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构建并应用低成本腹腔镜训练模拟器作为教学工具,通过运动协调和二维视觉训练实现。

Construction and application of a low-cost laparoscopy training simulator as a teaching tool through motor coordination and two-dimensional vision practices.

机构信息

- Universidade Federal do Ceará, Departamento de Cirurgia - Fortaleza - CE - Brasil.

- Hospital Universitário Walter Cantídio, Departamento de Cirurgia - Fortaleza - CE - Brasil.

出版信息

Rev Col Bras Cir. 2022 Feb 28;49:e20223095. doi: 10.1590/0100-6991e-20223095. eCollection 2022.

DOI:10.1590/0100-6991e-20223095
PMID:35239852
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10578779/
Abstract

OBJECTIVES

to describe the construction of a low-cost laparoscopy training simulator and evaluate its level of acceptance, impact on learning, and skill development in medical students.

METHODS

we built a video training simulator using low-cost materials. We then carried out a cross-sectional study, with the use of an applied questionnaire to medical students.

RESULTS

51 medical students participated in the research, of whom 76.47% gained confidence in relation to laparoscopic surgery, 100% stated that the model successfully trained the skills of motor coordination and two-dimensional visual-spatial field, in addition to enabling a greater understanding of laparoscopy. All agreed that the simulator should be used before a real laparoscopic surgery scenario.

CONCLUSION

the construction of the described laparoscopic surgery training simulator proved to be feasible and effective as an educational resource. It was well accepted by medical students, with easy handling, and promoted the development of motor and visual skills in video surgery.

摘要

目的

描述一种低成本腹腔镜培训模拟器的构建,并评估其在医学生中的接受程度、对学习的影响以及技能发展。

方法

我们使用低成本材料构建了一个视频培训模拟器。然后,我们进行了一项横断面研究,使用应用问卷对医学生进行了调查。

结果

51 名医学生参与了这项研究,其中 76.47% 的学生对腹腔镜手术的信心增强,100% 的学生表示该模型成功地训练了运动协调和二维视觉空间领域的技能,此外还增加了对腹腔镜手术的理解。所有学生都认为应该在进行真正的腹腔镜手术之前使用模拟器。

结论

所描述的腹腔镜手术培训模拟器的构建被证明是一种可行且有效的教育资源。它很容易被医学生接受,并且促进了视频手术中运动和视觉技能的发展。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b10b/10578779/e1b90e3ca591/rcbc-49-e20223095-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b10b/10578779/386d03959174/rcbc-49-e20223095-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b10b/10578779/e1b90e3ca591/rcbc-49-e20223095-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b10b/10578779/386d03959174/rcbc-49-e20223095-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b10b/10578779/e1b90e3ca591/rcbc-49-e20223095-g002.jpg

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本文引用的文献

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Ann R Coll Surg Engl. 2020 Nov;102(9):672-684. doi: 10.1308/rcsann.2020.0178. Epub 2020 Aug 21.
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Comparison of three-dimensional versus two-dimensional laparoscopic surgery for rectal cancer: a meta-analysis.三维腹腔镜与二维腹腔镜手术治疗直肠癌的比较:荟萃分析。
Int J Colorectal Dis. 2019 Sep;34(9):1577-1583. doi: 10.1007/s00384-019-03353-8. Epub 2019 Jul 24.
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LOW-COST SIMULATOR ASSEMBLY FOR 3-DIMENSIONAL VIDEOSURGERY TRAINING.
用于三维视频手术训练的低成本模拟器组件
Arq Bras Cir Dig. 2018 Aug 16;31(3):e1384. doi: 10.1590/0102-672020180001e1384.
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A Systematic Review on Orthopedic Simulators for Psycho-Motor Skill and Surgical Procedure Training.骨科模拟器在心理运动技能和手术操作训练中的系统评价
J Med Syst. 2018 Aug 2;42(9):168. doi: 10.1007/s10916-018-1019-1.
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The Effect on Performance Time and Quality of the Knots after Mono or Bimanual Training of Laparoscopic Intracorporeal Knot Tying according to the Gladiator Rule Technique.根据角斗士规则技术进行腹腔镜体内打结单手或双手训练后对打结操作时间和结质量的影响。
Rev Bras Ginecol Obstet. 2018 May;40(5):266-274. doi: 10.1055/s-0038-1649494. Epub 2018 May 18.
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Model for simulated training of laparoscopic gastroenterostomy.腹腔镜胃肠吻合术模拟训练模型。
Acta Cir Bras. 2017 Jan;32(1):81-89. doi: 10.1590/s0102-865020170110.
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Development of laparoscopic skills in medical students naive to surgical training.从未接受过外科培训的医学生腹腔镜技能的培养。
Einstein (Sao Paulo). 2014 Oct-Dec;12(4):467-72. doi: 10.1590/S1679-45082014AO3237.
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Am J Surg. 2014 Jan;207(1):146-57. doi: 10.1016/j.amjsurg.2013.06.017. Epub 2013 Oct 2.
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