Last ned 2/2012 - Kirurgen.no

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Studie om
simulatortrening
ved single-port
kirurgi i gang
Single port kirurgi er en teknikk som de
siste årene har blitt tatt i bruk ved flere
kirurgiske inngrep [1, 2]. Single-port
kirurgi, med kun et snitt i buken, stiller
operatøren ovenfor nye utfordringer
under inngrep. Til tross for spesielle
instrumenter, som enten er krysset
eller kurvede, er det lettere å oppnå
kollisjoner mellom instrumentene. For å
sikre en god innføring av nye teknikker
er det viktig at operatøren er forberedt
før han eller hun starter opp med slik
kirurgi. Dette kan for eksempel gjøres
ved å trene ved hjelp av virtual reality
(VR) simulatorer. SimSurgery introduserte
nylig en modul for å trene på
single-port på sin SEP-simulator. For å
studere effekten av trening på denne
modulen ønsker vi å gjennomføre en
multisenter studie med deltakelse fra
Oslo universitetssykehus, Akershus
universitetssykehus og St. Olavs
Hospital. Deltagerne i studien vil bli
randomisert til enten en kontroll gruppe
eller en gruppe som mottar simulatortrening.
Treningen vil være distribuert
[3], det vil si foregå over flere treningsøkter
spredt ut over tid, og deltagerne
vil trene til et gitt nivå (criterion-based)
[4] basert på det kirurger med erfaring i
single port kirurgi presterer.
Studiegruppen består av Arne Rosseland
(OUS), Anders Debes (AHUS),
Ronald Mårvik (St. Olavs Hospital) og
ledes av Cecilie Våpenstad (SINTEF).
Referanser
1. Lirici MM (2012) Single site laparoscopic
surgery: An intermediate step toward no
(visible) scar surgery or the next gold standard
in minimally invasive surgery? Minim Invasive
Ther Allied Technol 21: 1-7
2. Ahmed K, Wang TT, Patel VM, Nagpal K, Clark J,
Ali M, Deeba S, Ashrafian H, Darzi A, Athanasiou
T, Paraskeva P (2011) The role of single-incision
laparoscopic surgery in abdominal and
pelvic surgery: a systematic review. Surgical
endoscopy 25: 378-396
3. Verdaasdonk EG, Stassen LP, van Wijk
RP, Dankelman J (2007) The influence of
different training schedules on the learning of
psychomotor skills for endoscopic surgery. Surg
Endosc 21: 214-219
4. Brinkman WM, Buzink SN, Alevizos L, de Hingh
IH, Jakimowicz JJ (2012) Criterion-based
laparoscopic training reduces total training time.
Surgical endoscopy 26: 1095-1101
NTLF-Nytt
Kirurgen nr. 2, 2012
141