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掌握内镜二尖瓣手术的学习曲线

Mastering the learning curve of endoscopic mitral valve surgery.

作者信息

Aerts Luca, Sardari Nia Peyman

机构信息

Department of Cardiothoracic Surgery, Maastricht University Medical Center, Maastricht, Netherlands.

出版信息

Front Cardiovasc Med. 2023 Jun 22;10:1162330. doi: 10.3389/fcvm.2023.1162330. eCollection 2023.

DOI:10.3389/fcvm.2023.1162330
PMID:37424908
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10325683/
Abstract

Endoscopic mitral valve surgery is a challenging procedure. Surgical volume is mandatory to achieve sufficient proficiency and superior results. To this date the learning curve has proven to be challenging. Offering high-fidelity simulation based training for both residents as experienced surgeons can help in establishing and enlarging surgical competences in shorter time without intraoperative trial and error.

摘要

内镜二尖瓣手术是一项具有挑战性的手术。手术量对于达到足够的熟练程度和取得优异的手术效果是必不可少的。到目前为止，学习曲线已被证明具有挑战性。为住院医师和经验丰富的外科医生提供基于高保真模拟的培训，有助于在更短的时间内建立和扩大手术能力，而无需术中反复试验。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/532a/10325683/9a499a884841/fcvm-10-1162330-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/532a/10325683/0feffb23837d/fcvm-10-1162330-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/532a/10325683/899263d0cc6f/fcvm-10-1162330-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/532a/10325683/daf426428fe4/fcvm-10-1162330-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/532a/10325683/4de3abcfcb1a/fcvm-10-1162330-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/532a/10325683/6601c97737c4/fcvm-10-1162330-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/532a/10325683/451dac847f4d/fcvm-10-1162330-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/532a/10325683/9a499a884841/fcvm-10-1162330-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/532a/10325683/0feffb23837d/fcvm-10-1162330-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/532a/10325683/899263d0cc6f/fcvm-10-1162330-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/532a/10325683/daf426428fe4/fcvm-10-1162330-g003.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/532a/10325683/451dac847f4d/fcvm-10-1162330-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/532a/10325683/9a499a884841/fcvm-10-1162330-g007.jpg

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本文引用的文献

1
Basic principles of cardiothoracic surgery training: a position paper by the European Association for Cardiothoracic Surgery Residents Committee.心胸外科培训的基本原则：欧洲心胸外科住院医师委员会的立场文件。
Interact Cardiovasc Thorac Surg. 2022 Sep 9;35(4). doi: 10.1093/icvts/ivac213.
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Minimally invasive endoscopic mitral valve repair-the new gold standard for degenerative mitral valve disease.微创内镜二尖瓣修复术——退行性二尖瓣疾病的新金标准。
Eur J Cardiothorac Surg. 2022 Feb 18;61(3):645-646. doi: 10.1093/ejcts/ezab568.
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Association between individual surgeon volume and outcome in mitral valve surgery: a systematic review.
微创与传统二尖瓣手术：随机对照试验的荟萃分析
Front Cardiovasc Med. 2024 Aug 12;11:1437524. doi: 10.3389/fcvm.2024.1437524. eCollection 2024.
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Innovative Mitral Valve Repair Using a Novel Automated Suturing System: Preliminary Data.使用新型自动化缝合系统的二尖瓣修复创新技术：初步数据。
Medicina (Kaunas). 2024 Jul 15;60(7):1138. doi: 10.3390/medicina60071138.
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How to Build a Simulation Center for Surgery.如何打造一个外科手术模拟中心。
Innovations (Phila). 2023 Sep-Oct;18(5):402-407. doi: 10.1177/15569845231201618. Epub 2023 Sep 29.
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Minimally Invasive Surgery: Standard of Care for Mitral Valve Endocarditis.微创外科：二尖瓣心内膜炎的治疗标准。
Medicina (Kaunas). 2023 Aug 8;59(8):1435. doi: 10.3390/medicina59081435.
二尖瓣手术中个体外科医生手术量与手术结果之间的关联：一项系统评价
J Thorac Dis. 2021 Jul;13(7):4500-4510. doi: 10.21037/jtd-21-578.
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Effect of a dedicated mitral heart team compared to a general heart team on survival: a retrospective, comparative, non-randomized interventional cohort study based on prospectively registered data.专门的二尖瓣心脏团队与普通心脏团队对生存率的影响：一项基于前瞻性注册数据的回顾性、比较、非随机干预队列研究。
Eur J Cardiothorac Surg. 2021 Jul 30;60(2):263-273. doi: 10.1093/ejcts/ezab065.
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The EACTS simulation-based training course for endoscopic mitral valve repair: an air-pilot training concept in action.欧洲心胸外科协会基于模拟的内镜二尖瓣修复培训课程：一个正在实施的试点培训概念。
Interact Cardiovasc Thorac Surg. 2020 May 1;30(5):691-698. doi: 10.1093/icvts/ivz323.
6
Port-Access Mitral Valve Surgery-An Evolution of Technique.经皮二尖瓣手术：技术的演进。
Semin Thorac Cardiovasc Surg. 2020;32(4):829-837. doi: 10.1053/j.semtcvs.2019.09.003. Epub 2019 Sep 10.
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Development of a high-fidelity minimally invasive mitral valve surgery simulator.开发一种高逼真度的微创二尖瓣手术模拟器。
J Thorac Cardiovasc Surg. 2019 Apr;157(4):1567-1574. doi: 10.1016/j.jtcvs.2018.09.014. Epub 2018 Sep 29.
8
Mitral valve modelling and three-dimensional printing for planning and simulation of mitral valve repair.二尖瓣建模和三维打印在二尖瓣修复规划和模拟中的应用。
Eur J Cardiothorac Surg. 2019 Mar 1;55(3):543-551. doi: 10.1093/ejcts/ezy306.
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Low-Fidelity Simulation of Mitral Valve Surgery: Simple and Effective Trainer.二尖瓣手术的低保真模拟：简单有效的训练器。
J Surg Educ. 2015 Sep-Oct;72(5):904-9. doi: 10.1016/j.jsurg.2015.04.010. Epub 2015 Jun 23.
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Maximizing the benefit of minimally invasive surgery.最大限度地提高微创手术的效益。
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