目的探讨基于成果导向教育(outcome based education,OBE)的持镜助手培训在腹腔镜前列腺癌根治术(laparoscopic radical prostatectomy,LRP)中的应用。方法选取2022年7月—2022年12月上海交通大学医学院附属瑞金医院外科专业基地轮转的...目的探讨基于成果导向教育(outcome based education,OBE)的持镜助手培训在腹腔镜前列腺癌根治术(laparoscopic radical prostatectomy,LRP)中的应用。方法选取2022年7月—2022年12月上海交通大学医学院附属瑞金医院外科专业基地轮转的第一年住院医师60人为研究对象,随机分为观察组(30人)和对照组(30人)。观察组采取OBE模式培训,对照组采取自主训练,培训前后进行考核评分。结果培训前后比较,LRP持镜能力得分显著提高;两组比较,观察组的得分[10.0(0.0)]高于对照组[9.0(2.0)],差异有统计学意义(Z=-4.42,P<0.001),且观察组住院医师持镜能力更均衡。观察组住院医师LRP相关解剖和手术过程认识方面得分高于对照组,差异有统计学意义(均P<0.001)。结论基于OBE模式的LRP持镜助手系统培训,能显著提高外科专业基地住院医师的持镜能力和理论知识学习效果,值得推广。展开更多
With the aid of advanced surgical techniques and instruments, single-port laparoscopic surgery(SPLS) can be accomplished with just two surgical members: an operator and a camera assistant. Under these circumstances, t...With the aid of advanced surgical techniques and instruments, single-port laparoscopic surgery(SPLS) can be accomplished with just two surgical members: an operator and a camera assistant. Under these circumstances, the reasonable replacement of a human camera assistant by a mechanical camera holder has resulted in a new surgical procedure termed singleport solo surgery(SPSS). In SPSS, the fixation and coordinated movement of a camera held by mechanicaldevices provides fixed and stable operative images that are under the control of the operator. Therefore, SPSS primarily benefits from the provision of the operator's eye-to-hand coordination. Because SPSS is an intuitive modification of SPLS, the indications for SPSS are the same as those for SPLS. Though SPSS necessitates more actions than the surgery with a human assistant, these difficulties seem to be easily overcome by the greater provision of static operative images and the need for less lens cleaning and repositioning of the camera. When the operation is expected to be difficult and demanding, the SPSS process could be assisted by the addition of another instrument holder besides the camera holder.展开更多
文摘目的探讨基于成果导向教育(outcome based education,OBE)的持镜助手培训在腹腔镜前列腺癌根治术(laparoscopic radical prostatectomy,LRP)中的应用。方法选取2022年7月—2022年12月上海交通大学医学院附属瑞金医院外科专业基地轮转的第一年住院医师60人为研究对象,随机分为观察组(30人)和对照组(30人)。观察组采取OBE模式培训,对照组采取自主训练,培训前后进行考核评分。结果培训前后比较,LRP持镜能力得分显著提高;两组比较,观察组的得分[10.0(0.0)]高于对照组[9.0(2.0)],差异有统计学意义(Z=-4.42,P<0.001),且观察组住院医师持镜能力更均衡。观察组住院医师LRP相关解剖和手术过程认识方面得分高于对照组,差异有统计学意义(均P<0.001)。结论基于OBE模式的LRP持镜助手系统培训,能显著提高外科专业基地住院医师的持镜能力和理论知识学习效果,值得推广。
文摘With the aid of advanced surgical techniques and instruments, single-port laparoscopic surgery(SPLS) can be accomplished with just two surgical members: an operator and a camera assistant. Under these circumstances, the reasonable replacement of a human camera assistant by a mechanical camera holder has resulted in a new surgical procedure termed singleport solo surgery(SPSS). In SPSS, the fixation and coordinated movement of a camera held by mechanicaldevices provides fixed and stable operative images that are under the control of the operator. Therefore, SPSS primarily benefits from the provision of the operator's eye-to-hand coordination. Because SPSS is an intuitive modification of SPLS, the indications for SPSS are the same as those for SPLS. Though SPSS necessitates more actions than the surgery with a human assistant, these difficulties seem to be easily overcome by the greater provision of static operative images and the need for less lens cleaning and repositioning of the camera. When the operation is expected to be difficult and demanding, the SPSS process could be assisted by the addition of another instrument holder besides the camera holder.
