The transfer of basic skills learned in a laparoscopic simulator to the operating room
The transfer of basic skills learned in a laparoscopic simulator to the operating room
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DOI：
10.1007/s00464-001-9184-5
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发表时间：
2002-09-01
影响因子：
3.1
通讯作者：
Lönroth, H
中科院分区：
文献类型：
--
作者：
Hyltander, A;Liljegren, E;Lönroth, H
背景：本研究的目的是评估通过计算机腹腔镜模拟器 LapSim 培训获得的基本手术技能是否可以转移到手术室。方法：在本研究中，24 名正在接受外科课程的医学生被随机分配接受 LapSim 培训或作为对照受试者。他们接受每周 2 小时、持续 5 周的模拟器训练后，在猪模型中评估他们腹腔镜手术的基本技能。测量执行每项任务的时间，四位资深外科医生通过 9 级差异评分量表独立对整体表现进行评分。 结果：根据专家评估，随机接受 LapSim 训练的参与者在研究的两个部分的所有任务上都表现出明显优于未经训练的参与者的结果。对照组训练组的时间消耗相应较低。结论：结果表明，通过LapSim等腹腔镜模拟器进行系统训练所获得的基本技能可以转移到手术室。
Background: The aim of the study was to evaluate whether basic surgical skills achieved by training in LapSim, a computerbased laparoscopic simulator, could be transferred to the operating room.Methods: For this study, 24 medical students undergoing courses in surgery were randomly assigned to train with LapSim or to serve as control subjects. After they had undergone simulator training 2 h per week for 5 weeks, their basic skills in laparoscopic surgery were assessed in a porcine model. The time to perform each task was measured, and four senior surgeons independently graded the overall performance on a 9-step differential rating scale.Results: The participants randomized to train with LapSim showed significantly better results for all tasks in both parts of the study than the untrained participants, according to the expert evaluation. Time consumption was accordingly lower in the training group in the control group.Conclusions: The results show that basic skills achieved by systematic training with a laparoscopic simulator such as LapSim can be transferred to the operating room.