磁锚定腹腔镜胆囊切除手术临床教学体系的建立与实践

Establishment and Practice of Clinical Teaching System of Magnetic Anchor Technique-Laparoscopic Cholecystectomy

磁锚定腹腔镜胆囊切除手术(MAT-LC)属于磁外科创新手术,较传统腹腔镜胆囊切除手术更微创,具有极大的临床推广应用前景。西安交通大学第一附属医院肝胆外科是国内最早开展MAT-LC并且拥有国内最大临床病例数的中心,在围绕MAT-LC青年医师培养和临床实践中建立了成熟的MAT-LC教学培养体系。该体系对入学者设立基础入门条件,通过设置磁锚定技术理论学习、磁锚定模拟操作、两孔法磁锚定手术配合角色轮换、完成两孔法MAT-LC、单孔法磁锚定手术配合角色轮换、完成单孔法MAT-LC六个阶段的培养,青年医师必须严格完成各阶段的学习并达到设定的教学目标后,方可在磁外科医师的指导下开展MAT-LC。借助MAT-LC临床教学培养体系,培养了数名磁锚定腹腔镜胆囊切除手术医师,收到了良好的教学培养效果。

Magnetic anchor technique-laparoscopic cholecystectomy(MAT-LC)is an innovative magnetic surgery,which is more minimally invasive than traditional laparoscopic cholecystectomy,and has a great prospect of clinical application.The Department of Hepatobiliary Surgery of the First Affiliated Hospital of Xi'an Jiaotong University has carried out MAT-LC at the earliest and has the largest number of clinical cases in China.A mature MAT-LC teaching and training system has been established based on the training of young doctors and clinical practice of MAT-LC.The system sets up basic entry conditions for students and 6 stages of cultivation include theoretical learning of magnetic anchor technique,magnetic anchoring simulation operation,two-hole magnetic anchoring surgery with role rotation,completion of two-hole MAT-LC,single-hole magnetic anchoring surgery with role rotation,and completion of single-hole MAT-LC.Young physicians must strictly complete all stages of study and achieve the teaching objectives before they can perform MAT-LC under the guidance of a magnetic surgeon.With the help of MAT-LC clinical teaching and training system,several surgeons of MAT-LC have been trained,and good teaching and training effects have been received.