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LapTrain: multi-modality training curriculum for laparoscopic cholecystectomy—results of a randomized controlled trial

机译：Laptrain：用于腹腔镜胆囊切除术的多种式培训课程 - 随机对照试验结果

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摘要

Background Multiple training modalities for laparoscopy have different advantages, but little research has been conducted on the benefit of a training program that includes multiple different training methods compared to one method only. This study aimed to evaluate benefits of a combined multi-modality training program for surgical residents. Methods Laparoscopic cholecystectomy (LC) was performed on a porcine liver as the pre-test. Randomization was stratified for experience to the multi-modality Training group (12?h of training on Virtual Reality (VR) and box trainer) or Control group (no training). The post-test consisted of a VR LC and porcine LC. Performance was rated with the Global Operative Assessment of Laparoscopic Skills (GOALS) score by blinded experts. Results Training ( n ?=?33) and Control ( n ?=?31) were similar in the pre-test (GOALS: 13.7?±?3.4 vs. 14.7?±?2.6; p ?=?0.198; operation time 57.0?±?18.1 vs. 63.4?±?17.5?min; p ?=?0.191). In the post-test porcine LC, Training had improved GOALS scores (+?2.84?±?2.85 points, p ?
机译：背景技术腹腔镜检查的多种培训方式具有不同的优势，但是对培训计划的利益进行了很少的研究，其中包括多种不同的培训方法仅与一种方法相比。本研究旨在评估外科居民组合的多种式培训计划的益处。方法对猪肝进行腹腔镜胆囊切除术（LC）作为预测试。随机化被分类为多种式培训组经验（在虚拟现实（VR）和框培训师的培训12？H）或对照组（没有培训）。后测试由VR LC和猪LC组成。随着盲目专家的全球操作评估（目标）评分的全球操作评估评估。结果训练（n？= 33）和控制（n？= 31）在预测试中相似（目标：13.7？±3.4与14.7？±3.4.6; p？= 0.198;操作时间57.0 ？±18.1与63.4？±17.5？min; p？= 0.191）。在测试后猪LC中，培训改善了进球得分（+？2.84？±2.85点，P？<？0.001），而控制则没有（+？0.55？±α？2.34点，P？=？0.154） 。后测试后的操作时间越短，用于训练与控制（40.0？±17.0与55.0？±22.2？min; p？= 0.012）。初级居民改善了进球分数到高级居民的水平（预测：13.7？±2.7与18.3？±2.9; P？=？0.010;后测试：15.5？±3.4与18.8？±3.4。 3.8; p？=？0.120）但高级居民保持更快（50.1？±20.6 vs.25.0？±1.9？min; p？<0.001）。在测试后VR培训师之间的组之间没有发现差异。结论结构化多种式培训对新手有益，以改善基础知识，克服腹腔镜检查中的初始学习曲线，并在不同经验阶段降低LCS的操作时间。未来的研究应评估与单一方式相比的多种方式培训。试验注册：德国临床试验寄存器DRKS00011040。

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  • 来源
    《Surgical Endoscopy》 |2018年第9期|共9页
  • 作者

    K. F. Kowalewski; C. R. Garrow; T. Proctor; A. A. Preukschas; M. Friedrich; P. C. Müller; H. G. Kenngott; L. Fischer; B. P. Müller-Stich; F. Nickel;

  • 作者单位

    Department of General Visceral and Transplantation Surgery University of Heidelberg;

    Department of General Visceral and Transplantation Surgery University of Heidelberg;

    Institute of Medical Biometry and Informatics University of Heidelberg;

    Department of General Visceral and Transplantation Surgery University of Heidelberg;

    Department of General Visceral and Transplantation Surgery University of Heidelberg;

    Department of General Visceral and Transplantation Surgery University of Heidelberg;

    Department of General Visceral and Transplantation Surgery University of Heidelberg;

    Department of General Visceral and Transplantation Surgery University of Heidelberg;

    Department of General Visceral and Transplantation Surgery University of Heidelberg;

    Department of General Visceral and Transplantation Surgery University of Heidelberg;

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  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 诊断学;
  • 关键词

    Laparoscopy; Training; Education; Laparoscopic cholecystectomy; Curriculum; GOALS;

    机译：腹腔镜;培训;教育;腹腔镜胆囊切除术;课程;目标;

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