名古屋临床解剖学实验室(CALNA)为年轻外科医生开展的一项全新尸体外科培训项目。

A novel program of cadaver surgical training for young surgeons at the Clinical Anatomy Laboratory Nagoya (CALNA).

作者信息

Nakamura Shota, Ueno Harushi, Imamura Yoshito, Okado Shoji, Nomata Yuji, Takenaka Hirofumi, Watanabe Hiroki, Kawasumi Yuta, Kadomatsu Yuka, Kato Taketo, Mizuno Tetsuya, Chen-Yoshikawa Toyofumi Fengshi

机构信息

Department of Thoracic Surgery, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya, 466-8550, Japan.

出版信息

Gen Thorac Cardiovasc Surg. 2025 May 16. doi: 10.1007/s11748-025-02157-8.

Abstract

PURPOSE

This study aimed to evaluate the effectiveness of a cadaver surgical training program at the Clinical Anatomy Laboratory Nagoya (CALNA), focusing on its impact on procedural skills, confidence, and anatomical understanding among young and mid-career thoracic surgeons.

METHODS

From 2016 to 2024, 13 cadaver surgical training sessions were conducted, divided into basic, advanced, and specialized courses. The program included hands-on practice using cadavers preserved with Thiel or hypertonic saline methods. The surveys were administered post-training to assess confidence, satisfaction, and practical applicability. Statistical analysis was performed on the survey results.

RESULTS

A total of 100 participants attended the training sessions (mean: 12.5/session). The survey responses indicated that 92% of participants rated the training content as "good" or "excellent," and 88% found the training "applicable" or "highly applicable" to clinical practice. Reflective discussions following each session facilitated iterative program refinement. The key improvements included enhanced surgical instrument availability and optimized trainee-to-instructor ratios.

CONCLUSIONS

Our cadaver surgical training program was shown to significantly enhance surgical skills, boost confidence, and deepen thoracic anatomical understanding, demonstrating its value in advancing thoracic surgical education. Further development of standardized programs across institutions is needed to enable novice surgeons to acquire advanced skills efficiently.

摘要

目的

本研究旨在评估名古屋临床解剖实验室(CALNA)的尸体外科培训项目的有效性,重点关注其对年轻和中年胸外科医生手术技能、信心及解剖学理解的影响。

方法

2016年至2024年期间,共开展了13次尸体外科培训课程,分为基础、进阶和专业课程。该项目包括使用经蒂尔或高渗盐水法保存的尸体进行实操练习。培训结束后进行调查,以评估信心、满意度和实际适用性。对调查结果进行了统计分析。

结果

共有100名参与者参加了培训课程(平均每次课程12.5人)。调查反馈显示,92%的参与者将培训内容评为“良好”或“优秀”,88%的人认为该培训对临床实践“适用”或“非常适用”。每次课程后的反思性讨论促进了项目的迭代优化。主要改进包括增加手术器械的供应以及优化学员与教员的比例。

结论

我们的尸体外科培训项目被证明能显著提高手术技能、增强信心并加深对胸部解剖学的理解,显示出其在推进胸外科教育方面的价值。需要进一步开发跨机构的标准化项目,以使新手外科医生能够高效地获得先进技能。

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