减肥手术中的小肠长度测量:体内腹腔镜训练实验

IF 1.2 4区 医学 Q3 SURGERY
Mirjam A. Kaijser, Nienke Slagter, Loek J.M. de Heide, André P. van Beek, Jean-Pierre E.N. Pierie, Marloes Emous
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引用次数: 0

摘要

导言胃旁路手术中确定肢体长度是确保显著减轻体重而又不会造成营养不良风险的关键步骤。本研究调查了体外训练对确定肢体长度所需技能的影响。材料和方法这是在荷兰一家教学医院进行的单中心体外训练实验。我们在腹腔镜训练箱中设计了带标记绳索的训练。所有十名外科住院医师都参与其中,并练习估算肢体长度的技能。结果培训前,10 名外科住院医师估计了 150 厘米的小肠长度,绝对偏差为 21% [范围 9-30]。培训实验后,住院医师的测量偏差为 8% [2-20] ( P = .17)。经过充分培训的 8 名住院医师的绝对偏差为 5% [2-17] ( P = .012),在统计学上有明显改善。结论经过充分培训后,外科住院医生在体外模型中测量小肠长度的技能得到了提高。住院医生对自己的腹腔镜测量技能更加自信。这种体外培训模式是对现场培训的一种替代和补充。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Measuring Small Bowel Length in Bariatric Surgery: An Ex Vivo Laparoscopic Training Experiment
IntroductionDetermining limb length in gastric bypass procedures is a crucial step to ensure significant weight loss without risking malnutrition. This study investigated the effect of ex vivo training on the skills needed to determine limb lengths.Materials and MethodsThis was a single-center ex vivo training experiment in a teaching hospital in the Netherlands. We designed a training exercise with marked ropes in a laparoscopic trainer box. All ten surgical residents participated and practiced the skill of estimating limb length. Before and after the two-week period their results on a 150-centimeter limb length task were evaluated.ResultsBefore training, 10 surgical residents estimated 150 centimeters of small bowel with an absolute deviation of 21% [range 9-30]. After the training experiment, the residents measured with 8% [2-20] deviation ( P = .17). The 8 residents who trained sufficiently improved statistically significantly to an absolute deviation of 5% [2-17] ( P = .012). Over 70% of the participants felt their skills had improved.ConclusionsWith sufficient training, surgical residents’ skills in measuring small bowel length improved when tested in an ex vivo model. Residents became more confident in their laparoscopic measurement skills. This ex vivo training model is a alternative and addition to on-site training.
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来源期刊
Surgical Innovation
Surgical Innovation 医学-外科
CiteScore
2.90
自引率
0.00%
发文量
72
审稿时长
6-12 weeks
期刊介绍: Surgical Innovation (SRI) is a peer-reviewed bi-monthly journal focusing on minimally invasive surgical techniques, new instruments such as laparoscopes and endoscopes, and new technologies. SRI prepares surgeons to think and work in "the operating room of the future" through learning new techniques, understanding and adapting to new technologies, maintaining surgical competencies, and applying surgical outcomes data to their practices. This journal is a member of the Committee on Publication Ethics (COPE).
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