腹腔镜模拟训练对不同经验医生腹腔镜 手术基本技能训练的效果

Effect of laparoscopic simulate training on improvement of basic skills of surgeons with different experience

摘要:

目的 比较腹腔镜模拟训练对具有不同腹腔镜手术经验医生在腹腔镜手术基本技能训练的效果。 方法 20位无独立操作腹腔镜手术经验医生和12位具有独立操作腹腔镜手术30例以上的医生，分别为无经验组和有经验组，接受腹腔镜训练箱和腹腔镜模拟机的培训，培训前后分别进行综合评估量表（GRS）测评和腹腔镜模拟机的测试，比较两组之间及训练前后各组间手眼脚配合能力及空间深度掌握情况。结果 两组GRS评分差异无显著性，但均比训练前明显提高。腹腔镜模拟机测试结果除错误电凝时间训练后有经验者明显低于无经验组外，其他各项指标两组间差异均无显著性。训练后两组操作时间均明显降低。有经验组错误电凝时间、双手移动距离比训练前明显降低，而无经验组左手移动距离比训练前明显降低。结论 腹腔镜模拟训练对无腹腔镜手术经验和有一定腹腔镜手术经验的医生腹腔镜手术基本技能的提高均有明显的帮助。

Abstract:

【Objective】 To evaluate the effect of laparoscopic training on improvement of laparoscopic basic skills in participant with different experience. 【Methods】 20 surgeons without laparoscopic surgery experience and 12 surgeons who have performed more than 30 cases of laparoscopic surgeries received training with laparoscopic training boxes and laparoscopic simulators. The surgeons were tested on task 8 of laparoscopic simulator and Global Rating Scales (GRS) were recorded before and after training. 【Results】 The GRS scores had no significant difference between two groups. Both groups got significantly higher scores after training. The performance time of both groups decreased significantly after training., the path length of both instruments, the time cautery without appropriate contact with bands was significantly lower in experience group after training. However, only the path length of left instrument was significantly shorter in the group of surgeons without experience after training. 【Conclusion】 Laparoscopic training is not only helpful to the surgeons without experience, but also to experienced surgeons.