Lin Wenxue, Yu Jian, Peng Xiaoping, Xia Jianfu, Huang Bingchen, Li Rizeng
Department of oncology Surgery, The Dingli Clinical College of Wenzhou Medical University (Wenzhou Central Hospital), Wenzhou, China.
Department of General Surgery, The Dingli Clinical College of Wenzhou Medical University (Wenzhou Central Hospital), Wenzhou, China.
BMC Med Educ. 2025 Mar 12;25(1):369. doi: 10.1186/s12909-025-06928-y.
This study aims to explore an efficient teaching method to improve laparoscopic suturing skills in resident physicians by combining the progressive training method with the imagery training method.
This study used a randomized controlled trial methodology. The experimental group received training utilizing a combination of the progressive training method and the imagery training method In contrast, the control group followed the traditional teaching method of practicing continuous complete actions. Both groups were trained in intracorporeal suturing and knot-tying under laparoscopy. The training effects of the two groups were compared and analyzed before and after the training, including LS-CAT scores and suturing time.
In the second test, the experimental group had much higher LS-CAT scores than the control group, as well as a considerably lower number of operation errors. In the experimental group, 88.9% of the trainees were proficient, compared to only 28.6% in the control group. There was no significant difference in suturing time between the two groups. The results of the third test indicated that, although there were no significant differences in LS-CAT total scores or suturing time between the two groups, the experimental group demonstrated a significantly lower number of operational errors compared to the control group. Additionally, the LS-CAT scores for tissue handling in the experimental group were significantly better than those in the control group.
The combination of the progressive training method and the imagery training method significantly improved resident physicians' laparoscopic suturing skills. This method greatly enhanced the efficiency and quality of learning laparoscopic suturing and knot-tying skills among surgical and gynecological resident doctors.
本研究旨在探索一种高效的教学方法,通过将渐进式训练方法与意象训练方法相结合,提高住院医师的腹腔镜缝合技能。
本研究采用随机对照试验方法。实验组采用渐进式训练方法和意象训练方法相结合的方式进行训练。相比之下,对照组采用传统的连续完整动作练习教学方法。两组均接受腹腔镜下体内缝合和打结训练。比较分析两组训练前后的训练效果,包括腹腔镜缝合能力评估测试(LS-CAT)得分和缝合时间。
在第二次测试中,实验组的LS-CAT得分远高于对照组,手术失误次数也显著减少。实验组中88.9%的学员达到熟练水平,而对照组仅为28.6%。两组的缝合时间无显著差异。第三次测试结果表明,虽然两组的LS-CAT总分或缝合时间无显著差异,但实验组的手术失误次数明显低于对照组。此外,实验组在组织处理方面的LS-CAT得分显著优于对照组。
渐进式训练方法与意象训练方法相结合显著提高了住院医师的腹腔镜缝合技能。该方法极大地提高了外科和妇产科住院医师学习腹腔镜缝合和打结技能的效率和质量。