整合主观感知和客观视频分析,以确定腹腔镜接的挑战:一项横截面研究,以加强外科培训
Chidozie Ogbonnaya1, Shizhou Li1,2, Changshi Tang3
1Surgical Skills Centre, Respiratory Medicine and Gastroenterology, School of Medicine, Ninewells Hospital and Medical School, Dundee Institute for Healthcare Simulation, University of Dundee, Dundee, DD1 9SY, UK.
Scientific reports
|February 13, 2026
概括
对于所有级别的外科医生来说, laparoscopic 接的挑战,如结结和针处理,仍然存在. 客观分析显示,专家的表现优于新手,强调需要有针对性的模拟培训来提高熟练程度.
科学领域:
- 最少侵入性的手术
- 进行外科手术技能培训.
- 医疗模拟 医疗模拟
背景情况:
- 腹腔镜 suturing 是一个复杂的手术技巧,具有重要的技术要求.
- 了解腹腔镜接的挑战对于开发有效的培训计划至关重要.
- 当前的培训策略可能无法充分解决外科医生遇到的核心困难.
研究的目的:
- 为了确定腹腔镜合的关键技术和认知挑战.
- 将主观感知与客观绩效分析进行比较.
- 为培养腹腔镜接能力的有针对性的培训策略的制定提供信息.
主要方法:
- 一项涉及33名腹腔镜外科医生 (22名新手,11名专家) 的横截面研究.
- 德尔菲共识确定了结构化调查的四个核心子任务.
- 在盒子训练器中执行的标准化腹腔镜接任务,使用全局腹腔镜技能操作评估 (GOALS) 视频分析进行评估.
主要成果:
- 结节 (42.4%),针头处理 (27.3%) 和线紧张 (21.2%) 是最常见的挑战.
- 新手和专家外科医生之间感知到的困难没有显著差异.
- 专家外科医生在完成时间和所有GOALS指标 (P < 0.001) 中显著优于新手.
结论:
- 腹腔镜合的技术困难存在于所有经验水平.
- 整合主观和客观评估,可以全面了解绩效差距.
- 有针对性的模拟训练,重点关注结结,针头操纵和效率是必不可少的.
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