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所有机器人手术:发现课程对于机器人手术技能的获取重要吗?

RoboticSurgery4all: are discovery courses important for robotic surgery skills acquisition?

机构信息

Faculty of Health Sciences, Centro Académico Clínico das Beiras (Academic Clinical Center of Beiras), University of Beira Interior, Av. Infante D. Henrique, 6200-506, Covilhã, Portugal.

Klinikum Kempten, Klinikverbund Allgäu gGmbH, Kempten, Germany.

出版信息

J Robot Surg. 2024 Aug 14;18(1):322. doi: 10.1007/s11701-024-02077-4.

Abstract

Cost, logistics, and availability of robotic simulation opportunities suppose a real challenge for robotic surgery training. We aimed to test a new methodology for introduction to robotic surgery pre-congress courses. Two different "introduction to robotic surgery" pre-congress courses were developed. A new methodology using a sleeve/bypass, a ventral TAPP and an inguinal TAPP silicone models was implemented. After the session, the trainees answered a questionnaire to evaluate the course and the methodology using 1-5 Likert scales. A total of 21 participants participated in the courses and (72.2%) had no experience in robotic surgery. All trainees rated the course as good or excellent. There was a strong agreement between participants regarding the adequacy of the silicone models for this type of simulation/course. Trainees agree that the course gave them more confidence to perform a real robotic procedure, increased their interest in robotic surgery and made them feel ready to start their robotic surgery pathway. Congresses are a frequent way of contact between surgeons and robotic systems, mostly in the form of technical demonstrations or pre-congress courses. Our methodology showed that it is possible to allow for this contact in a low-cost way. This kind of courses is well received by congress delegates and have a positive educational impact. Despite of being "Discovery" courses, they have a positive impact on the congress, on the acquisition of robotic surgery skills and increase the interest in robotic surgery.

摘要

成本、物流和机器人模拟机会的可用性对机器人手术培训构成了真正的挑战。我们旨在测试一种新的方法,用于在大会前课程中引入机器人手术。开发了两种不同的“机器人手术入门”会前课程。实施了一种新的方法,使用袖套/旁路、腹侧 TAPP 和腹股沟 TAPP 硅酮模型。课程结束后,学员使用 1-5 级李克特量表回答一份问卷,以评估课程和方法。共有 21 名参与者参加了课程,其中(72.2%)没有机器人手术经验。所有学员都对课程给予了良好或优秀的评价。学员们强烈认同这些硅酮模型非常适合此类模拟/课程。学员们认为该课程使他们对进行真正的机器人手术更有信心,增加了他们对机器人手术的兴趣,并使他们感到准备好开始机器人手术之路。大会是外科医生和机器人系统之间经常联系的一种方式,主要以技术演示或会前课程的形式出现。我们的方法表明,以低成本的方式实现这种联系是可能的。这种课程深受大会代表的欢迎,具有积极的教育影响。尽管是“探索”课程,但它们对大会、机器人手术技能的掌握以及对机器人手术的兴趣都有积极的影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/89a3/11324769/a21998af3fdf/11701_2024_2077_Fig1_HTML.jpg

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