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肠道腹腔内测量 (LIMB) 的长度
Danielle Patrick1, Kayla Rizzo1, Sam Grasso1
1William Beaumont Army Medical Center, 18511 Highlander Medics Street, El Paso, TX 79918, United States of America.
Surgery open science
|October 11, 2023
概括
在腹腔镜训练期间,外科住院医生在测量模拟小肠长度时缺乏准确性和精度. 住院经验并不能提高这些技能,这表明腹部外科手术测量的潜在不准确性.
科学领域:
- 腹部外科 腹部外科
- 外科教育的外科教育
- 拉巴洛斯科普技术 拉巴洛斯科普技术
背景情况:
- 腹腔镜Roux-en-Y胃绕道 (RYGB) 是一种常见的减肥手术,具有显著的学习曲线.
- 认可的减肥卓越中心在RYGB.培训住院外科医生.
- 评估住院人员对腹腔镜技能的熟练程度对于外科培训至关重要.
研究的目的:
- 为了评估外科住院医生的精度和准确性,对模拟小肠进行腹腔镜测量.
- 了解居民培训如何影响他们准确测量肠道长度的能力.
- 为了建立一个替代措施来评估精通一个关键的减肥外科手术技能.
主要方法:
- 一个减肥卓越中心的外科住院医生使用了腹腔镜培训器.
- 参与者测量模拟肠道 (花园软管) 和对照材料 (尼龙绳) 以设置长度 (75厘米,125厘米) 每人三次.
- 收集的数据包括测量准确度,精度,所需时间和使用的技术.
主要成果:
- 居民显示精度低 (21.6%) 和精度可变 (33%为75厘米,53%为125厘米).
- PGY-4居民是最准确的,而PGY-3居民是最精确的;初级和高级居民之间没有显著差异.
- 在模拟肠道和对照材料之间,或基于住院时间,没有发现显著的准确性或精度差异.
结论:
- 外科住院医生在测量模拟肠道长度时表现出不高的准确性和精度.
- 随着住院时间的增加,腹腔镜测量技能的获得并没有得到改善.
- 研究结果表明,外科医生在手术期间对肠道长度进行估计时存在潜在的不准确性,需要进一步研究.
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