1590/ACB360808. eCollection 2021.

DOI:10.1590/ACB360808
PMID:34644776
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8516429/
Abstract

PURPOSE

To develop a reproducible training program model covering the steps of the extended totally extraperitoneal approach (e-tep) technique for correction of ventral or incisional hernia repair.

METHODS

Training sessions with surgeons in the laboratory using both porcine specimens and a new ethylene vinyl acetate (EVA) model simulating the operative steps of the e-tep technique. Students were interviewed and asked to answer a questionnaire pre and post the sessions to assess their performance and evaluated the course and model.

RESULTS

A total of 25 trained abdominal wall surgeons was evaluated at the end of the course. It was obtained a 100% satisfaction score of the training, as well as increased confidence levels up to 9 and 10 in all technical aspects of the surgery, having 96% of the surgeons performed a surgery under supervision of the proctors after the course.

CONCLUSIONS

This training model is simple, effective, low cost, and replicable in guidance on the beginning of e-tep technique adoption, and performance. As a result, surgeons can get more confident and more able to perform surgeries employing this technique.

摘要

目的

开发一种可重现的培训计划模型，涵盖改良完全腹膜外入路（e-tep）技术修复腹侧或切口疝的步骤。

方法

在实验室中，外科医生使用猪标本和一种新的乙烯-醋酸乙烯酯（EVA）模型进行培训课程，模拟 e-tep 技术的手术步骤。学生在培训前后接受访谈并回答问卷，以评估他们的表现，并对课程和模型进行评估。

结果

在课程结束时，共评估了 25 名接受过培训的腹壁外科医生。培训获得了 100%的满意度评分，以及所有手术技术方面信心水平提高至 9 到 10 分，96%的外科医生在课程结束后在指导医生的监督下进行了手术。

结论

这种培训模型简单、有效、成本低，可在 e-tep 技术采用和手术表现的初期进行复制。因此，外科医生可以更加自信和熟练地进行使用该技术的手术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ae1/8516429/3ac5cac5d55f/1678-2674-acb-36-8-e360808-gf08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ae1/8516429/6543c17a8cb4/1678-2674-acb-36-8-e360808-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ae1/8516429/8b8fca91fb09/1678-2674-acb-36-8-e360808-gf02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ae1/8516429/68db4f0cb629/1678-2674-acb-36-8-e360808-gf03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ae1/8516429/7dab841bef10/1678-2674-acb-36-8-e360808-gf04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ae1/8516429/644a1ac523f0/1678-2674-acb-36-8-e360808-gf05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ae1/8516429/dc49b1b7cf82/1678-2674-acb-36-8-e360808-gf06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ae1/8516429/eb56373435ac/1678-2674-acb-36-8-e360808-gf07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ae1/8516429/3ac5cac5d55f/1678-2674-acb-36-8-e360808-gf08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ae1/8516429/6543c17a8cb4/1678-2674-acb-36-8-e360808-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ae1/8516429/8b8fca91fb09/1678-2674-acb-36-8-e360808-gf02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ae1/8516429/68db4f0cb629/1678-2674-acb-36-8-e360808-gf03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ae1/8516429/7dab841bef10/1678-2674-acb-36-8-e360808-gf04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ae1/8516429/644a1ac523f0/1678-2674-acb-36-8-e360808-gf05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ae1/8516429/dc49b1b7cf82/1678-2674-acb-36-8-e360808-gf06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ae1/8516429/eb56373435ac/1678-2674-acb-36-8-e360808-gf07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ae1/8516429/3ac5cac5d55f/1678-2674-acb-36-8-e360808-gf08.jpg

相似文献

1
Training model in abdominal wall endoscopic surgery for ventral hernias. Extended totally extra-peritoneal approach (e-tep).腹壁内镜疝修补术（TEP）培训模型。扩展完全腹膜外入路（eTEP）。
Acta Cir Bras. 2021 Oct 8;36(8):e360808. doi: 10.1590/ACB360808. eCollection 2021.
2
Interposition of the omentum and/or the peritoneum in the emergency repair of large ventral hernias with polypropylene mesh.网膜和/或腹膜在聚丙烯网片急诊修补大型腹壁疝中的应用。
Int J Surg. 2014;12(6):578-86. doi: 10.1016/j.ijsu.2014.04.009. Epub 2014 Apr 30.
3
Extended View: Totally Extra Peritoneal (e-TEP) Approach for Ventral and Incisional Hernia-Early results from a single center.扩展视野：完全腹膜外（e-TEP）方法治疗腹疝和切口疝-单中心的早期结果。
Surg Endosc. 2021 May;35(5):2005-2013. doi: 10.1007/s00464-020-07595-4. Epub 2020 Apr 28.
4
Totally extraperitoneal approach for ventral hernia.完全腹膜外入路治疗腹外疝。
Surg Endosc. 2018 Mar;32(3):1585. doi: 10.1007/s00464-017-5761-0. Epub 2017 Jul 21.
5
Endoscopic totally extraperitoneal approach (TEA) technique for primary ventral hernia repair.经内镜完全腹膜外途径（TEA）技术治疗原发性腹疝修补术。
Surg Endosc. 2020 Aug;34(8):3734-3741. doi: 10.1007/s00464-020-07575-8. Epub 2020 Apr 27.
6
Laparoscopic totally extraperitoneal (TEP) inguinal hernia repair in patients with previous lower abdominal surgery.腹腔镜完全腹膜外（TEP）腹股沟疝修补术在有下腹部手术史的患者中的应用。
Surg Endosc. 2018 Dec;32(12):4757-4762. doi: 10.1007/s00464-018-6223-z. Epub 2018 May 14.
7
Enhanced-view totally extraperitoneal access for repair of ventral hernias: Advantages and liabilities.增强型完全腹膜外入路在腹疝修补术中的应用：优势与不足。
Cir Esp (Engl Ed). 2023 May;101 Suppl 1:S33-S39. doi: 10.1016/j.cireng.2023.01.013.
8
Laparoscopic Inguinal Hernia Repair: Transabdominal Preperitoneal or Totally Extraperitoneal? Results of a 14-year Prospective Study.腹腔镜腹股沟疝修补术：经腹腹膜前修补还是完全腹膜外修补？一项14年前瞻性研究的结果
Chirurgia (Bucur). 2020 Sept-Oct;115(5):600-608. doi: 10.21614/chirurgia.115.5.600.
9
Laparoscopic partially extraperitoneal (PEP) mesh repair for laterally placed ventral and incisional hernias.腹腔镜部分腹膜外（PEP）补片修补术治疗外侧型腹直肌旁疝和切口疝
Surg Laparosc Endosc Percutan Tech. 2014 Jun;24(3):e99-100. doi: 10.1097/SLE.0b013e3182901480.
10
Mini Totally Extra-Peritoneal Repair of Inguinal Hernia with All 5 mm Ports: An Innovative "555 Technique".采用全 5 毫米端口的腹股沟疝迷你完全腹膜外修补术：一种创新的“555 技术”
J Laparoendosc Adv Surg Tech A. 2017 Mar;27(3):295-301. doi: 10.1089/lap.2016.0462. Epub 2016 Oct 19.

