The Natural Orifice Simulated Surgical Environment (NOSsEâ„¢): Exploring the Challenges of NOTES Without the Animal Model
The Natural Orifice Simulated Surgical Environment (NOSsEâ„¢): Exploring the Challenges of NOTES Without the Animal Model
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DOI：
10.1089/lap.2008.0357
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发表时间：
2009-04-01
影响因子：
1.3
通讯作者：
Yang, Guang-Zhong
中科院分区：
文献类型：
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作者：
Clark, James;Sodergren, Mikael;Yang, Guang-Zhong
在本文中，我们介绍了一种廉价的，现实的，和强大的模拟器模型的培训和需求评估的自然腔道腔内内窥镜手术（NOTES）。一个腹腔镜箱教练转换成一个有效的NOTES环境，在其中面临的许多挑战，这种新的方法可以在实验室环境中进行第一手探索。使用该模拟器，研究这一新手术领域的实验可以在进入体内试验之前进行改进，以便减少获得基本技能和验证新手术方案所需的动物数量。此外，模拟器有可能被用作NOTES教育和培训的有效平台，尽管在真正认识到这一点之前需要正式验证。
In this paper, we introduce an inexpensive, realistic, and robust simulator model for training and requirement assessment of natural orifice transluminal endoscopic surgery ( NOTES). A laparoscopic box trainer is converted into an effective NOTES environment, in which many of the challenges facing this new approach can be explored firsthand in a laboratory setting. Using this simulator, experiments researching this new surgical field can be refined before moving into in vivo trials, such that the number of animals required for acquiring basic skills and validating new surgical protocols can be reduced. Additionally, the simulator has the potential to be utilized as an effective platform for education and training in NOTES, although formal validation is required before this can truly be appreciated.