Joosten Maja, Bökkerink Guus M J, Verhoeven Bas H, Botden Sanne M B I
Department of Pediatric Surgery, Radboudumc-Amalia Children's Hospital, Nijmegen, The Netherlands.
Department of Pediatric Surgery, Princess Maxima Center, Utrecht, The Netherlands.
J Laparoendosc Adv Surg Tech A. 2023 Jan;33(1):63-68. doi: 10.1089/lap.2022.0197. Epub 2022 Sep 27.
Acquiring and retaining minimally invasive surgery (MIS) skills may be aided by using MIS take-home box simulators. This study aims to evaluate the use of a take-home MIS box trainer for training sessions at-home. Trainees who previously bought the LaparoscopyBoxx (between 2016 and 2020) were asked to complete an online questionnaire. The first part was on their demographic data, and the second part was on their use and opinion on the box trainer (on a 5-point Likert scale). A total of 39 participants (9 surgeons and 30 trainees) completed the questionnaire (response rate 40%). Overall, participants had a positive opinion on the use of the box trainer and would recommend it to others for training (mean 4.2). Basic tasks, such as needle trail and ring transfer, were practiced most often and were regarded most relevant (mean 4.1-4.3). They regarded practicing on the stimulator of added value to practicing in the clinic (mean 4.2), were more confident during clinical procedures (mean 3.9), and felt that their skills had improved (mean 4.1). Of quarter of the participants who bought the MIS box trainer during the COVID-19 pandemic reported an increased use during times of less clinical exposure. Surgeons and trainees have a positive opinion on using a take-home MIS box trainer for at-home training for general as well as for pediatric MIS skills. Especially during periods of less exposure in the clinical setting and less hands-on courses, such as during the COVID-19 pandemic, at-home training may be a valuable addition.
使用微创外科手术（MIS）带回家训练箱模拟器可能有助于获得和保持微创外科手术技能。本研究旨在评估在家中使用带回家的MIS训练箱进行训练课程的效果。此前购买过腹腔镜训练箱（2016年至2020年期间）的学员被要求完成一份在线问卷。第一部分是关于他们的人口统计学数据，第二部分是关于他们对训练箱的使用情况和看法（采用5分李克特量表）。共有39名参与者（9名外科医生和30名学员）完成了问卷（回复率40%）。总体而言，参与者对训练箱的使用持积极态度，并会向他人推荐用于训练（平均分为4.2）。诸如针线操作和套圈传递等基本任务练习得最为频繁，且被认为最为相关（平均分为4.1 - 4.3）。他们认为在模拟器上练习对在临床中练习有附加价值（平均分为4.2），在临床操作中更有信心（平均分为3.9），并且觉得自己的技能有所提高（平均分为4.1）。在新冠疫情期间购买MIS训练箱的参与者中有四分之一报告称，在临床接触较少的时候使用频率增加。外科医生和学员对使用带回家的MIS训练箱进行一般及小儿MIS技能的在家训练持积极态度。特别是在临床环境中接触较少以及实践课程较少的时候，比如在新冠疫情期间，在家训练可能是一项有价值的补充。
