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评估腹腔镜技能:关于使用腹腔镜器械并依据客观标准进行的折纸鹤比赛的报告。

Evaluating Laparoscopic Skills: Report on the Origami Crane Folding Competition Using Laparoscopic Instruments With Objective Criteria.

作者信息

Furukawa Shunsuke, Hiraki Masatsugu, Hashimoto Yosuke, Noda Yusuke, Kanai Hiroo, Ichikawa Masao

机构信息

Surgery, Hiramatsu Hospital, Ogi, JPN.

Laparoscopic Surgery, Community for Laparoscopic Training "Kaminote Challenge", Chiba, JPN.

出版信息

Cureus. 2024 Oct 21;16(10):e72014. doi: 10.7759/cureus.72014. eCollection 2024 Oct.

DOI:10.7759/cureus.72014
PMID:39575040
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11578687/
Abstract

PURPOSE

To evaluate the importance of daily laparoscopic training using laparoscopic forceps to fold origami paper cranes (a traditional Japanese paper craft) and assess the performance of laparoscopic origami crane folding in an actual competition.

METHOD

A competition, named the "Kaminote Challenge World Championship," was used to evaluate the effectiveness of training. The participants folded the paper cranes using laparoscopic forceps. The judges evaluated the speed at which the paper cranes were folded and the quality of the completed cranes, using objective criteria.

RESULTS

The competition was held twice, in 2022 and 2023, with 27 and 36 participants, respectively. The participants were surgeons, veterinarians, and students from Japan, Mexico, and Vietnam. The completion rate for folding a paper crane within seven minutes was 70.4% in 2022 (19/27) and 44.4% in 2023 (16/36). In the second competition, 75.0% (12/16) of the participants who completed the origami crane within seven minutes had practiced folding more than 1,000 cranes. Despite the competitive pressure, the top performers folded paper cranes with minimal deductions for quality and used the laparoscopic forceps precisely. The winners of the 1st prize in 2022 and 2023 completed the task in 2 min 46 s and 2 min 45 s, respectively, without any penalty.

CONCLUSIONS

Training by folding paper cranes using laparoscopic forceps is highly likely to lead to improved laparoscopic surgery skills. Such competitions may also be useful as an opportunity for individuals to demonstrate their forceps manipulation ability and maintain motivation.

摘要

目的

评估使用腹腔镜镊子折叠折纸鹤(一种传统日本纸艺)进行日常腹腔镜训练的重要性,并在实际比赛中评估腹腔镜折纸鹤的表现。

方法

采用名为“上之音挑战世界锦标赛”的比赛来评估训练效果。参与者使用腹腔镜镊子折叠纸鹤。评委使用客观标准评估折叠纸鹤的速度和完成后的纸鹤质量。

结果

该比赛于2022年和2023年分别举办了两次,参与者分别有27名和36名。参与者包括来自日本、墨西哥和越南的外科医生、兽医和学生。2022年在7分钟内折好一只纸鹤的完成率为70.4%(19/27),2023年为44.4%(16/36)。在第二次比赛中,在7分钟内完成折纸鹤的参与者中有75.0%(12/16)练习折叠超过1000只纸鹤。尽管存在竞争压力,但表现最佳者折叠纸鹤时质量扣分最少,且精确使用腹腔镜镊子。2022年和2023年的一等奖获得者分别在2分46秒和2分45秒内完成任务,且无任何扣分。

结论

使用腹腔镜镊子折叠纸鹤进行训练很可能会提高腹腔镜手术技能。此类比赛也可能作为个人展示镊子操作能力和保持动力的机会。

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本文引用的文献

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Original Training for Laparoscopic Surgery by Making an Origami Paper Crane.通过制作折纸鹤进行腹腔镜手术的原始训练。
Cureus. 2024 Jun 10;16(6):e62098. doi: 10.7759/cureus.62098. eCollection 2024 Jun.
2
Tele-mentoring - a way to expand laparoscopic simulator training for medical students over large distances: a prospective randomized pilot study.远程指导——一种在远距离为医学生扩大腹腔镜模拟训练的方法:一项前瞻性随机试点研究。
BMC Med Educ. 2023 Oct 10;23(1):749. doi: 10.1186/s12909-023-04719-x.
3
The evaluation of the correlation between origami crane training and Fundamentals of Laparoscopic Surgery (FLS).
折纸鹤训练与腹腔镜手术基础(FLS)之间相关性的评估。
Heliyon. 2022 Oct 26;8(11):e11277. doi: 10.1016/j.heliyon.2022.e11277. eCollection 2022 Nov.
4
Laparoscopic Training for Gastrointestinal Surgery Using Japanese Traditional Papercraft Origami.使用日本传统折纸艺术进行胃肠外科腹腔镜培训。
Surg Laparosc Endosc Percutan Tech. 2022 Jun 1;32(3):401-403. doi: 10.1097/SLE.0000000000001043.
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Role of laparoscopy in the era of robotic surgery in urology in developing countries.腹腔镜检查在发展中国家泌尿外科机器人手术时代的作用。
Indian J Urol. 2021 Jan-Mar;37(1):32-41. doi: 10.4103/iju.IJU_252_20. Epub 2021 Jan 1.
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