摘要
目的以后腹腔镜肾上腺瘤切除手术为载体,研究培训泌尿外科住院医师腹腔镜操作技能。方法自2011年1月到2020年1月,选取泌尿外科住院培训医生121名,完成包括腹腔镜模拟器基本技能培训,逐步接触和操作腹腔镜肾上腺瘤微创手术。培训阶段包括腹腔镜模拟器模块训练与考核,经腰手术侧卧体位和穿刺孔建立,肾脏3个层面的解剖和肾上腺瘤的显露和切除。采用逐步考核进阶的方式完成4个阶段的训练。结果15名住院培训医生能在带教教的监督指导下全程完成腹腔镜肾上腺瘤手术(12.4%),71名能够独立完成前三阶段的手术操作要求(58.7%)。结论腹腔镜模拟器操作考核评分、泌尿外科住院培训时间参加后腹腔镜肾上腺瘤手术例数、手术中带教教师和住院培训教师交换主刀和助手位置的次数是影响后腹腔镜肾上腺瘤手术培训进阶的主要因素。
Objective To study and train urological resident's laparoscopic operation skills based on retroperitoneal laparoscopic adrenalectomy.Methods From January 2011 to January 2020,121 urology residents were selected to complete the basic skills training including laparoscopic simulator,and gradually engaged in and operated laparoscopic minimally invasive surgery for adrenal tumor.The training stage included training and examination of laparoscopic simulator module,establishment of lateral position and puncture hole in lumbar surgery,anatomy of kidney at three levels and exposure and removal of adrenal tumor.The training of four stages was completed by step-by-step advanced assessment.Results Fifeen doctors could complete laparoscopic adrenalectomy operation under the supervision and guiding of teachers(12.4%),71 esidentss could independently complete the operation requirements in the first three stages(58.7%).Conclusion The study has proved that the main factors affecting the advanced training of retroperitoneal laparoscopic adrenalectomy were the operation assessment score of laparoscopic simulator,the duration of the standardized residency training in urology departnent,the case number of participating in retroperitoneal laparoscopic adrenalectomy,and the times that teachers and training residents exchanged the positions of main knife and assistant during the operation.
作者
谌科
侯腾
李嵩
赵军
章小平
陈朝晖
Chen Ke;Hou Teng;Li Song;Zhao Jun;Zhang Xiaoping;Chen Zhaohui(Department of Urology,Union Hospital,Tongji Medical Collge,Huazhong University of Science and Technology,Wuhan 430022,China;Teaching and Research Section of Surgery,Union Hospital,Tongi Medical College,Huazhong University of Science and Technology,Wuhan 430022,China)
出处
《中华医学教育探索杂志》
2020年第11期1341-1344,共4页
Chinese Journal of Medical Education Research
