CAJ | 학술논문

解放军总医院在国内最早引进并开展机器人手术,积累了丰富的机器人手术临床及教学经验.针对具有一定泌尿外科腹腔镜手术基础的人员,提出泌尿外科机器人手术规范化阶梯渐进五阶段分组培训项目.具体包括多媒体基础理论学习阶段,重点是让学员掌握机器人手术基础技能知识,取得在线培训合格证书;模拟训练器模块操作阶段,主要训练各种机器人手术技能,采用手术模拟训练器系统自动评分;实物操作练习阶段,体会机器人手臂的操作过程,培养手术视觉感及手感,测定每个学员操作时间并评分;动物活体手术阶段,使学员在活体内掌握机器人手术器械的规范操作方法和体会操作感觉;观摩手术录像及演示阶段,掌握泌尿外科常用机器人手术体位及穿刺点选择,理解三维立体重要解剖标志及其临床应用,学习机器人手术步骤及并发症预防和处理原则.
해방군총의원재국내최조인진병개전궤기인수술,적루료봉부적궤기인수술림상급교학경험.침대구유일정비뇨외과복강경수술기출적인원,제출비뇨외과궤기인수술규범화계제점진오계단분조배훈항목.구체포괄다매체기출이론학습계단,중점시양학원장악궤기인수술기출기능지식,취득재선배훈합격증서;모의훈련기모괴조작계단,주요훈련각충궤기인수술기능,채용수술모의훈련기계통자동평분;실물조작연습계단,체회궤기인수비적조작과정,배양수술시각감급수감,측정매개학원조작시간병평분;동물활체수술계단,사학원재활체내장악궤기인수술기계적규범조작방법화체회조작감각;관마수술록상급연시계단,장악비뇨외과상용궤기인수술체위급천자점선택,리해삼유입체중요해부표지급기림상응용,학습궤기인수술보취급병발증예방화처리원칙.
By first introducing and carrying out the robotic surgery,we accumulated affluent clinical and teaching experiences of robotic surgery.Based on that,we proposed a novel standardized step-by-step robotic surgery training model for urological surgeons who have some experiences of laparoscopic surgery.The first stage is basic theory study by internet multimedia,which is to get an online certification by fully understanding the basic knowledge of robotic surgery.Then comes the simulation module training device operation,mainly focused on the training of vary robotic surgical skills,which are evaluated by the system automatically.In virtual reality simulators training stage,trainees can experience the open anatomy signs and its clinical application,learn the operating procedure and how to prevent and handle the complications and every student' operating time and score can be determined.In animal in vivo operation stage,trainees are enabled to master the standard operation method in vivo by robotic arms,cultivating the feeling of vision and touching.The aim of the animal robotic operation training stage is to understand the right use of the robotic surgical instruments.The last stage is the operation video watching and demonstration.By this stage,the members will know the common body position of urological robotic surgery and how to choose the puncture point,understand the three-dimensional anatomical landmarks and their clinical application,and learn the operation steps and complication prevention and treatment principle of robot