摘要
机器人辅助胰十二指肠切除术(RPD)是近年来胰十二指肠切除术(PD)中备受青睐的手术方式之一。由于RPD操作复杂,学习曲线较长,因此如何缩短RPD学习周期、提高学习曲线早期的手术安全性成为亟待解决的临床教学问题。目前,基于匹兹堡大学的经验,已构建了以熟练度为基础的结构化教学体系,主要包括机器人虚拟现实(VR)模拟课程、无生命组织模拟课程、手术视频培训课程、术中指导和持续反馈课程等。研究表明,这类培训体系能有效缩短学员的学习曲线,提高手术安全性和疗效。未来,基于这一教学体系可进一步优化RPD培训,例如通过挑选合适的病种和难度适宜的病例、采用双操作台教学模式,以及利用虚拟3D模型和增强现实导航等手段来提高培训质量。本文综述了RPD的培训现状,旨在为未来相关培训课程提供参考。
Robot-assisted pancreaticoduodenectomy(RPD)has emerged as a one of the most favored surgical approaches for pancreaticoduodenectomy(PD)in recent years.Due to the procedural complexity and prolonged learning curve of RPD,strategies to shorten the training cycle and enhance early-phase surgical safety have become critical challenges in clinical education.Currently,based on the experience of the University of Pittsburgh,proficiency-based structured training programs have been established.These programs mainly include virtual reality(VR)simulation modules,non-living tissue simulation courses,surgical video-based training,intraoperative mentoring and continuous feedback loops.Results have shown that such training programs can help next-generation surgeons reduce the learning curve while enhancing the safety and efficacy of RPD.Future optimizations may include case selection stratified by complexity,dual-console collaborative training,3D virtual modeling and augmented reality navigation.This review provides an overview of the current training programs of RPD,offering insights for the development of future training curriculum.
作者
李鹏禹
徐强
戴梦华
赵玉沛
LI Pengyu;XU Qiang;DAI Menghua;ZHAO Yupei(Department of General Surgery,Peking Union Medical College Hospital/Chinese Academy of Medical Sciences and Peking Union Medical College,Beijing 100730,China)
出处
《机器人外科学杂志(中英文)》
2025年第6期1051-1056,共6页
Chinese Journal of Robotic Surgery
基金
北京协和医学院教学改革项目(2024bkjg019)。
