Liu Jie, Xiu Wenli, Lin Aiqin, Duan Guangqi, Jiang Nannan, Wang Bao, Wang Feifei, Dong Qian, Xia Nan
Department of Pediatric Surgery, Yijishan Hospital of Wannan Medical College, Wannan Medical College, Wuhu, China.
Institute of Digital Medicine and Computer-Assisted Surgery of Qingdao University, Qingdao University, No. 308, Ningxia Road, Shinan District, Qingdao, 266071, Shandong, China.
Surg Radiol Anat. 2024 Feb;46(2):117-124. doi: 10.1007/s00276-023-03277-7. Epub 2024 Jan 8.
This study aimed to investigate the effectiveness of the Hisense computer-assisted surgery system (CAS) in teaching pediatric liver surgical anatomy.
The research subjects were residents who underwent standardized training at the Department of Pediatric Surgery at Yijishan Hospital of Wannan Medical College from May 2022 to May 2023.
The study recruited a total of 62 students, with 31 students assigned to the Hisense CAS group (12 males and 19 females) and the remaining 31 students serving as controls (Control group, 15 males and 16 females). There were no significant differences in baseline characteristics observed between the two groups. This study found that the average scores of the Hisense CAS teaching group in the liver surgery evaluations were higher than those of the control group. Specifically, the Hisense CAS group had an average score of 84.25 ± 5.70 points in the liver surgery knowledge test, 77.10 ± 8.12 points in the image reading test, and 70.58 ± 8.79 points in the surgical simulation test, while the traditional teaching group had average scores of 73.45 ± 6.12 points, 69.81 ± 6.05 points, and 66.42 ± 6.61 points, respectively; the differences between the two groups were statistically significant (P < 0.05). Furthermore, this study also found that the Hisense CAS teaching model resulted in significantly better teaching satisfaction on the part of the residents in terms of standardized teaching for physicians in pediatric liver surgical anatomy.
In conclusion, this study demonstrated greater satisfaction of the residents with the use of 3D reconstruction added to traditional teaching sessions and better performance during the posttraining evaluation.
本研究旨在探讨海信计算机辅助手术系统(CAS)在小儿肝脏手术解剖教学中的有效性。
研究对象为2022年5月至2023年5月在皖南医学院弋矶山医院小儿外科接受标准化培训的住院医师。
本研究共招募62名学生,其中31名学生被分配到海信CAS组(男12名,女19名),其余31名学生作为对照组(对照组,男15名,女16名)。两组间基线特征无显著差异。本研究发现,海信CAS教学组在肝脏手术评估中的平均得分高于对照组。具体而言,海信CAS组在肝脏手术知识测试中的平均得分为84.25±5.70分,在图像阅读测试中的平均得分为77.10±8.12分,在手术模拟测试中的平均得分为70.58±8.79分,而传统教学组的平均得分分别为73.45±6.12分、69.81±6.05分和66.42±6.61分;两组间差异具有统计学意义(P<0.05)。此外,本研究还发现,海信CAS教学模式在小儿肝脏手术解剖学医师标准化教学方面,使住院医师的教学满意度显著提高。
总之,本研究表明住院医师对在传统教学课程中增加3D重建的使用满意度更高,且培训后评估表现更好。