建立单孔腹腔镜基本技能培训专门课程的探索

目的探讨建立单孔腹腔镜基本技能培训专门课程对相关培训的作用。方法该专门课程包括‘Z’型剪皮筋、“花瓣”状剪纸及剥桔子。将12名住院医师在1周传统训练后随机分两组：6名进行该专门课程培训，其余作为对照组继续传统培训。1周后，采用单孔腹腔镜猪肾切除术，比较两组手术时间及表现。两组资料分析采用Student-t检验。采用SAS9．1．3软件完成数据分析，以P〈0．05为差异具有统计学意义。结果该专门组手术时间明显下降（59．2±17．3）vs．（87．0±25．5）min，P=0．049]，手术国际评分表得分明显增加（26．3±2．2）vs．（18．2±2．8），P=0．00017]。结论该课程对于单孔腹腔镜基本技能的培训，实用易行。

A specialized course for basic skill training in single-port laparoscopy

Objective To explore the function of specialized training course in training single- port laparoscopic skills. Methods The specialized training course for single-port laparoscopy included cutting rubber -bands into ‘Z＇ shape, cutting ＇ petaloid＇ folded slips and peeling oranges. Twelve resi- dents were enrolled into traditional laparoscopy training for one week and then randomized into two groups ： 6 trainees performed the specialized training course for 2 h daily and the others as the control group continued to practice the traditional course for 2 h daily. One week later, the trainees were tested on performing porcine single-port laparoscopic nephrectomy. Operation time and performance was com- pared. T test were performed using SAS 9.1.3 statistics software, and a P 〈 0.05 was considered to be statistical significance. Results Operation time of the specialized group was decreased significantly （59.2 ±17.3） min vs. （87.0±25.5） min, P=0.049, and the total global rating scale score in- creased significantly （26.3±2.2 vs 18.2 ±2.8, P =0.000 17）. Conclusion The specialized course is beneficial to the training of single-port laparoscopic skills.