Bardram L, Jacobsen B, Jensen P M, Edvardsen L
Kirurgisk gastroenterologisk afdeling, Hvidovre Hospital, København.
Ugeskr Laeger. 1995 Oct 16;157(42):5845-8.
In order to increase the possibilities for learning accurate surgical technique in gastrointestinal surgery, we have established a local course for operative training of the registrars. We used organs from pigs--stomach, intestines and liver/gallbladder. They were collected from the local abattoir with assistance from a vet. Conventional gut anastomosis and gastroenteroanastomosis were performed with "two-layer" and "one-layer" techniques. Laparoscopic cholecystectomy was performed with the liver-gallbladder organ block placed in a "black box", in which the organ was perfused with red fluid--a Pulsatile Organ Perfusion System. The registrars' evaluations of the course were very positive. They all thought that the course gave them opportunities for surgical training that were not available in the busy daily routine. The course now forms part of the education programme for surgical registrars in our department.
为了增加胃肠外科手术中学习准确手术技巧的机会，我们为住院医生开设了一个本地手术培训课程。我们使用来自猪的器官——胃、肠以及肝脏/胆囊。这些器官是在一名兽医的协助下从当地屠宰场收集的。传统的肠吻合术和胃肠吻合术采用“两层”和“一层”技术进行。腹腔镜胆囊切除术是将肝脏-胆囊器官块放置在一个“黑匣子”中进行的，在这个“黑匣子”中，器官用红色液体——脉动器官灌注系统进行灌注。住院医生对该课程的评价非常积极。他们都认为该课程为他们提供了在繁忙的日常工作中无法获得的手术训练机会。该课程现已成为我们科室外科住院医生教育计划的一部分。
