模块化进阶式教学法在机器人辅助根治性前列腺切除术培训中的应用  

Modular and progressive teaching strategy applied in training of robotic assisted radical prostatectomy

作　　者：徐林锋[1] 张青[1] 邱雪峰[1] 庄君龙[1] 邓永明[1] 林廷升 刘光香[1] 纪长威[1] 杨荣[1] 张士伟[1] 张古田[1] 甘卫东[1] 李笑弓[1] 郭宏骞[1] XU Linfeng;ZHANG Qing;QIU Xuefeng;ZHUANG Junlong;DENG Yongming;LIN Tingsheng;LIU Guangxiang;JI Changwei;YANG Rong;ZHANG Shiwei;ZHANG Gutian;GAN Weidong;LI Xiaogong;GUO Hongqian(Department of Urology,Drum Tower Hospital,Medical School of Nanjing University,Institute of Urology,Nanjing University,Nanjing,210008,China)

机构地区：[1]南京大学医学院附属鼓楼医院泌尿外科南京大学泌尿外科学研究所,南京210008

出　　处：《临床泌尿外科杂志》2022年第1期66-69,共4页Journal of Clinical Urology

摘　　要：目的:探索模块化进阶式教学法在机器人手术培训中的应用。方法:培训对象为4名完成住院总的住院医师,将手术按照难易程度分为5个模块,逐级培训。观察分析完成每个模块的病例数、手术的输血率、并发症发生率、手术时间、切缘阳性率。结果:4名住院医师顺利完成培训。他们需要52~57例的手术操作才能合格,平均手术时间为(94.62±12.40)min,平均输血率(2.29±0.94)%,平均并发症发生率(4.58±1.11)%。与全程由指导医师完成的手术相比,住院医师参与的手术的手术时间、输血率、并发症发生率、切缘阳性率无显著差异。与传统教学相比,系统培训学习曲线明显缩短。结论:模块化进阶式教学发在机器人手术培训中安全、可行,值得推广。Objective:To develop a modular and progressive teaching strategy applied in robotic surgery training.Methods:The technique of robotic assisted radical prostatectomy(RARP)was divided into 5modules of different complexities.Four residents participated in the study.Cases,blood transfusion rate,complications,operation time and positive surgical margin were analyzed.Results:Four residents finished training.They required 52-57cases until they were considered to be competent.Mean operation time was(94.62±12.40)min,transfusion rate is(2.29±0.94)%,complication rate was(4.58±1.11)%.There was no significant difference between the operations that residents participated and those the mentor performed alone.Compared with traditional teaching,systematic training can shorten the learning curve.Conclusion:The modular and progressive teaching strategy is safe and feasible,and is worth being popularized.

关 键 词：手术机器人 住院医师 根治性前列腺切除术 手术教学 

分 类 号：R737.25[医药卫生—肿瘤]