A Comparison of the Effectiveness Between Three Different Endoscopic Surgical Skill Training Programs for Medical Students Using the Infant Laparoscopic Fundoplication Simulator: A Randomized Controlled Trial
A Comparison of the Effectiveness Between Three Different Endoscopic Surgical Skill Training Programs for Medical Students Using the Infant Laparoscopic Fundoplication Simulator: A Randomized Controlled Trial
复制标题
使用婴儿腹腔镜胃底折叠模拟器对医学生进行三种不同内镜手术技能训练方案的效果比较：随机对照试验
DOI：
10.1089/lap.2019.0212
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发表时间：
2019
影响因子：
1.3
通讯作者：
Ieiri Satoshi
中科院分区：
文献类型：
--
作者：
Onishi Shun;Ikee Takamasa;Murakami Masakazu;Yano Keisuke;Harumatsu Toshio;Baba Tokuro;Yamada Koji;Yamada Waka;Masuya Ryuta;Machigashira Seiro;Nakame Kazuhiko;Mukai Motoi;Kaji Tatsuru;Ieiri Satoshi
背景和目的：腹腔镜手术技能的培训项目从干箱培训到虚拟模拟器培训。每种培训方法都有优点和缺点;然而，哪种培训最适合医学生和年轻外科医生尚不清楚。本研究的目的是比较不同途径的短期培训后，医学生在获得腹腔镜手术技能的熟练程度：通过视频，专家教师，或虚拟simulator.Materials和方法：17名医学生注册，并随机分为三组：观看培训视频时接受个人培训的小组（视频组）、在专家指导下接受训练的组（教学组）、以及利用虚拟模拟器接受个人训练的组（虚拟组）。学生们练习腹腔镜手术和打结技能1小时。在培训后，他们使用腹腔镜胃底折叠模拟器执行了三种缝线和打结的评价任务。我们开发了一个1岁的婴儿身体模型（体重10公斤）的基础上，计算机断层扫描数据，并建立了一个基于临床situation.Results气腹身体模型：在虚拟组的路径长度的辅助钳往往比其他组更长。虚拟组中辅助钳的平均加速度快于其他组（P= .04）。其他评价参数无显著差异。结论：应进行长期和组合培训研究，以制定最佳的方法，培训医学生和缺乏经验的年轻外科医生。
Background and Aim:Training programs for developing laparoscopic suturing skills range from dry-box training to virtual simulator training. There are advantages and disadvantages to each training method; however, which training is best for medical students and young surgeons is unclear. The aim of this study was to compare the proficiency of medical students in acquiring laparoscopic suturing skills after various routes of short-term training: via a video, an expert teacher, or a virtual simulator.Materials and Methods:Seventeen medical students were registered and divided randomly into three groups: group receiving personal training while watching a training video (video group), group receiving training under the guidance of an expert (teaching group), and group receiving personal training with a virtual simulator (virtual group). The students practiced laparoscopic suturing and tying skills for 1 hour. Following their training, they performed the evaluation task of three sutures and ties using a laparoscopic fundoplication simulator. We developed a 1-year-old infant body model (body weight 10 kg) based on computed tomography data and established a pneumoperitoneum body model based on a clinical situation.Results:The path length of the assistant forceps in the virtual group tended to be longer than in the other groups. The average acceleration of the assistant forceps in the virtual group was faster than in the other groups (P= .04). There were no significant differences in the other evaluation parameters.Conclusion:A long-term and combination training study should be performed to develop the best method for training medical students and inexperienced young surgeons.