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Spatial Cognition in Surgical Practice: Exploring the Influence and Development of Spatial Cognitive Processes in Laparoscopic Skill Learning

外科实践中的空间认知：探索腹腔镜技能学习中空间认知过程的影响和发展

基本信息

批准号：
404173918
负责人：
Privatdozent Dr. Holger Schultheis
金额：
--
依托单位：
Bremen Spatial Cognition Center (BSCC)
依托单位国家：
德国
项目类别：
Research Grants
财政年份：
2018
资助国家：
德国
起止时间：
2017-12-31 至 2020-12-31
项目状态：
已结题

来源：
https://gepris.dfg.de/gepris/projekt/404173918?language=en
关键词：
Spatial Cognition Surgical Practice Exploring

项目摘要

Laparoscopic surgery, also know as “keyhole surgery”, has proven highly advantageous for the patient compared to more conventional open surgery. However, the minimally invasive nature of laparoscopy imposes a set of unique spatial cognitive challenges that render this procedure notoriously difficult to acquire and master. Although the importance of spatial cognition in laparoscopic learning has already been established, the existing literature does not (or only partially) address many salient questions. Among others, it remains largely unclear 1) which specific spatial abilities influence laparoscopic technical skill learning, 2) how these abilities develop to shape surgical technical mastery over an extended period of time, 3) how these abilities develop in actual surgeons training in intraoperative environments, and 4) whether any individual and/or situational factors other than spatial abilities (e.g. institutional/political) exert any significant influence on the development of laparoscopic skills? The proposed project will address these questions by longitudinally tracking novice surgeons’ spatial abilities and technical laparoscopic skills over a two-year period as well as systematically assessing a) the current status quo of laparoscopic education in Germany and b) the cognitive profiles of the senior laparoscopic surgeons. In doing so, the proposed project will break new ground not only by shedding new light on the malleability of spatial abilities and theories of skill acquisition in surgical learning, but also by providing new data pertinent to improving surgical education.

腹腔镜手术，也被称为“锁孔手术”，与更传统的开放手术相比，已被证明对患者非常有利。然而，腹腔镜手术的微创性带来了一系列独特的空间认知挑战，使得该手术难以获得和掌握。虽然空间认知在腹腔镜学习中的重要性已经确立，但现有文献并未（或仅部分）解决许多突出问题。除此之外，很大程度上仍不清楚1）哪些特定的空间能力影响腹腔镜技术技能学习，2）这些能力如何发展以在较长时间内形成手术技术掌握，3）这些能力如何在术中环境中的实际外科医生培训中发展，以及4）除了空间能力（例如，制度/政治）之外，是否有任何个人和/或情境因素对腹腔镜技能的发展产生任何重大影响？拟议的项目将解决这些问题，纵向跟踪新手外科医生的空间能力和技术腹腔镜技能超过两年的时间，以及系统地评估a）在德国腹腔镜教育的现状和B）的高级腹腔镜外科医生的认知概况。在这样做的过程中，拟议的项目将开辟新的天地，不仅对空间能力的可塑性和外科学习中的技能获取理论提出新的见解，而且还提供了与改善外科教育有关的新数据。