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首页> 外文期刊>Surgical Endoscopy >Telementoring as an adjunct to training and competence-based assessment in laparoscopic cholecystectomy.
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Telementoring as an adjunct to training and competence-based assessment in laparoscopic cholecystectomy.

机译：远程指导作为腹腔镜胆囊切除术中基于培训和能力评估的辅助手段。

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摘要

BACKGROUND: We set out to assess telementoring as a training adjunct and an objective means of assessing competence in laparoscopic cholecystectomy (LC). METHODS: Consecutive patients underwent LC performed by a higher surgical trainee (HST). The laparoscopic image was relayed to an adjoining theater, where the trainer observed as he operated during a parallel operating list. Interaction occurred between trainer and trainee as appropriate; and interaction, procedure difficulty, and duration were recorded. RESULTS: LC was accomplished in 33 of 34 patients, with one (2.9%) open conversion and one (2.9%) postoperative bile collection. In 21 cases (69%), there was no interaction; in 11 cases (32.4%), there was verbal interaction; and in two cases (5.9%), the trainer scrubbed. Interaction rates for difficulty grades 1, 2, and 3 were 15% (2/13), 41.2% (7/17), and 50% (2/4), with median operating times of 35, 45, and 92 min, respectively. CONCLUSIONS: Telementoring in LC is feasible, appears to be safe, and may generate objective assessment of a trainee's performance and progress. Evaluation of this technique in a cohort of trainees at different stages is now required.
机译：背景：我们着手评估远程指导作为培训的辅助手段和评估腹腔镜胆囊切除术（LC）能力的客观手段。方法：连续患者接受由高级外科实习生（HST）进行的LC检查。腹腔镜图像被中继到相邻的剧院，在平行手术单上，教练在该手术室进行观察。培训者和受训者之间酌情进行了互动;并记录互动，过程难度和持续时间。结果：34例患者中有33例完成了LC，其中1例（2.9％）开放转换，1例（2.9％）术后胆汁收集。 21例（69％）中，没有相互作用。在11例中（32.4％），存在言语互动;在两种情况下（5.9％），教练将其擦洗。难度等级1、2和3的互动率分别为15％（2/13），41.2％（7/17）和50％（2/4），中位操作时间为35、45和92分钟，分别。结论：在LC中进行远程辅导是可行的，似乎是安全的，并且可以对受训者的表现和进度进行客观评估。现在需要在不同阶段的一组受训者中对该技术进行评估。

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