Transferability of Simulation-Based Training in Laparoscopic Surgeries: A Systematic Review.

IF 1.3 Q3 SURGERY
Minimally Invasive Surgery Pub Date : 2020-08-25 eCollection Date: 2020-01-01 DOI:10.1155/2020/5879485
Antonios E Spiliotis, Panagiotis M Spiliotis, Ifaistion M Palios
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引用次数: 20

Abstract

Objective: The implementation of simulation-based training in residency programs has been increased, but the transferability of surgical skills in the real operating room is not well documented. In our survey, the role of simulation in surgical training will be evaluated. Study Design. In this systemic review, randomized control trials, which assessed the transferability of acquired skills through simulation in the real operating setting, were included. A systematic search strategy was undertaken using a predetermined protocol.

Results: Eighteen randomized clinical trials were included in this survey. Two studies investigated inguinal hernia repair, six laparoscopic cholecystectomy, five gynecologic procedures, two laparoscopic suturing, and two camera navigation during laparoscopic procedures. Simulation-trained participants showed superiority in surgical performance in comparison with untrained surgeons. The operation time, accuracy, incidence of intraoperative errors, and postoperative complications were statistically better in the simulation-trained group in comparison with the conventional-trained group.

Conclusion: Simulation provides a safe, effective, and ethical way for residents to acquire surgical skills before entering the operating room.

Abstract Image

模拟训练在腹腔镜手术中的可移植性:系统回顾。
目的:在住院医师培训项目中,模拟培训的实施已经增加,但在真实手术室中外科技能的可转移性并没有很好的记录。在我们的调查中,模拟在外科训练中的作用将被评估。研究设计。在这一系统综述中,纳入了随机对照试验,这些试验通过模拟在真实操作环境中评估获得的技能的可转移性。系统的搜索策略采用预定的协议。结果:本调查纳入18项随机临床试验。两项研究调查了腹股沟疝修补术、6例腹腔镜胆囊切除术、5例妇科手术、2例腹腔镜缝合和2例腹腔镜手术期间的相机导航。与未经训练的外科医生相比,经过模拟训练的参与者在手术表现上表现出优越性。模拟训练组的手术时间、准确率、术中错误发生率、术后并发症发生率均明显优于常规训练组。结论:模拟为住院医师进入手术室前的手术技能学习提供了一种安全、有效、道德的途径。
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来源期刊
CiteScore
3.00
自引率
0.00%
发文量
8
审稿时长
16 weeks
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