A qualitative assessment of human cadavers embalmed by Thiel's method used in laparoscopic training for renal resection
A qualitative assessment of human cadavers embalmed by Thiel's method used in laparoscopic training for renal resection
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DOI：
10.1002/ase.1267
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发表时间：
2012-05-01
影响因子：
7.3
通讯作者：
Nabi, Ghulam
中科院分区：
文献类型：
--
作者：
Rai, Bhavan Prasad;Tang, Benjie;Nabi, Ghulam
人体尸体组织是基础解剖和外科技能训练的基本基质。在本研究中描述了一个定性评估的使用人类尸体保存Thiel的方法，英国泌尿外科医师协会批准，先进的腹腔镜肾切除术技能培训课程。四名受训人员和四名经验丰富的腹腔镜外科医生参加了课程。所有参与者在培训课程结束后完成了五点李克特量表满意度调查问卷。对尸体组织的质量和培训课程进行了评估，特别强调了患者定位的难易程度、穿刺器放置的难易程度、组织平面的保留、肾蒂剥离的难易程度和组织保留的质量。所有参与者都高度评价了Thiel方法防腐的尸体组织的质量（受训者和经验丰富的腹腔镜外科医生在五点Likert量表上的平均质量评分分别为4.5和4.3）。所有的腹腔镜肾切除术的步骤被评为4.0或以上的李克特规模的学员和教员。使用Thiel方法防腐的人类尸体作为腹腔镜肾切除术的训练工具的初始反应率显示出令人鼓舞的结果。在Thiel方法防腐的人尸体上进行腹腔镜肾切除术的性能与真实的腹腔镜肾切除术程序非常相似，因此证明了先前报道的模型的附加优点。(c)2012年美国解剖学家协会。
Human cadaveric tissue is the fundamental substrate for basic anatomic and surgical skills training. A qualitative assessment of the use of human cadavers preserved by Thiel's method for a British Association of Urological Surgeonsapproved, advanced laparoscopic renal resection skills training course is described in the present study. Four trainees and four experienced laparoscopic surgeons participated in the course. All participants completed a five-point Likert scale satisfaction questionnaire after their training sessions. The quality of cadaveric tissue and the training session were assessed with particular emphasis placed on the ease of patient positioning, the ease of trocar placement, the preservation of tissue planes, the ease of renal pedicle dissection, and the quality of tissue preservation. All of the participants highly rated the quality of the cadaveric tissue embalmed by Thiel's method (mean scores for quality on the five-point Likert scale were 4.5 and 4.3 by the trainees and experienced laparoscopic surgeons, respectively). All of the steps of laparoscopic renal resection were rated 4.0 or more on the Likert scale by both trainees and faculty members. The initial response rates for using a human cadaver embalmed by Thiel's method as a training tool for laparoscopic nephrectomy showed encouraging results. The performance of a laparoscopic nephrectomy on a human cadaver embalmed by Thiel's method bears close resemblance to real laparoscopic nephrectomy procedures, and thus demonstrates added advantages to the previously reported models. (c) 2012 American Association of Anatomists.