使用蒂尔法防腐的人体尸体进行膀胱切除手术培训:一项试点研究。

IF 3.7 2区 医学 Q1 UROLOGY & NEPHROLOGY
Dariya Jaeger, Omar Maghaireh, Andriy Shaleva, Nasreldin Mohammed, Eric Hinrichs, Sven Schumann, Gebhard Reiss, Georg Feigl, Hassan Abol-Enein, Richard Hautmann
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引用次数: 0

摘要

目的首次在开腹根治性膀胱切除术(ORC)培训中使用蒂尔软防腐人体尸体(TeC),研究尸体培训对外科学员技术技能/表现的影响,并确定学员如何看待尸体讲习班的使用:方法:组织了为期三天的实践研讨会。十名学员在五名专家的指导下对五台 TeC 进行了 ORC 操作。学员和导师的反馈采用李克特五点量表进行评估。所有手术均在设备齐全的手术环境中完成,并符合《赫尔辛基宣言》中规定的原则:结果:研修班学员认为 TeC 的解剖和操作特征与实际情况相似。尿道和输尿管的颜色和稠度与真实患者差别不大。学员们表示,TeC 有利于他们学习 ORC 和尿流改道(UD)的各个阶段,同时也增强了他们的自信心。在真实感方面,学员和教员对根治性膀胱切除术(RC)的所有步骤都给予了 4 分(满分 5 分)或更高的评价:结论:在 RC 和 UD 中使用 TeC 得到了学员和教师的好评。TeC在模仿真实解剖结构方面表现出了令人惊讶的能力,是一种新型、有效的外科培训工具。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Surgical cystectomy training using human cadavers embalmed using Thiel's method: a pilot study

Objectives

To develop the use of Thiel soft embalmed human cadavers (TeC) in open radical cystectomy (ORC) training for the first time, to investigate the effect of cadaveric training on surgical trainees' technical skills/performance and to determine how trainees perceive the use of cadaveric workshops.

Methods

A 3-day hands-on workshop was organised. Ten trainees performed ORC on five TeC, supervised by five experts. Feedback from trainees and mentors was evaluated on a five-point Likert scale. All procedures were completed in a fully equipped surgical environment and complied with the principles outlined in the Declaration of Helsinki.

Results

The workshop participants evaluated the anatomical and manipulation characteristics of the TeC as similar to real-life conditions. The colour and consistency of the urethra and ureter differed little from those in live patients. The trainees stated that the TeC were beneficial for learning the stages of ORC and urinary diversion (UD), while their self-confidence increased. In terms of realism, all steps of radical cystectomy (RC) were rated 4 out of 5 or higher on the Likert scale by both trainees and faculty.

Conclusions

The use of TeC for RC und UD was perceived as favourable by trainees and faculty. The TeC demonstrated a surprising ability to mimic real-life anatomy and represent a new and effective surgical training tool.

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来源期刊
BJU International
BJU International 医学-泌尿学与肾脏学
CiteScore
9.10
自引率
4.40%
发文量
262
审稿时长
1 months
期刊介绍: BJUI is one of the most highly respected medical journals in the world, with a truly international range of published papers and appeal. Every issue gives invaluable practical information in the form of original articles, reviews, comments, surgical education articles, and translational science articles in the field of urology. BJUI employs topical sections, and is in full colour, making it easier to browse or search for something specific.
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