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在 COVID-19 大流行期间,腹腔镜训练模型对小儿外科医生的有效性:单中心经验。

Effectiveness of a Laparoscopic Training Model for Pediatric Surgeons During COVID-19 Pandemic: A Single-Center Experience.

机构信息

Pediatric Surgery Unit, Department of Translational Medical Science, University of Naples "Federico II," Naples, Italy.

出版信息

J Laparoendosc Adv Surg Tech A. 2022 Aug;32(8):907-912. doi: 10.1089/lap.2022.0158. Epub 2022 Jul 7.

DOI:10.1089/lap.2022.0158
PMID:35796708
Abstract

During COVID-19 pandemic, many restrictions were applied in the field of health care. For this reason, we decided to adopt the laparoscopic simulator Laparo Analytic to allow the trainees of our pediatric surgery training program to continue their training activity, and we determined its impact on their surgical education. We used Laparo Analytic Simulator for laparoscopic surgery training among the residents of our center. Fifteen residents from different years of the pediatric surgery program participated in this study. Each participant performed a 2-hour training session per week, consisting of three different exercises: Rubber Bands, Knotting, and Suturing. For each training session, the following parameters were analyzed: training time, economy of movement, smoothness, instrument activity (IA), instrument visibility (IV), and instrument symmetry. Results were collected after the first training session (T), at 3 months after the beginning of the study (T) and at 6 months after the beginning of the study (T). At T of training with Laparo Analytic Simulator, residents were able to complete their tasks significantly faster ( = .001) and had a significant improvement in smoothness of movements, IA, IV, and instrument symmetric movements during the tasks analyzed. On the basis of our results, we believe that Laparo analytic is an excellent system to adopt in minimally invasive surgery (MIS) training programs, in particular, during periods of surgical restrictions, as COVID-19 pandemic, or in centers with a limited MIS activity.

摘要

在 COVID-19 大流行期间,医疗领域实施了许多限制措施。出于这个原因,我们决定采用腹腔镜模拟器 Laparo Analytic,让我们的小儿外科研训项目的学员能够继续他们的培训活动,并确定其对他们手术教育的影响。我们在中心的住院医生中使用 Laparo Analytic 模拟器进行腹腔镜手术培训。15 名不同年份的小儿外科研训项目住院医生参加了这项研究。每位参与者每周进行 2 小时的培训课程,包括三个不同的练习:橡皮筋、打结和缝合。对于每次培训课程,我们分析了以下参数:培训时间、运动经济性、流畅性、器械活动度(IA)、器械可见度(IV)和器械对称性。结果在第一次培训课程结束后(T)、研究开始后 3 个月(T)和研究开始后 6 个月(T)收集。在使用 Laparo Analytic 模拟器进行培训的 T 时,住院医生能够显著更快地完成任务( = .001),并且在分析的任务中,运动的流畅性、IA、IV 和器械对称运动都有显著改善。基于我们的结果,我们认为 Laparo Analytic 是微创外科(MIS)培训计划的优秀系统,特别是在手术限制期间,如 COVID-19 大流行期间,或者在 MIS 活动有限的中心。

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