重庆医学Issue(10)：1224-1227,4.DOI:10.3969/j.issn.1671-8348.2014.10.025
兔在泌尿外科腹腔镜手术基本技能培训中的应用
Application of rabbit in basic skill training of urologic laparoscopic surgery
张建文 1刘春晓2
作者信息
- 1. 南方医科大学珠江医院泌尿外科，广东广州510282
- 2. 深圳市龙华新区人民医院泌尿外科，广东深圳518109
- 折叠
摘要
Abstract
Objective To evaluate the application value of the rabbit for training the basic skills of urologic laparoscopic surgery . Methods The rabbit models of laparoscopic nephrectomy ,ureteral anastomosis and pyeloureteroplasty were established ;in the self-made simulation training box ,8 clinical doctors without the actual operating experience of laparoscopic surgery participated in 10 rounds of simulation training by taking the 3 operation models .The operation completion time for each time was recorded .The learning curves and the training effects were observed .Results 8 doctors were successfully completed training .The operative time of laparoscopic nephrectomy was declined from (45 .75 ± 6 .88)min at the first time to (30 .75 ± 4 .53)min at the sixth time and (25 .86 ± 3 .31)min at the final time ;the operative time of laparoscopic ureteral anastomosis from (56 .75 ± 7 .13)min at the first time to(43 .00 ± 4 .34)min at the eighth time and(35 .50 ± 4 .04)min at the final time ;the operative time of laparoscopic pyeloureteroplas-tyfrom(77.38±5.34)minatthefirsttimeto(59.13±7.26)minatthefinaltime;thedifferenceswerestatisticallysignificant(P<0 .05) .Furthermore ,the probability of repeated sewing and tearing tissue were significantly decreased on the whole .The controlled stitch length and edge length also were more accurate .The quality and appearance of the complete operation were significantly im-proved .Conclusion Rabbit can be conveniently used to set up the animal models for training laparoscopic nephrectomy ,ureteral an-astomosis and pyeloureteroplasty ,which is suitable for clinical urologic doctors to train the basic operating skills of laparoscopic sur-gery .关键词
腹腔镜检查/肾切除术/输尿管/吻合术 ,外科/培训/模型 ,动物Key words
laparoscopy/nephrectomy/ureter/anastomosis ,surgical/training/models ,animal引用本文复制引用
张建文,刘春晓..兔在泌尿外科腹腔镜手术基本技能培训中的应用[J].重庆医学,2014,(10):1224-1227,4.
