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首页> 外文期刊>Surgical Endoscopy >Role of appendectomy in training for laparoscopic surgery.
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Role of appendectomy in training for laparoscopic surgery.

机译：阑尾切除术在腹腔镜手术培训中的作用。

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BACKGROUND: This study aimed to evaluate a program of training in laparoscopic surgery based on clinical practice in the emergency room, in which laparoscopic appendectomy is the first technique that residents perform as surgeons. METHODS: A prospective nonrandomized study was conducted involving all the laparoscopies performed in emergencies with a diagnosis of acute abdomen, appendicular in origin, during the period between June 1991 and December 1997. RESULTS: There were no statistically significant differences between residents and assistants in terms of conversion rates (22/242 vs 15/158), mean hospital stay for each type of surgeon (5.2 days for residents and 5.1 days for assistants), and complications (12.8% for residents and 13.7% for assistants). Operating time, was significantly longer (p < 0.05) for residents (52.2 min) than for assistants (48 min). CONCLUSIONS: Apprenticeship in laparoscopic appendectomy can be accomplished with gradual clinical training and without the need for resort to animal experimentation laboratories.
机译：背景：本研究旨在评估基于急诊室临床实践的腹腔镜手术培训计划，其中，腹腔镜阑尾切除术是居民作为外科医生的首项技术。方法：进行了一项前瞻性非随机研究，涉及1991年6月至1997年12月期间在急诊中诊断为急性腹部，起源阑尾的所有腹腔镜检查。结果：住院医师和助手之间在统计学上无显着差异转换率（22/242对15/158），每种类型的外科医生的平均住院时间（居民5.2天，助手5.1天）和并发症（居民12.8％，助手13.7％）。与居民（48分钟）相比，居民（52.2分钟）的手术时间明显更长（p <0.05）。结论：腹腔镜阑尾切除术的学徒训练可以通过逐步的临床培训来完成，而无需诉诸动物实验实验室。

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