提高手术技能习得:一种新型3D打印腹腔镜训练器的评估(非劣效性试验)。
Enhancing Surgical Skill Acquisition: Assessment of a Novel 3D Printed Laparoscopic Trainer (Non-Inferiority Trial).
作者信息
Heinecke Olivia, MacFadden Lisa
机构信息
University of South Dakota Sanford School of Medicine.
出版信息
S D Med. 2025 May;78(suppl 5):s20.
As laparoscopic operations yield reliable outcomes across specialties, the need for specialized skills underscores the importance of effective, accessible, and affordable training devices. The acquisition of these techniques is typically tied to hands-on instruction in the operating theater or simulation labs that house costly training equipment. Outside of these opportunities, student exposure is limited to observation. Current literature describes "do-it-yourself" trainers that attempt to mitigate costs; however, material pricing, ease of use, and simulation realism can still be improved. This study aims to validate a novel 3D (three dimensional)-printed laparoscopic trainer designed to provide training outcomes comparable to those of commercial simulators at a fraction of the cost. In this IRB-approved study, we designed a 3D-printed laparoscopic trainer prioritizing affordability, portability, and accessibility. Our device was modeled using Autodesk Fusion 360 software and printed with PLA (polylactic acid) material. To test its functionality, twenty medical students (M1-M4) with no prior laparoscopic training were randomized into two groups to train on either a commercial simulator (SIMULAB LapTrainer) or the 3D-printed trainer. Participants were taught a threading technique and timed on task completion before and after a one-hour training session. A paired one-sided t-test revealed no significant differences in task completion times between the two devices for both pre-training (p > 0.05) and post-training (p > 0.05) trials, indicating comparable effectiveness. Additionally, all participants demonstrated improved task completion times in their post-training trials. These findings validate the potential of 3D-printed trainers as cost-effective alternatives for basic aparoscopic skills training. Future iterations will focus on improving ergonomics and realism to better replicate surgical environments, promote wider accessibility, and advance medical education in resourcelimited areas.
由于腹腔镜手术在各个专科领域都能产生可靠的结果,因此对专业技能的需求凸显了有效、可及且价格合理的训练设备的重要性。掌握这些技术通常依赖于在手术室或配备昂贵训练设备的模拟实验室中进行的实践指导。除了这些机会之外,学生的接触机会仅限于观察。当前的文献描述了一些“自己动手制作”的训练器,试图降低成本;然而,材料价格、易用性和模拟逼真度仍有改进空间。本研究旨在验证一种新型的3D(三维)打印腹腔镜训练器,该训练器旨在以成本的一小部分提供与商业模拟器相当的训练效果。在这项经机构审查委员会批准的研究中,我们设计了一种3D打印腹腔镜训练器,优先考虑可承受性、便携性和可及性。我们的设备使用Autodesk Fusion 360软件建模,并用聚乳酸(PLA)材料打印。为了测试其功能,将20名没有腹腔镜训练经验的医学生(M1 - M4)随机分为两组,分别在商业模拟器(SIMULAB LapTrainer)或3D打印训练器上进行训练。参与者学习了一种穿线技术,并在一小时训练课程前后记录任务完成时间。配对单侧t检验显示,在训练前(p > 0.05)和训练后(p > 0.05)的试验中,两种设备在任务完成时间上没有显著差异,表明效果相当。此外,所有参与者在训练后的试验中任务完成时间都有所改善。这些发现验证了3D打印训练器作为基本腹腔镜技能训练的经济有效替代方案的潜力。未来的迭代将专注于改善人体工程学和逼真度,以更好地复制手术环境,促进更广泛的可及性,并推动资源有限地区的医学教育发展。