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微创泌尿外科杂志  2016, Vol. 5 Issue (4): 249-252    
  继续教育 本期目录 | 过刊浏览 | 高级检索 |
腹腔镜肾部分切除术的多模培训模式
王保军1,黄庆波1,李新涛1,张旭1
1.中国人民解放军总医院泌尿外科 100853 北京
The multimodel training program for laparoscopic partial nephrectomy
Wang Baojun1, Huang Qingbo1, Li Xintao1, Zhang Xu1
1.Department of Urology, Chinese PLA General Hospital, Beijing 100853, China
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摘要 目的:介绍腹腔镜肾部分切除术的多模培训模式,包括腹腔镜模拟器、动物模型和手术培训三部分,并评价其安全性、可行性和有效性。方法:邀请5名具有初步腹腔镜基本操作技术或没有腹腔镜手术经验的住院医师参与培训,在腹腔镜模拟器、小型猪模型和人体上进行肾部分切除术的模拟训练,收集培训过程中学员完成训练的手术时间,手术数量和围手术期数据并进行评价。结果:5位学员均成功接受所有培训,接受腹腔镜模拟器、小型猪动物模型训练,并最终独立完成4~6例肾部分切除术。所有患者均未中转开放手术,无输血及死亡病例发生,平均热缺血时间分别为29.8、30.8、29.7、32.3、30.0 min,平均手术时间分别为109.2、104.8、115.7、112.8、112.6 min。5位学员独立完成手术的手术时间、失血量、术后住院时间和围手术期并发症均差异无统计学意义。结论:该多模培训模式安全可行,效果良好,适合于没有腹腔镜经验和肾部分切除术经验的学员进行学习培训。
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王保军
黄庆波
李新涛
张旭
关键词 腹腔镜手术培训肾部分切除术    
Abstract:Objective: To introduce a multimodel training program for laparoscopic partial nephrectomy including simulator, animal model and operative training and to evaluate its safety, feasibility and efficacy. Methods: Five resident doctors with or without laparoscopic surgery experience were enrolled to receive the similator, animal model and operative training for partial nephrectomy. The training data including operative time, operative number and perioperative indicators were collected and evaluated. Results: All the 5 trainees successfully received all the training programs and indepedently completed 4 to 6 laparoscopic partial nephrectomies. There were no conversions to open surgery, no transfusion or death. The average warm ischemia time was 29.8, 30.8, 29.7, 32.3 and 30.0 min, respectively and the average operative time was 109.2, 104.8, 115.7, 112.8 and 112.6 min, respectively. There was no statistically significant difference among the 5 trainees with regard to operative time, estimated blood loss, postoperative hospital stay or perioperative complications. Conclusions: The present multimodel training program for laparoscopic partial nephrectomy is safe, feasible and efficacious, which is suitable for young doctors without laparoscopic surgery experience or partial nephrectomy experience.
Key wordslaparoscopic surgery    training    partial nephrectomy
收稿日期: 2016-07-06     
ZTFLH:  R69  
通讯作者: 张旭,xzhang@foxmail.com   
引用本文:   
王保军,黄庆波,李新涛,张旭. 腹腔镜肾部分切除术的多模培训模式[J]. 微创泌尿外科杂志, 2016, 5(4): 249-252.
Wang Baojun, Huang Qingbo, Li Xintao, Zhang Xu. The multimodel training program for laparoscopic partial nephrectomy. JOURNAL OF MINIMALLY INVASIVE UROLOGY, 2016, 5(4): 249-252.
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