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首页> 外文期刊>American Journal of Ophthalmology Case Reports >Surgical simulator training reduces operative times in resident surgeons learning phacoemulsification cataract surgery
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Surgical simulator training reduces operative times in resident surgeons learning phacoemulsification cataract surgery

机译：外科模拟器训练减少了学习术术乳化性白内障手术的常驻外科医生的操作时间

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PurposeTo compare the surgical duration for routine phacoemulsification surgeries in residents with and without virtual simulator training.MethodsRetrospective cohort study of operative times of routine phacoemulsification cataract surgeries performed by 29 different third-year residents rotating at one academic institution. One group underwent mandatory virtual cataract surgery simulator training (SIM) in their second year of residency before starting surgeries while the other group did not undergo any simulator training (NOSIM). Outcomes measured were comparative surgical times and vitreous loss rates between groups in their third year of residency.Results722 surgeries were included. Surgeries in the SIM group were on average 6.7?min (min) shorter compared to the NOSIM group (P?=?0.0001). Although both groups required less time for surgery over the course of the academic year, regression analysis showed that NOSIM group residents overall required 17% longer time for an uncomplicated clear corneal phacoemulsification surgery (incidence rate ratio 1.17; p?=?0.0001). In the final month of their residency residents in the SIM group (32.2?±?3?min) were 9?min faster than NOSIM peers (41.2?±?3?min mean?±?SE; p?=?0.02). Vitreous loss rates were 1.4% in the SIM group and 3.6% in the NOSIM group (p?=?0.06).Conclusion and ImportanceEarly and continuous implementation of mandatory virtual simulator surgical training before starting intraocular surgeries significantly decreases operative times in third year residents learning phacoemulsification compared to non-simulator trained peers.
机译：Purposeto比较常规的常规沉重手术手术的手术时间，在居民中，没有虚拟模拟器培训。在一个学术机构在一个学术机构旋转的29种不同的第三年居民进行的常规沉淀白内障白内障手术术的手术时间的研究。在开始手术前，在开始外表之前，一组在其第二年进行强制虚拟白内障手术模拟器培训（SIM），而另一组没有接受任何模拟器培训（Nosim）。测量的结果是比较外科的居留年第三年间的比较外科时间和玻璃体损失率。遗留下包括422个手术。与Nosim组相比，SIM组的手术平均平均为6.7？min（min）（p？= 0.0001）。虽然两个团体在学年期间需要更少的手术时间，但回归分析表明，Nosim Group居民总体需要17％的时间，以便简单的透明角膜沉乳手术（发病率比1.17; p？= 0.0001）。在SIM组的居住居民的最后一个月（32.2？±3？min）比Nosim对等体快9？最小（41.2？±3？min平均值？±α-se; p？= 0.02）。玻璃体损失率为1.4％，在Nosim组中为3.6％（P？= 0.06）。结论和重要性和持续实施强制虚拟模拟器外科手术训练，然后在启动眼内手术之前在第三年居民学习中显着降低了手术时间与非模拟器培训的同龄人相比，Phacoemumerification。

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