“实践培训”在腹腔镜手术中的意义。
Significance of "hands-on training" in laparoscopic surgery.
作者信息
Mori T, Hatano N, Maruyama S, Atomi Y
机构信息
Department of Surgery I, Kyorin University, 6-20-2 Shinkawa, Mitaka, Tokyo, 181, Japan.
出版信息
Surg Endosc. 1998 Mar;12(3):256-60. doi: 10.1007/s004649900646.
BACKGROUND
The objective of this study is to investigate the role and significance of a hand-on program designed to teach laparoscopic skills.
METHODS
The course consisted of 3 half days. In vitro training in suturing and knot tying was covered on the 1st half day, and live animal surgery on the 2nd and 3rd half days, respectively. In vitro suturing and knot tying of the 15 course participants were video-recorded and analyzed four times during the course, basing on the time required to mount a needle in the needle driver (M), driving the needle in a rubber glove (D), and knot tying (T).
RESULTS
Laparoscopic skills which require two-hand coordination (M, T) were significantly improved by hands-on training. Needle driving skill appeared to be essentially the same as that needed for open surgery.
CONCLUSION
Hands-on training is an effective format particularly for laparoscopic skills in which two-hand coordination is essential.
背景
本研究的目的是调查一个旨在教授腹腔镜手术技能的实践项目的作用和意义。
方法
该课程为期3个半天。第一天上午进行体外缝合和打结训练，第二天和第三天上午分别进行活体动物手术。对15名课程参与者的体外缝合和打结过程进行了录像，并在课程期间基于将针安装到持针器中所需时间（M）、在橡胶手套中进针（D）和打结（T）进行了4次分析。
结果
通过实践训练，需要双手协调的腹腔镜手术技能（M、T）有显著提高。进针技能似乎与开放手术所需技能基本相同。
结论
实践训练是一种有效的形式，特别是对于需要双手协调的腹腔镜手术技能。
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