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首页> 外文期刊>The international journal of medical robotics + computer assisted surgery: MRCAS >Robotic cholecystectomy and resident education: the UC Davis experience
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Robotic cholecystectomy and resident education: the UC Davis experience

机译：机器人胆囊切除术和住院医师教育：加州大学戴维斯分校的经验

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IntroductionThe popularity of robotic surgery highlights the need for strategies to integrate this technique into surgical education. We present 5 year data for robotic cholecystectomy (RC) as a model for training residents. MethodsData were collected on all RC over 66 months. Duration for docking the robot (S2) and performing RC (S3), and surgical outcomes, were recorded. We used a linear mixed effects model to investigate learning curves. ResultsThirty-eight trainees performed 160 RCs, with most performing more than four. One case was aborted due to haemodynamic instability, and two were converted to open surgery due to adhesions. There were no technical complications. The duration of S2 (mean = 6.2 +/- 3.6 min) decreased considerably (p = 0.027). Trainees also demonstrated decrease in duration of S3 (mean = 38.4 +/- 15.4 min), indicating improvement in technique (p = 0.008). ConclusionsRC is an effective model for teaching residents. Significant and reproducible improvement can be realized with low risk of adverse outcomes. Copyright (c) 2013 John Wiley & Sons, Ltd.
机译：简介机器人手术的普及凸显了将这种技术整合到手术教学中的策略的必要性。我们目前提供5年机器人胆囊切除术（RC）数据作为培训居民的模型。方法收集66个月内所有RC的数据。记录对接机器人（S2）和执行RC（S3）的持续时间以及手术结果。我们使用线性混合效应模型来研究学习曲线。结果38名受训者完成了160个RC，其中大多数执行了四个以上。 1例因血液动力学不稳定而中止，2例因粘连转为开放手术。没有技术并发症。 S2的持续时间（平均值= 6.2 +/- 3.6分钟）显着减少（p = 0.027）。学员还证明了S3持续时间的减少（平均= 38.4 +/- 15.4分钟），表明技术得到了改善（p = 0.008）。结论RC是一种有效的居民教学模式。不良后果风险低，可以实现可重复的重大改进。版权所有（c）2013 John Wiley＆Sons，Ltd.

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