ISSN:
1432-2218
Schlagwort(e):
Key words: Laparoscopic techniques — Simulators — Training
Quelle:
Springer Online Journal Archives 1860-2000
Thema:
Medizin
Notizen:
Abstract Background: Maneuvers involving two-handed techniques such as intracorporeal suturing and knot-tying during laparoscopy are intrinsically more difficult than ones performed during open surgery. Methods: The use of simulators to practice and teach specialized techniques is established. However, simulators vary greatly, and few, as yet, represent the abdominal wall well. Results: This study has shown that the working angle between instruments during laparoscopic cholecystectomy is 78°, and this can be increased to 117° by moving the instruments laterally. In contrast, the working angle in four trainers assessed was never greater than 77°. Conclusions: This suggests that some maneuvers may be more difficult in trainers than at surgery. This has implications for training and the further development of more realistic simulators.
Materialart:
Digitale Medien
URL:
http://dx.doi.org/10.1007/s004649910077
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