相关实验视频

Updated: May 21, 2025

Model Surgical Training: Skills Acquisition in Fetoscopic Laser Photocoagulation of Monochorionic Diamniotic Twin Placenta Using Realistic Simulators

Model Surgical Training: Skills Acquisition in Fetoscopic Laser Photocoagulation of Monochorionic Diamniotic Twin Placenta Using Realistic Simulators

Published on: March 21, 2018

没有内镜外科技能资格的年轻儿科外科医生可以在专家合格外科医生的监督下安全地进行先进的内镜手术

Kazuki Ota¹, Takahisa Tainaka¹, Akinari Hinoki¹

¹Department of Pediatric Surgery, Nagoya University Graduate School of Medicine, 65 Tsurumai-Cho, Showa-Ku, Nagoya, 466-8550, Japan.

Surgical endoscopy

|March 20, 2025

概括

年轻的儿科外科医生可以安全地进行具有ESSQ资格的微创手术 (MIS). 经验丰富的外科医生的监督确保了患者的安全,并在复杂的儿科手术中获得了可比的结果.

科学领域:

儿科手术儿科手术
外科教育的外科教育
最少侵入性的手术

背景情况:

在微创手术 (MIS) 中培训年轻的儿科外科医生对于患者的安全至关重要.
日本内镜外科学会 (JSES) 在2009年建立了内镜外科技能资格 (ESSQ) 系统,以客观评估技能.
这项研究评估了外科手术前期的结果,比较了有ESSQ资格和没有ESSQ资格的外科医生.

研究的目的:

为了比较外科外科医生与没有ESSQ资格的外科医生在儿科手术中MIS的术后结果.
评估由实习生在ESSQ合格的监督下执行的MIS的安全性和有效性.

主要方法:

对胆固醇囊 (CC),叶片切除和胆道缩 (BA) MIS病例 (2013-2023) 的医疗记录的回顾性审查.
包括受监督的实习生在内的ESSQ合格和非ESSQ合格外科医生之间的结果比较.
分析包括手术时间,血液损失和术后并发症.

主要成果:

在ESSQ和非ESSQ组之间,没有在操作时间,血液损失或CC和叶片切除术的并发症方面显著的差异.
胆道缩 (BA) 手术显示,非ESSQ外科医生 (377分钟) 与ESSQ外科医生 (310分钟,p=0.001) 的手术时间较长.
两组之间在血液流失,并发症或BA的长期结果方面没有显著差异.

结论:

年轻的儿科外科医生可以在监督下安全地进行MIS.
经验丰富的外科医生的ESSQ资格和监督促进了安全有效的MIS培训.
在儿科手术中MIS的学习曲线期间,患者的安全性和结果保持不变.

关键词:

胆道缩症胆道缩症胆固醇囊 (Choledochal cyst) 是一种胆固醇囊 (Choledochal cyst) 的一种疾病.内镜外科技能的资格认证.输卵管切除术 (lobectomy) 是一个切除术.微创手术是最少的侵入性手术.年轻的外科医生.

更多相关视频

Simulator Training for Endovascular Neurosurgery

Simulator Training for Endovascular Neurosurgery

Published on: May 6, 2020

Robot-Assisted Transcanal Endoscopic Ear Surgery for Congenital Cholesteatoma

Robot-Assisted Transcanal Endoscopic Ear Surgery for Congenital Cholesteatoma

Published on: December 15, 2023

相关概念视频

Endoscopic Procedures V: ERCP

Endoscopic Procedures V: ERCP

Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...

Endoscopic Procedures I: Esophagogastroduodenoscopy

Endoscopic Procedures I: Esophagogastroduodenoscopy

An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
During an EGD, the endoscope can be used to:

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...