引用本文的文献

1
Validation of a synthetic simulation model of endoscopic rectus sheath plication.验证内镜下腹直肌鞘折叠术的合成模拟模型。
Hernia. 2024 Aug;28(4):1381-1390. doi: 10.1007/s10029-024-03059-z. Epub 2024 May 20.
2
Impact of cadaver training for learning abdominal wall reconstruction: our early experience.尸体培训对学习腹壁重建的影响：我们的早期经验。
Hernia. 2024 Feb;28(1):85-95. doi: 10.1007/s10029-023-02907-8. Epub 2023 Oct 19.

本文引用的文献

1
Signs and landmarks in eTEP Rives-Stoppa repair of ventral hernias.eTEP Rives-Stoppa 修补术治疗腹疝的标志和标志物。
Hernia. 2021 Apr;25(2):545-550. doi: 10.1007/s10029-020-02216-4. Epub 2020 May 18.
2
The endoscopic retromuscular repair of ventral hernia: the eTEP technique and early results.内镜经腹腹膜前疝修补术：eTEP 技术及早期结果。
Hernia. 2019 Oct;23(5):945-955. doi: 10.1007/s10029-019-01931-x. Epub 2019 Mar 28.
3
Endoscopic enhanced-view totally extraperitoneal retromuscular approach for ventral hernia repair.
内镜增强视野完全腹膜外肌后入路治疗腹外疝。
Surg Endosc. 2019 Nov;33(11):3749-3756. doi: 10.1007/s00464-019-06669-2. Epub 2019 Jan 24.
4
Deciding on Optimal Approach for Ventral Hernia Repair: Laparoscopic or Open.决定最佳的腹壁疝修补方法：腹腔镜还是开放手术。
J Am Coll Surg. 2019 Jan;228(1):54-65. doi: 10.1016/j.jamcollsurg.2018.09.004. Epub 2018 Oct 22.
5
Epidemiology and Disparities in Care: The Impact of Socioeconomic Status, Gender, and Race on the Presentation, Management, and Outcomes of Patients Undergoing Ventral Hernia Repair.流行病学与护理差异：社会经济地位、性别和种族对行腹疝修补术患者的表现、治疗和结局的影响。
Surg Clin North Am. 2018 Jun;98(3):431-440. doi: 10.1016/j.suc.2018.02.003. Epub 2018 Mar 21.
6
A novel approach using the enhanced-view totally extraperitoneal (eTEP) technique for laparoscopic retromuscular hernia repair.一种使用增强型完全腹膜外（eTEP）技术的腹腔镜肌后疝修补的新方法。
Surg Endosc. 2018 Mar;32(3):1525-1532. doi: 10.1007/s00464-017-5840-2. Epub 2017 Sep 15.
7
Developing an International Combined Applied Surgical Science and Wet Lab Simulation Course as an Undergraduate Teaching Model.开发一门国际联合应用外科学与湿实验室模拟课程作为本科教学模式。
Biomed Res Int. 2015;2015:463987. doi: 10.1155/2015/463987. Epub 2015 Nov 3.
8
Porcine cadaver organ or virtual-reality simulation training for laparoscopic cholecystectomy: a randomized, controlled trial.猪尸体器官或虚拟现实模拟训练用于腹腔镜胆囊切除术：一项随机对照试验。
J Surg Educ. 2015 May-Jun;72(3):483-90. doi: 10.1016/j.jsurg.2014.11.015. Epub 2014 Dec 30.
9
The INCH-Trial: a multicentre randomized controlled trial comparing the efficacy of conventional open surgery and laparoscopic surgery for incisional hernia repair.INCH试验：一项多中心随机对照试验，比较传统开放手术与腹腔镜手术治疗切口疝的疗效。
BMC Surg. 2013 Jun 7;13:18. doi: 10.1186/1471-2482-13-18.
10
Cost and logistics of implementing a tissue-based American College of Surgeons/Association of Program Directors in Surgery surgical skills curriculum for general surgery residents of all clinical years.实施基于组织的美国外科医师学院/外科手术项目主任协会外科技能课程的成本和后勤工作，供所有临床年普外科住院医师使用。
Am J Surg. 2014 Feb;207(2):201-8. doi: 10.1016/j.amjsurg.2013.08.025. Epub 2013 Oct 23.