外科医师腹腔镜辅助直肠癌根治术培训模式探讨

目的提高外科医师腹腔镜手术技能,普及腹腔镜技术。方法采取在腹腔镜辅助直肠癌根治术手术教学中引入手术模拟系统,结合手术室实地参观答疑的方法,探讨外科医师腹腔镜辅助直肠癌根治术的培训模式。结果 104名普通外科高级职称医师参加培训,全部随访,随访率为100%,随访结果 ：99位学员（95%）反馈更加熟悉腹腔镜操作技巧,手术时间比培训前平均缩短45 min。结论通过本培训模式训练可有效提高外科医师对腹腔镜辅助直肠癌根治术手术操作流程的认识及局部解剖的技巧,提高操作手术效率、提升手术效果。

Training mode of surgeons for laparoscopy-assisted radical resection of rectal cancer

Objective To popularize the laparoscopic techniques in surgeons by improving their laparoscopy-assisted surgical skills.Methods The training model of surgeons for laparoscopy-assisted radical resection of rectal cancer was studied by introducing the surgery simulation system into teaching of laparoscopy-assisted radical resection of rectal cancer in combination with questionsanswering in operation room.Results A total of 104 surgeons with a senior professional title from departments of general surgery were trained and followed up（with a follow-up rate of 100%）,during which 99 surgeons（95%） reported that they were more skillful in laparoscopy-assisted radical resection of rectal cancer with the mean operation time shortened to 45 minutes after training as compared to that before training.Conclusion The training model of surgeons for laparoscopy-assisted radical resection of rectal cancer can effectively improve their laparoscopy-assisted surgical skills and local anatomy knowledge.