Jaeger Dariya, Hinrichs Eric, Eichbaum Michael, Friedrich Michael, von Rundstedt Friedrich-Carl, Schäfer Sebastian D, Schoppe Ralf, Schumann Sven, Reiss Gebhard, Feigl Georg, Fleisch Markus C
Institute of Anatomy and Clinical Morphology, University of Witten/Herdecke, Gleiwitzer Strasse 5, 58454, Witten, Germany.
Department of Obstetrics and Gynecology, Helios Klinikum Wiesbaden, Wiesbaden, Germany.
Arch Gynecol Obstet. 2025 Apr 29. doi: 10.1007/s00404-025-08034-2.
Gynecological oncology requires a high level of surgical expertise. Therefore, new options for realistic surgical training for complex surgical procedures are required. This study aimed to determine how the trainees and experts perceive the use of soft-embalmed cadavers and how realistic it is compared to training on living patients.
A 2-day hands-on workshop was conducted. Eight trainees were able to practice laparoscopic and open surgical skills on four soft-embalmed cadavers. The training was carried out under the supervision of four gynecological oncology experts, one uro-oncological expert in complication management, and one expert in clinical anatomy. The feedback from trainees and experts was assessed using a structured questionnaire on a 5-point Likert scale. All the procedures were performed in a fully equipped surgical environment and complied with the principles outlined in the Declaration of Helsinki.
The trainees assessed the anatomical and manipulative characteristics of the soft-embalmed cadavers as similar to real conditions. Color and consistency hardly differed from those of the live patients. The trainees stated that soft-embalmed cadavers were beneficial for learning and increased their self-confidence. In terms of realism, all surgical steps were rated a median of 4 out of 5 or higher on a Likert scale by both trainees and experts.
The use of soft-embalmed cadavers for training was perceived positively by trainees and experts. The evaluation results showed a high degree of realism compared with training on living patients. Hands-on training on soft-embalmed cadavers offers great potential as a new training method for surgical skills in gynecological oncology.
妇科肿瘤学需要高水平的手术专业知识。因此，需要有新的选择来进行复杂手术操作的逼真手术训练。本研究旨在确定学员和专家如何看待使用软防腐尸体进行训练，以及与在活体患者身上训练相比其逼真程度如何。
举办了为期两天的实践工作坊。八名学员能够在四具软防腐尸体上练习腹腔镜和开放手术技能。培训在四名妇科肿瘤学专家、一名并发症管理方面的泌尿肿瘤学专家和一名临床解剖学专家的监督下进行。使用5级李克特量表的结构化问卷对学员和专家的反馈进行评估。所有操作均在设备齐全的手术环境中进行，并符合《赫尔辛基宣言》中概述的原则。
学员们评估软防腐尸体的解剖和操作特征与实际情况相似。颜色和质地与活体患者的几乎没有差别。学员们表示，软防腐尸体对学习有益，并增强了他们的自信心。在逼真程度方面，学员和专家对所有手术步骤在李克特量表上的评分中位数均为4分或更高（满分5分）。
学员和专家对使用软防腐尸体进行训练的评价都很高。评估结果表明，与在活体患者身上训练相比，其具有高度的逼真性。对软防腐尸体进行实践训练作为妇科肿瘤学手术技能的一种新训练方法具有巨大潜力。
