腹腔镜阑尾切除术环扎模拟器的开发与评估。
Development and assessment of a loop ligation simulator for laparoscopic appendectomy.
机构信息
Department of Pediatric Surgery, Children's Hospital Lucerne, 6000, Lucerne 16, Switzerland.
University of Lucerne, Lucerne, Switzerland.
出版信息
Pediatr Surg Int. 2024 Mar 21;40(1):86. doi: 10.1007/s00383-024-05664-6.
OBJECTIVE
Loop ligation of the appendix is a challenging surgical skill and well suited to be trained in a simulator. We aimed to develop an affordable and easy-to-build simulator and test its training effect.
DESIGN AND PARTICIPANTS
Different materials were tested, and the best training modality was identified by researching the literature. The developed simulator training was tested on 20 surgical novices.
RESULTS
A video was produced including an instruction on how to build the simulator and a step-by-step tuition on how to ligate the appendix. The Peyton approach was utilized to guide learners. Training with the simulator leads to reliable skill acquisition. All participants improved significantly in completing the task successfully during the structured learning.
CONCLUSION
We succeeded in developing a simulator for loop ligation of the appendix during laparoscopic appendectomy. Participants significantly improve in handling the loops. The transferability of the skill learned during simulation to the operating room will be subject of a follow-up study.
目的
阑尾环扎术是一项具有挑战性的外科技能，非常适合在模拟器中进行训练。我们旨在开发一种经济实惠且易于构建的模拟器，并测试其培训效果。
设计和参与者
研究文献确定了不同的材料，并确定了最佳的培训模式。开发的模拟器培训在 20 名外科新手身上进行了测试。
结果
制作了一段视频，其中包括如何构建模拟器的说明以及如何结扎阑尾的分步教程。利用佩顿方法来指导学习者。使用模拟器进行训练可实现可靠的技能获取。所有参与者在结构化学习期间成功完成任务的能力都显著提高。
结论
我们成功地开发了一种腹腔镜阑尾切除术时用于阑尾环扎术的模拟器。参与者在处理环方面有了显著的提高。在手术室中学习到的技能的可转移性将是后续研究的主题。
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