Department of General Surgery, Sir Run-Run Shaw Hospital, School of Medical College, Zhejiang University, No. 3 East Qing Chun Road, Hangzhou, 310016, China.
Department of Hepatobiliary and Pancreatic Surgery, Zhejiang Provincial People's Hospital, Hangzhou Medical College, Hangzhou, 310014, Zhejiang, China.
Surg Endosc. 2023 Jan;37(1):337-346. doi: 10.1007/s00464-022-09465-7. Epub 2022 Aug 9.
There are few studies on simulation training in laparoscopic bilioenteric anastomosis. There is also a lack of mature and reliable training models for bilioenteric anastomosis. In this study, we aimed to assess a feasible training model for bilioenteric anastomosis. Surgeons can improve their surgical ability by performing laparoscopic bilioenteric anastomosis on this model through repeated training.
The original articles related to simulation training in surgical anastomosis were identified from January 2000 to November 2021 in the Clarivate Analytics Web of Science Core Collection database. We conducted a bibliometric analysis based on the country of these publications and the type of anastomosis. A 3D-printed bilioenteric anastomosis model was applied in this study. Baseline data of 15 surgeons (5 surgeons of Attendings, 5 surgeons of Fellows, and 5 surgeons of Residents) were collected. The bilioenteric anastomosis data, including the operation time and operation score, were recorded and analyzed. A study of the learning curve was also performed for further assessment.
Surgeons at different levels of experience exhibited different levels of performance in conducting laparoscopic bilioenteric anastomosis on this model. Experienced surgeons completed their first training session in a shorter time and obtained a higher surgical score. In turn, repeated training significantly shortened the time of laparoscopic bilioenteric anastomosis for each trainer and improved the surgical score. Surgeons with different levels of experience needed different numbers of cases to reach the stable period of the learning curve. Experienced surgeons were able to reach a proficient level through fewer training cases.
A suitable biliary-enteric anastomosis model can help surgeons conduct simulation training and provide experience and skill accumulation for future real operations. Our training model performed well in this study and can effectively accomplish this goal.
腹腔镜胆肠吻合术的模拟训练研究较少，胆肠吻合术也缺乏成熟可靠的训练模型。本研究旨在评估一种可行的胆肠吻合术训练模型，通过反复训练，外科医生可以提高腹腔镜胆肠吻合术的手术能力。
从 Clarivate Analytics Web of Science Core Collection 数据库中检索 2000 年 1 月至 2021 年 11 月期间与手术吻合模拟训练相关的原始文章。我们根据这些出版物的国家和吻合类型进行了文献计量分析。本研究应用了一种 3D 打印的胆肠吻合模型。收集了 15 名外科医生（5 名主治医生、5 名住院医生和 5 名实习医生）的基线数据。记录和分析胆肠吻合术的数据，包括手术时间和手术评分。还进行了学习曲线研究以进一步评估。
不同经验水平的外科医生在进行该模型的腹腔镜胆肠吻合术时表现出不同的水平。经验丰富的外科医生在更短的时间内完成了他们的第一个训练课程，并获得了更高的手术评分。相反，重复训练显著缩短了每位培训师腹腔镜胆肠吻合术的时间，并提高了手术评分。不同经验水平的外科医生需要不同数量的病例才能达到学习曲线的稳定期。经验丰富的外科医生可以通过较少的培训病例达到熟练水平。
合适的胆肠吻合模型可以帮助外科医生进行模拟训练，并为未来的实际手术提供经验和技能积累。我们的培训模型在本研究中表现良好，可以有效地实现这一目标。
