Abstract:

Objective　To explore the application of the right half colon radical operation teaching mode guided by the programmatic concept of the professional training of gastrointestinal surgeons. Methods　Forty-five male surgeons taking training at Department of Gastrointestinal Surgery, Guangdong Hospital of Traditional Chinese Medicine from January 2021 to March 2024 were selected for the randomized controlled trial, and were divided into an experimental group (23 ones), (32.1±1.7) years old, and a control group (22 ones), (32.0±2.0) years old, by lottery. There were no statistical differences in age, education level, and training time between the two groups (all P>0.05). The control group were taught the process and main points of laparoscopic radical surgery for right half colon cancer by traditional teaching methods, while the experimental group used the right half colon radical operation teaching mode guided by the programmatic concept. After the training, the two groups were evaluated in theory and practice. The satisfaction rates were compared between the two groups. t test, Z test, and Fisher's precision probability test were used. Results　There were no statistical differences in the theoretical assessment scores between the two groups (all P>0.05). The scores of mesangial anatomical integrity, number of lymph node dissection, and intraoperative blood loss and total score of practical performance assessment in the experimental group were higher than those in the control group (all P<0.05). The overall satisfaction rate of the experimental group was higher than that of the control group [91.3% (21/23) vs. 72.7% (16/22); P=0.029]. Conclusion　The teaching mode of laparoscopic right half colon radical surgery guided by the programmatic concept is effective and feasible in the professional training of gastrointestinal surgeons.

Key words:

Right colon cancer, programmatic concept, Laparoscopy, Refresher training

摘要：

目的　探讨程序化理念指导下右半结肠癌根治术教学模式在胃肠外科进修医师专业化培训中的应用效果。方法　选取2021年1月至2024年3月于广东省中医院胃肠外科进修学习的45名男性医师进行随机对照试验。采用抽签法将其分为试验组23名［（32.1±1.7）岁］和对照组22名［（32.0±2.0）岁］。两组年龄、学历水平、培训时长差异均无统计学意义（均P>0.05）。对照组采用传统教学方式教授腹腔镜右半结肠癌根治术的过程及要点，试验组教学方式则为程序化理念指导的右半结肠癌根治术。培训期满对两组进修医师进行理论及实操考核。比较两组满意率。采用t检验、Z检验和Fisher精确概率检验。结果　两组各项理论考核成绩比较，差异均无统计学意义（均P>0.05）。在实操考核中，试验组膜解剖完整性、淋巴结清扫数量、术中出血量评分和总分均高于对照组（均P<0.05）。试验组总体满意率高于对照组［91.3%（21/23）比72.7%（16/22），P=0.029］。结论　程序化理念指导下腹腔镜右半结肠癌根治术教学模式在胃肠外科进修医师的专业培训中是有效、可行的。

关键词:

右半结肠癌, 程序化理念, 腹腔镜, 进修医师培训