Department of General and Pancreatic Surgery, The Pancreas Institute, University of Verona Hospital Trust, 37134 Verona, VR, Italy.
Int J Environ Res Public Health. 2021 Dec 30;19(1):359. doi: 10.3390/ijerph19010359.
The training for pancreatic surgery still is not conducted according to standardized protocols, and academic programs differ between countries and hospitals. Moreover, due to recent technological innovations such as minimally invasive and robotic surgery, and the broader indications for complex pancreatic procedures due to the use of neoadjuvant chemotherapy, training is continuously redefining itself. The historical paradigm of "see one, do one, teach one" has been challenged and might have become obsolete. Finally, the rising number of surgical residents along with the limited time required practicing during residency might represent a major limitation to becoming an independent surgeon. Gross anatomy is a solid practice for the active learning of human anatomy during medical school. With regards to the pancreas, it offers a unique opportunity to both actively study the pancreatic gland anatomy during dissection and simulate actual surgical procedures. A critical review of the literature was conducted, aiming to assess the role of gross anatomy in surgical training and possible future perspectives.
胰腺外科的培训仍然没有按照标准化方案进行，各国和各家医院的学术课程也存在差异。此外，由于微创和机器人手术等最近的技术创新，以及新辅助化疗导致复杂胰腺手术适应证的扩大，培训也在不断重新定义自己。“见一个，做一个，教一个”的历史模式受到了挑战，可能已经过时了。最后，随着外科住院医师数量的增加以及住院医师期间所需的实践时间有限，这可能成为成为独立外科医生的一个主要限制。大体解剖是医学生主动学习人体解剖学的坚实实践。就胰腺而言，它提供了一个独特的机会，可以在解剖过程中主动研究胰腺的解剖结构，并模拟实际的手术过程。对文献进行了批判性回顾，旨在评估大体解剖在外科培训中的作用以及可能的未来前景。
