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Đánh giá hệ thống về các mô phỏng phẫu thuật nội soi giá rẻ
Tóm tắt
Cơ hội thực hành kỹ năng phẫu thuật sử dụng mô phỏng chất lượng cao tại nơi làm việc bị hạn chế do chi phí, thời gian và những rào cản về địa lý, cũng như khả năng tiếp cận đối với các thực tập sinh trẻ. Cần có một giải pháp thay thế để thực hành các kỹ năng nội soi tại nhà. Mục tiêu của chúng tôi là tiến hành một đánh giá hệ thống về các mô phỏng phẫu thuật nội soi giá rẻ. Một đánh giá hệ thống đã được thực hiện theo hướng dẫn PRISMA. MEDLINE/EMBASE đã được tìm kiếm để tìm các bài viết giữa năm 1990 và 2014. Chúng tôi đã đưa vào những bài viết mô tả các mô phỏng phẫu thuật nội soi cầm tay và giá rẻ, có sẵn để sử dụng hoặc phù hợp cho việc lắp ráp; các bài viết không bằng tiếng Anh, mô tả không đầy đủ về mô phỏng, và có chi phí >£1500 đã bị loại trừ. Các yếu tố như tính hợp lệ, thiết bị cần thiết, chi phí và độ dễ lắp đặt đã được xem xét. Chúng tôi đã xác định được 73 mô phỏng độc đáo (60 mô phỏng phi thương mại, 13 mô phỏng thương mại); 55% (33) các thiết bị đào tạo phi thương mại đã trải qua ít nhất một loại xác thực so với 92% (12) thiết bị thương mại. Các mô phỏng thương mại có tính xác thực cao hơn so với mô phỏng phi thương mại. Chi phí dao động từ £3 đến £216 cho các mô phỏng phi thương mại và £60 đến £1007 cho các mô phỏng thương mại. Các thành phần chính của việc xây dựng mô phỏng được xác định bao gồm khoang bụng và thành bụng, vị trí cổng, nguồn sáng, hình ảnh hóa và màn hình camera. Máy tính xách tay là điều kiện tiên quyết khi không sử dụng tầm nhìn trực tiếp. Các mô hình phi thương mại thường sử dụng các linh kiện bán lẻ có sẵn, cho phép giảm chi phí và dễ dàng hơn trong việc xây dựng. Các mô hình được mô tả cung cấp những tùy chọn đơn giản và phải chăng cho việc tự lắp ráp, mặc dù một tỷ lệ đáng kể chưa trải qua bất kỳ loại xác thực nào. Các mô phỏng di động có thể là giải pháp công bằng nhất để cho phép thực hành kỹ năng cơ bản một cách thường xuyên (ví dụ: khâu, thắt nút) cho các thực tập sinh phẫu thuật trẻ.
Từ khóa
#phẫu thuật nội soi #mô phỏng #đánh giá hệ thống #thực hành kỹ năng #thiết bị y tế #đào tạo phẫu thuậtTài liệu tham khảo
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