| 摘要: |
| 目的针对泌尿外科高难度腹腔镜手术关键操作步骤设计制备强化训练模型,并应用于初学者进行手术操作训练,提高初学者的手术熟练程度。方法根据前列腺癌根治术、肾部分切除术、肾盂输尿管（UPJ）离断成形术等高难度腹腔镜手术关键操作步骤的特点,利用易获取的鸡肠或猪肠、猪肾、鱼鳔、猪输尿管及其他简单材料制作耻骨后膀胱尿道吻合、肾部分切除、UPJ成形术训练模型。让初学者应用上述模型进行手术操作训练,观察其模型训练结果。结果耻骨后膀胱尿道吻合、肾部分切除、UPJ成形术训练模型制备成功,能够较好模拟各重建手术的要求,价格低廉,材料来源丰富,制作简单。上述模型适合初学者训练，经过强化训练后,初学者可熟练掌握相关操作,提高手术自信心。结论成功制备的针对泌尿外科高难度腹腔镜手术关键操作步骤的强化训练模型能满足初学者的手术训练需要。 |
| 关键词: 腹腔镜 模型 重建手术 训练 |
| DOI：10.3724/SP.J.1008.2010.0101 |
| 投稿时间：2009-04-19修订日期：2009-11-30 |
| 基金项目: |
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| Preparation and application of intensive training models for key steps of complicated laparoscopic urology surgery |
| LUO Wen-bin,YANG Bo,XU Bin,ZHANG Zhen-sheng,XIAO Liang,SUN Ying-hao* |
| (Department of Urological Surgery,Changhai Hospital,Second Military Medical University,Shanghai 200433,China) |
| Abstract: |
| ObjectiveTo design and prepare intensive training models for key steps of complicated laparoscopic urology surgery,and to use them for training of new learners.MethodsBased on the key steps for laparoscopic surgery in urology,such as radical prostatectomy,nephron-sparing surgery (NSS) and pyeloplasty for ureteropelvic junction obstruction (UPJO),we prepared the models of retropubic vesicourethral anastomosis,partial nephrectomy and pyeloplasty UPJO using intestines of pigs and chickens,kidney of pigs,swim bladder and ureter of pigs,etc.The models were used to train the new learners and the training outcomes were observed.ResultsThe models of retropubic vesicourethral anastomosis,partial nephrectomy and pyeloplasty UPJO were successfully prepared,and they satisfactorily simulated various procedures; they costed less,were easy to make,and had rich resources.The models were suitable for training of new learners.After intensive training with the models,the new learners could master the skills and became more self-confident.ConclusionWe have successfully prepared the models for intensive training of the key steps of complicated laparoscopic surgery in urology; the model can meet the demand for training of the new learners. |
| Key words: laparoscopy model reconstructive surgery training |
