Vinck Eric E, Sardari Nia Peyman
Department of Cardiothoracic Surgery, Maastricht University Medical Center, Maastricht University, Maastricht, Netherlands.
Department of Cardiac Surgery, Colsubsidio Cardiovascular Clinic, Bogota, Colombia.
Interdiscip Cardiovasc Thorac Surg. 2024 Oct 8;39(4). doi: 10.1093/icvts/ivae174.
There is a lack of guidance and scant learning resources for left-handed (LH) cardiac surgery residents and surgeons. No objective data exists to evaluate the reality of the training experience of LH cardiac surgeons and residents.
A 32-question survey was designed for LH cardiac surgeons and residents. The survey questions were aimed towards understanding the experiences of LH cardiac surgeons and residents in order to identify and determine where the challenges of LH in cardiac surgery lie. The survey was disseminated by the European Association for Cardio-thoracic Surgery (EACTS) through online platforms, social media and the EACTS website.
74 total responses were gathered from the survey; 73% were true LH operators. During residency, 78.1% of LH cardiac surgery residents had no access to LH faculty. Of those with LH mentors, only 53.3% were supportive and helped teach LH techniques. As trainees, 49.3% considered coronary artery bypass grafting anastomosis to be the most difficult portion of LH technique. Upon initiating independent practice, LH cardiac surgeons consider being LH an advantage in comparison to residency.
In LH cardiac surgery, there is a lack of tailored surgical exposure, training guidance, standardization, learning tools and teaching resources. Training resources for LH cardiac surgeons and residents should be developed.
对于左利手心脏外科住院医师和外科医生，缺乏指导且学习资源匮乏。不存在客观数据来评估左利手心脏外科医生和住院医师培训经历的实际情况。
为左利手心脏外科医生和住院医师设计了一份包含32个问题的调查问卷。调查问题旨在了解左利手心脏外科医生和住院医师的经历，以便识别和确定左利手在心脏外科手术中的挑战所在。该调查由欧洲心胸外科学会（EACTS）通过在线平台、社交媒体和EACTS网站进行传播。
调查共收集到74份回复；73%是真正的左利手操作者。在住院医师培训期间，78.1%的左利手心脏外科住院医师无法接触到左利手教员。在有左利手导师的人中，只有53.3%给予支持并帮助教授左利手技术。作为受训人员，49.3%认为冠状动脉搭桥吻合术是左利手技术中最困难的部分。在开始独立执业后，左利手心脏外科医生认为与住院医师培训时相比，左利手是一种优势。
在左利手心脏外科手术中，缺乏量身定制的手术实践机会、培训指导、标准化、学习工具和教学资源。应为左利手心脏外科医生和住院医师开发培训资源。
