Abstract：Objective:To introduce a stepped training mode for anatomical retroperitoneoscopic adrenalectomy and to compare its teaching effect with that of traditional teaching mode. Methods:The data of 12 urologists trained by stepped training mode (training group) and 12 urologists trained by traditional teaching mode (control group) during the same period were analyzed retrospectively. The clinical data of initial operation, operative training time, operative case number and rating scores of urologists and mentors were compared between two groups. Results:No significant differences were found between two groups in the aspect of tumor location, tumor diameter, tumor endocrine function and estimated blood loss of initial operation. The operative training time was significantly shorter (5.39±0.65 months), operative case number was significantly less (5.17±1.12) and initial operating time was significantly shorter (81.67±9.45 min) in the training group compared with that in the control group (7.02±0.53 months, 6.42±1.17, and 103.50±17.03 min respectively). The rating scores of both urologists and mentors in the training group (8.08±1.00 and 7.67±0.89) were significantly higher than those in the control group (6.83±0.94 and 6.75±0.87). Conclusions:The stepped training mode is a safe, efficacious and feasible method for the training of anatomical retroperitoneoscopic adrenalectomy. This mode is superior to the traditional teaching mode in the aspect of teaching effect, and can be widely applied in others training center.
张帆, 马鑫, 郭刚, 李宏召, 符伟军, 董隽, 张旭. 阶梯式手术培训模式在解剖性后腹腔镜肾上腺切除术教学中的应用[J]. 微创泌尿外科杂志, 2017, 6(3): 168-171.
Zhang Fan, Ma Xin, Guo Gang, Li Hongzhao, Fu Weijun, Dong Jun, Zhang Xu. The application of stepped training mode in the teaching of anatomical retroperitoneoscopic adrenalectomy. JOURNAL OF MINIMALLY INVASIVE UROLOGY, 2017, 6(3): 168-171.
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