Melvin W S, Johnson J A, Ellison E C
Division of General Surgery, Ohio State University, Columbus, USA.
Am J Surg. 1996 Oct;172(4):377-9. doi: 10.1016/s0002-9610(96)00186-9.
Laparoscopy requires a unique subset of surgical skills that, for the inexperienced, can significantly delay the development of basic operative skills. We hypothesized that learning laparoscopic suturing and knot tying would improve laparoscopic skills.
A laparoscopic training seminar for junior surgical residents was established to test this hypothesis. Emphasis was placed on laparoscopic knot tying and suturing. Skills were assessed at the beginning and the end of the course.
All residents showed significant improvement. Dominant and nondominant hand skills improved by 30.2% and 26.9%, respectively. Two-handed skills improved by 58.6% and 30.1%. Overall scores improved by 28.9%.
A structured laparoscopic skills course stressing knot tying and suturing is an effective way to develop dexterity and significantly improve the performance of laparoscopic tasks. These improvements can be accomplished in a cost-effective curriculum that should enhance the surgical education of residents and speed the acquisition of competent operative skills.
腹腔镜手术需要一系列独特的外科手术技能，对于缺乏经验的人来说，这些技能会显著延迟基本手术技能的发展。我们假设学习腹腔镜缝合和打结会提高腹腔镜手术技能。
为初级外科住院医师举办了一次腹腔镜培训研讨会来验证这一假设。重点在于腹腔镜打结和缝合。在课程开始和结束时对技能进行评估。
所有住院医师均有显著进步。优势手和非优势手技能分别提高了30.2%和26.9%。双手技能提高了58.6%和30.1%。总体得分提高了28.9%。
一门强调打结和缝合的结构化腹腔镜技能课程是培养灵活性并显著提高腹腔镜任务操作表现的有效方法。这些进步可以通过一个经济高效的课程来实现，该课程应能加强住院医师的外科教育并加速熟练手术技能的获得。
