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利用猪模型建立腹腔镜外科技能实验室:在手术室环境中活体组织模拟器是否有一席之地?

Establishing a Laparoscopic Surgical Skills Laboratory Using a porcine Model: Is There a Place for Live Tissue Simulators in an Operating Room Setting?

机构信息

Department of Surgery B, Meir Medical Center, Kfar Saba, Israel.

Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.

出版信息

Isr Med Assoc J. 2022 Feb;24(2):107-111.

Abstract

BACKGROUND

Achieving laparoscopic competency is challenging. Common laparoscopic simulators usually fall short in achieving true simulation.

OBJECTIVES

To present a live porcine model laparoscopic skills laboratory for training general surgery residents.

METHODS

An in vivo porcine laparoscopic model course was developed to simulate seven different laparoscopic procedures and seven laparoscopic skills for trainees under the tutelage of laparoscopic specialists.

RESULTS

A total of 98 surgical trainees from 19 training programs underwent a full-day course from September 2017 to July 2020. Each program consisted of four trainees and two faculty members. In total, 175 laparoscopic procedures were performed. Trainees reported that the course improved their ability to perform in the operating room.

CONCLUSIONS

Using a laparoscopic porcine model in a guided didactic course performing complete common laparoscopic procedures in simulated operating room surroundings was beneficial for surgical trainees. The porcine model mimics human abdominal anatomy and allows trainees to increase their comfort level in performing such procedures.

摘要

背景

实现腹腔镜手术能力具有挑战性。常见的腹腔镜模拟器通常无法实现真正的模拟。

目的

为普通外科住院医师培训提供一个真实的猪腹腔镜技能实验室。

方法

我们开发了一种活体猪腹腔镜模型课程,以模拟七种不同的腹腔镜手术和七种腹腔镜技能,由腹腔镜专家指导培训生。

结果

2017 年 9 月至 2020 年 7 月,来自 19 个培训项目的 98 名外科培训生参加了为期一天的课程。每个项目由四名学员和两名教员组成。共进行了 175 例腹腔镜手术。学员们报告说,该课程提高了他们在手术室的操作能力。

结论

在模拟手术室环境中使用腹腔镜猪模型进行指导理论课程,完成常见的腹腔镜手术对外科培训生是有益的。猪模型模拟了人体腹部解剖结构,使学员能够提高进行此类手术的舒适度。

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