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虚拟现实内镜逆行性胆道管脑学模拟器的有效性:它可以区分专家和新手吗?

Konstantinos Georgiou¹, Nikola Boyanov², Pantelis Antonakis³

¹1st Department of Propaedeutic Surgery, Hippokration General Hospital of Athens, Athens Medical School, National and Kapodistrian University of Athens, Athens, Greece.

Frontiers in surgery

|December 21, 2023

概括

虚拟模拟器有效地训练了内镜逆行胆血管细胞学 (ERCP) 技能. 专家在虚拟ERCP任务中表现明显优于新手,验证了GI II Mentor模拟器的实践培训.

科学领域:

医疗模拟医疗模拟
胃肠病学胃肠病学
外科教育的外科教育

背景情况:

有限的证据存在于虚拟模拟器,用于内镜逆行胆血管细胞造影 (ERCP) 的实践训练.
本研究评估了GI II Mentor模拟器用于ERCP技能获取.

研究的目的:

评估虚拟ERCP培训的结果和构建有效性.
为了比较初学者和专家内镜师在虚拟ERCP模拟器上的表现.

主要方法:

七名经验丰富的内镜师和31名新手进行了三次虚拟ERCP手术.
关键的绩效指标包括时间到乳头可视化,深度管,诊断和干预完成.
一位独立的评估人员评估了BD管道,诊断准确度和干预成功.

主要成果:

专家们证明,在普通胆道石头清除过程中,皮囊可视化和深度管的时间显著缩短 (p < 0.05).
专家在乳头可视化,深度管,诊断和干预囊性泄漏管理方面显著更快 (p <0.05).
在诊断状狭窄症的专家中观察到更快的深度通道化趋势 (p = 0.077).

结论:

专家和新手之间的表现差异很明显,特别是在管理囊性泄漏方面.
这些发现支持GI II Mentor模拟器用于ERCP培训的构造有效性.

关键词:

内镜逆行性胆血管细胞学 (ERCP)通过内镜检查 (endoscopy) 进行内镜检查专家专家专家专家专家新手的新手们的新手业绩表现表现的表现表现是什么模拟模拟是指一个模拟模拟.

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