外科理论与实践2025，Vol.30Issue(2)：132-137,6.DOI:10.16139/j.1007-9610.2025.02.07
进阶整合式腹腔镜模拟培训课程提升外科住院医师腹腔镜腹膜缝合技术的队列研究
Best essential surgical technique training course to improve surgical residents' laparoscopic peritoneal suturing skills:a cohort study
摘要
Abstract
Objective To explore the effectiveness of an integrated laparoscopic simulation training course(best essential surgical technique training,BEST)in enhancing laparoscopic peritoneal suturing techniques in surgical residents.Methods As an integrated two-stage program,the BEST course applied basic laparoscopic training system with simple molds in phase Ⅰ training,and then adopted advanced laparoscopic training system,3D Laparoscope and ex-vivo animal models in phase Ⅱ training.The laparoscopic suturing techniques were practiced in phase Ⅱ training.From August 2021 to July 2024,surgical residents in the second year of the national standardized training program were divided into pilot and control groups based on whether they had undergone the BEST course.Two cases of laparoscopic peritoneal suture were performed by the surgical residents under supervision in the department of gastrointestinal surgery.The operative time,quality of suture,and independent completion rate were compared between the two groups.Results A total of 33 surgical residents(19 in pilot group and 14 in control group)were included in this study,and a total of 66 cases of laparoscopic peritoneal suture were performed(38 in pilot group and 28 in control group).The operative time was significantly shorter in pilot group than that in control group(15.7 min vs.17.5 min,P=0.025).The quality of suture was significantly better in pilot group compared to control group(P=0.023).In pilot group,all peritoneal sutures were performed by residents independently,whereas in control group,3 cases(10.7%)were assisted by the supervisor,and the independent completion rate was different significantly(P=0.039).Conclusions The BEST course can help improve surgical residents'laparoscopic peritoneal suturing techniques and could be promoted in the national standardized training program for surgical residents.关键词
进阶整合式腹腔镜模拟培训/外科住院医师规范化培训/腹腔镜模拟教学/腹膜缝合Key words
Best essential surgical technique training(BEST)/Standardized training program for surgical residents/Laparoscopic simulation training/Peritoneal suturing分类
医药卫生引用本文复制引用
蔡正昊,郑民华,臧潞,潘睿俊,李健文,冯波,宋海勤,孙晶,薛佩,张鲁阳,吴超,洪希周,程兮,张森..进阶整合式腹腔镜模拟培训课程提升外科住院医师腹腔镜腹膜缝合技术的队列研究[J].外科理论与实践,2025,30(2):132-137,6.基金项目
上海交通大学"交大之星"计划医工交叉研究基金(YG2023QNB07) （YG2023QNB07）
上海市中西医结合学会医学工程专业委员会课题研究专项基金重点项目(YG202313) （YG202313）
上海市2023年度创新医疗器械应用示范项目(23SHS03000-02) （23SHS03000-02）
上海市科学技术委员会2022年度"科技创新行动计划"生物医药科技支撑专项项目(22S31904000) （22S31904000）
