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中华疝和腹壁外科杂志(电子版) ›› 2025, Vol. 19 ›› Issue (05) : 595 -598. doi: 10.3877/cma.j.issn.1674-392X.2025.05.021

医学教育

腹腔镜手术模拟器在腹腔镜下经腹腹膜前疝修补术教学培训中的应用
靳翠红, 申英末, 储诚兵()   
  1. 100043 首都医科大学附属北京朝阳医院疝和腹壁外科
  • 收稿日期:2024-04-24 出版日期:2025-10-18
  • 通信作者: 储诚兵
  • 基金资助:
    吴阶平医学基金会临床科研专项(320.6750.2021-07-1)

Effectiveness of laparoscopic surgery simulator in teaching and training of laparoscopic transabdominal preperitoneal hernia repair

Cuihong Jin, Yingmo Shen, Chengbing Chu()   

  1. Department of Hernia and Abdominal Wall Surgery, Beijing Chaoyang Hospital, Capital Medical University, Beijing 100043, China
  • Received:2024-04-24 Published:2025-10-18
  • Corresponding author: Chengbing Chu
引用本文:

靳翠红, 申英末, 储诚兵. 腹腔镜手术模拟器在腹腔镜下经腹腹膜前疝修补术教学培训中的应用[J/OL]. 中华疝和腹壁外科杂志(电子版), 2025, 19(05): 595-598.

Cuihong Jin, Yingmo Shen, Chengbing Chu. Effectiveness of laparoscopic surgery simulator in teaching and training of laparoscopic transabdominal preperitoneal hernia repair[J/OL]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2025, 19(05): 595-598.

目的

探讨腹腔镜手术模拟器在腹腔镜下经腹腹膜前疝修补术(TAPP)教学培训中的应用效果。

方法

纳入2018年1月至2023年12月于首都医科大学附属北京朝阳医院疝和腹壁外科接受TAPP手术培训的41名学员,根据培训方法不同分为观察组(n=29)和对照组(n=12)。观察组接受为期3周的腹腔镜手术模拟器培训;对照组采用传统课件、视频讲解及术中带教方法进行培训。培训前后对2组学员的TAPP腹膜缝合操作水平进行评估,同时收集学员对培训课程的评价反馈。

结果

TAPP手术腹膜缝合操作技能考核成绩表明,培训后观察组的成绩明显高于对照组,差异有统计学意义(P<0.05);培训后2组对临床工作中实操该术式的信心均增加,且观察组高于对照组,2组比较差异有统计学意义(P<0.05)。

结论

腹腔镜手术模拟器能够显著提高学员的TAPP手术操作技能,增强其临床实操腹腔镜手术的信心。

Objective

To explore the effectiveness of laparoscopic surgery simulator for education and training in transabdominal preperitoneal (TAPP) hernia repair.

Methods

A total of 41 trainees who received TAPP surgical training at the Department of Hernia and Abdominal Wall Surgery, Beijing Chaoyang Hospital, Capital Medical University, between January 2018 and December 2023 were included. According to the training methods, trainees were divided into an observation group (n=29) and a control group (n=12). The observation group received a three-week laparoscopic surgery simulator training program, while the control group received traditional instruction through course materials, video lectures, and intraoperative teaching. The TAPP peritoneal suturing skills of trainees in both groups were evaluated before and after the training, and feedback on the training course was collected.

Results

The assessment of TAPP peritoneal suturing skills showed that after training, the simulator group achieved significantly higher scores than the traditional teaching group (P<0.05). After training, confidence in performing the procedure in clinical practice increased in both groups, with a statistically significant difference between the two groups (P<0.05).

Conclusion

Laparoscopic surgery simulators can significantly improve trainees' laparoscopic surgery skills and enhance their confidence in performing laparoscopic surgery.

表1 经腹腹膜前疝修补手术腹膜缝合操作评分标准
表2 培训前后2组腹腔镜下经腹腹膜前疝修补术腹膜缝合操作技能考核成绩比较(分,±s
表3 腹腔镜下经腹腹膜前疝修补术腹膜缝合操作教学培训课程调查反馈[n(%)]
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