The role of the Basic Surgical Skills course in the acquisition and retention of laparoscopic skill
The role of the Basic Surgical Skills course in the acquisition and retention of laparoscopic skill
复制标题
基本手术技能课程在腹腔镜技能的获得和保留中的作用
DOI：
10.1007/s004640000183
复制
发表时间：
2001
期刊：
影响因子：
--
通讯作者：
Ara Darzi
中科院分区：
文献类型：
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作者：
Jared Torkington;S. Smith;B. Rees;Ara Darzi
背景资料：本研究评估腹腔镜技能转移到一组参加基本外科技能（BSS）课程的基本外科实习生（BST）。方法：采用虚拟现实模拟器MIST-VR对13名学员在培训前、培训后及培训后3周、3个月分别进行评估。使用帝国理工学院外科评估设备的运动学数据分析给出了在完成虚拟腹腔镜任务中行进的距离、距离效率比、所花费的时间、所犯错误的数量和所做动作的数量的测量。将该组的表现与未接受训练的对照组进行比较。结果：除器械移动距离外，所有参数均在课程后显著改善。所有结果指标在3周时均显著改善。对照组在所有参数方面均显示出非显著的改善趋势。结论：基本手术技能课程产生了可量化的改善腹腔镜技能，可通过MIST-VR测量。单独使用MIST-VR会产生学习效果。
Background: This study assesses the transfer of laparoscopic skills to a group of Basic Surgical Trainees (BST) attending the Basic Surgical Skills (BSS) course. Methods: The virtual reality simulator MIST-VR was used to assess 13 trainees before and after the course and again 3 weeks and 3 months later. Analysis of kinematic data using the Imperial College Surgical Assessment Device gave measures of distance traveled, distance efficiency ratio, time taken, number of errors made, and number of movements made in completing a virtual laparoscopic task. The performance of the group was compared to a control group who underwent no training. Results: All parameters improved significantly after the course, with the exception of distance traveled by the instruments. All outcome measures were significantly improved at 3 weeks. The control group showed a nonsignificant trend toward improvement in all parameters. Conclusions: The Basic Surgical Skills course produces quantifiable improvements in laparoscopic skill that are measurable by MIST-VR. There is a learning effect associated with using MIST-VR alone.