腹腔镜和常规胆囊切除术。腹腔镜胆囊切除术的培训与介绍及并发症预防的教学理念[j]。

P Vogelbach, B Bogdan, R Rosenthal, U Pfefferkorn, F Triponez
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引用次数: 1

摘要

目的:本研究评估了在一所拥有大量外科医生的大学教学医院中引入和培训腹腔镜胆囊切除术这一新建立的手术方法的教育理念的适用性。患者和方法:自首次采用腹腔镜胆囊切除术以来,所有胆囊切除术在两年内(1990年5月至1992年5月)进行前瞻性评估。所应用的教育概念是这样的,一个给定的外科医生将首先从一个教练那里接受15个程序的培训,然后承担指导后续受训者的责任。结果:两年内355例患者行胆囊切除术。60%的手术为腹腔镜手术,40%的手术为开放手术。在两年的时间里,13名外科医生接受了新技术的培训,平均每位外科医生进行16次手术。在整个初始阶段,没有出现严重的并发症,特别是没有对胆管造成损害。讨论:这个入门训练阶段的优势已经在文献中被反复讨论。与此同时,专家机构和国家机构的指导方针规范了新外科技术的教育。在过去的几年里,对新技术的介绍逐渐转向技能站和虚拟现实训练员的培训。结论:自90年代初以来,所描述的腹腔镜胆囊切除术入门和培训的教育理念得到了很好的认可和接受。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Laparoscopic and conventional cholecystectomy. Didactic concept for training and introduction of laparoscopic cholecystectomy and preventing complications].

Aim: This study has assessed the suitability of an educational concept for the introduction and training of laparoscopic cholecystectomy, a newly established operational procedure, within an university teaching hospital with a large number of surgeons.

Patients and methodology: Since introduction of the first laparoscopic cholecystectomy all cholecystectomies were prospectively assessed over a period of two years (from May 1990 till May 1992). The educational concept applied was such that a given surgeon would first receive training from an instructor for 15 procedures and then assume responsibility for instruction of a subsequent trainee.

Results: In two years 355 patients underwent cholecystectomy. 60% of the operations were performed laparoscopically and 40% of the operations performed openly. During the two year period 13 surgeons were trained in the new technique, with an average of 16 operations per surgeon. Throughout the introductory phase there were no serious complications, and in particular no damage to the bile duct.

Discussion: The advantage of this introductory training phase has repeatedly been subject of discussion in the literature. In the meanwhile guidelines from specialist bodies and national institutions exist for regulating the education of new surgical techniques. In the past few years introduction to new techniques has gradually shifted toward training on the skill-stations and virtual reality trainers.

Conclusion: The described educational concept for the introduction and training of laparoscopic cholecystectomy has been well approved and accepted since the early 90's.

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