Shapiro S J, Paz-Partlow M, Daykhovsky L, Gordon L A
Endocare, The Minimal Access Endoscopy Program, Midway Hospital Medical Center, 5901 West Olympic Boulevard, Los Angeles, CA 90036, USA.
Surg Endosc. 1996 Aug;10(8):816-9. doi: 10.1007/BF00189541.
A reliable method supplying graduated experience and practice is needed to develop and refine laparoscopic skills. The laparoscopic surgeon, like the microvascular surgeon, must have ongoing training to refine and maintain his or her skills.
The authors describe a new modular training unit. The unit consists of a box with a built-in television camera, a light source, and a rotating platform. A videotape recorder with a timing device documents the actual "operating time" required for the various exercises. The first phase of training consists of a basic skills board. This initial phase enhances the use of dominant and nondominant hand motor activity.
The surgeon then progresses to lifelike models (biliary, suturing, hernia, gynecologic) to simulate the human operative setting. Ten surgeons spent 5 h each working with the module. The specific exercises were recorded and timed. Their progress is described.
The modular laparoscopic skills center is an integral part of any laparoscopic educational program. It facilitates the acquisition and maintenance of laparoscopic skills.
需要一种可靠的方法来提供渐进式的经验和实践，以培养和完善腹腔镜技术。与微血管外科医生一样，腹腔镜外科医生必须持续接受培训，以完善和保持其技能。
作者介绍了一种新的模块化训练装置。该装置由一个内置电视摄像机、一个光源和一个旋转平台的盒子组成。带有计时装置的录像机记录各种练习所需的实际“操作时间”。训练的第一阶段包括一个基本技能板。这个初始阶段增强了优势手和非优势手的运动活动。
然后外科医生进入逼真的模型（胆道、缝合、疝、妇科）以模拟人体手术环境。10名外科医生每人花5小时使用该模块。记录并计时了具体练习。描述了他们的进展。
模块化腹腔镜技能中心是任何腹腔镜教育计划不可或缺的一部分。它有助于腹腔镜技能的获得和保持。
