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首页> 外文期刊>Surgical Endoscopy >Training in laparoscopic colorectal surgery: A new educational model using specially embalmed human anatomical specimen
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Training in laparoscopic colorectal surgery: A new educational model using specially embalmed human anatomical specimen

机译：腹腔镜结直肠外科手术培训：使用经过特殊防腐处理的人体解剖标本的新型教育模式

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Background: With an increasing percentage of colorectal resections performed laparoscopically nowadays, there is more emphasis on training "before the job" on operative skills, including the comprehension of specific laparoscopic surgical anatomy. As integration of technical skills with correct interpretation of the anatomical image must be incorporated in laparoscopic training, a human specimen training model with special emphasis on surgical anatomy was developed. Methods: The new embalming method Anubifix ? combines long-term high-quality embalming of human bodies with almost normal flexibility and plasticity, and the body can be kept operational as long as conventionally embalmed human specimens. A colorectal training model was created in a specimen in which anatomical landmarks of colorectal anatomy were permanently colored to explore laparoscopic colorectal anatomy in a skills training setting. Airtight closure of the abdominal wall permits the creation of pneumoperitoneum. Residents were asked to test the model by mobilizing the small and large bowels and expose the central vessels and ureters. Afterward they were asked to fill out an eight-item questionnaire about the model. Results: Eleven surgical residents in their first and second year of training participated. Responses to the questionnaire showed that a majority of residents considered the model to be representative of the real situation and superior to animal models or virtual reality simulators, and helped to improve the knowledge of three-dimensional anatomy and laparoscopic skills. Conclusion The new training model for laparoscopic colorectal: surgery proved to be a high-quality tool, concentrating on laparoscopic colorectal anatomy in a skills training setting. We believe it may be a valuable adjunct to residency training programs based on the principle of "training before the job".
机译：背景：随着当今腹腔镜大肠切除术百分比的增加，“工作前”对操作技能的培训越来越受重视，包括对特定腹腔镜手术解剖学的理解。由于必须在腹腔镜训练中结合技术技能和对解剖图像的正确解释的整合，因此开发了特别注重手术解剖学的人体标本训练模型。方法：新的防腐方法Anubifix？将人体的长期高质量防腐处理与几乎正常的柔韧性和可塑性相结合，并且只要使用常规防腐处理的人体标本，人体就可以保持运转。在标本中创建了一个结直肠训练模型，在该标本中，结直肠解剖的解剖标志被永久着色，以在技能培训环境中探索腹腔镜结直肠解剖。腹壁的气密性封闭允许产生气腹。要求居民通过动员大小肠并暴露中央血管和输尿管来测试模型。之后，要求他们填写有关该模型的八项问卷。结果：11名外科住院医师在其培训的第一年和第二年参加了培训。对问卷的答复表明，大多数居民认为该模型可以代表真实情况，并且优于动物模型或虚拟现实模拟器，并有助于提高对三维解剖学和腹腔镜技术的了解。结论腹腔镜结直肠癌的新培训模型：手术被证明是一种高质量的工具，专注于技能培训环境中的腹腔镜结直肠癌解剖。我们认为，这可能是基于“在职培训”原则的居民培训计划的宝贵补充。

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