中华医学教育杂志

中华医学教育杂志 ›› 2025, Vol. 45 ›› Issue (12): 929-933.DOI: 10.3760/cma.j.cn115259-20250115-00051

• 临床教学 • 上一篇    下一篇

Smagister活器官训练系统在腹腔镜操作训练中的应用

林方思宇1, 马子喻2, 曾广言3, 靳兴汉3, 罗辉兴3, 吴晓滨3, 陈铿1   

  1. 1中山大学附属第八医院(深圳福田)骨科,深圳 518033;
    2中山大学2020级临床医学专业学生,深圳 518033;
    3中山大学附属第八医院(深圳福田)胃肠外科,深圳 518033
  • 收稿日期:2025-01-15 出版日期:2026-12-01 发布日期:2025-11-30
  • 通讯作者: 陈铿, Email: chenkeng@mail.sysu.edu.cn
  • 基金资助:
    中山大学附属第八医院2023年本科教学质量工程类项目(BKXM0016);广东省“新医科”教学改革项目(79000-12220011)

Application of the Smagister Living Organ Training System in laparoscopic skills training

Lin Fangsiyu1, Ma Ziyu2, Zeng Guangyan3, Jin Xinghan3, Luo Huixing3, Wu Xiaobin3, Chen Keng1   

  1. 1Department of Orthopaedics, The Eighth Affiliated Hospital, Sun Yat-sen University, Shenzhen 518033, China;
    2Undergraduate Student Majoring in Clinical Medicine, Enrolled in 2020, Sun Yat-sen University, Shenzhen 518033, China;
    3Department of Gastrointestinal Surgery, The Eighth Affiliated Hospital, Sun Yat-sen University, Shenzhen 518033, China
  • Received:2025-01-15 Online:2026-12-01 Published:2025-11-30
  • Contact: Chen Keng, Email: chenkeng@mail.sysu.edu.cn
  • Supported by:
    2023 Undergraduate Teaching Quality and Reform Project of the Eighth Affiliated Hospital of Sun Yat-sen University (BKXM0016); Guangdong Province′s ″New Medical Science″ Teaching Reform Project (79000-12220011)

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摘要： 目的 探讨Smagister活器官训练系统在腹腔镜操作训练中的应用效果。方法 2024年9月,选择在中山大学附属第八医院见习的四年级临床医学专业12名学生为研究对象,采用交叉试验对照方法。采用随机数字表法将学生分为A组和B组,每组6名学生,以不同顺序分别先后采用传统干箱训练方式和Smagister活器官训练系统进行腹腔镜操作训练,以夹豆子、模块穿线、打结缝合的操作测试对学生腹腔镜操作综合能力进行2次评价(单项操作满分100分,总成绩300分),收集学生培训后使用体验的反馈。采用Wilcoxon符号秩和检验、曼-惠特尼U检验(精确法)等方式分析数据。结果 与首次练习前测试成绩[120.0(29.9)分]相比,学生第一次测试成绩[199.0(41.8)分]和第二次测试成绩[227.5(48.8)分]均明显提高,其差异均具有统计学意义(均P<0.05)。使用Smagister活器官训练系统进行训练的学生,其模块穿线项目评分的增长高于使用传统干箱训练的学生[40.0(15.0)分比20.0(0)分],其差异具有统计学意义(P=0.024)。使用传统干箱训练的学生在夹豆子项目中评分增长高于使用Smagister活器官训练系统的学生[31.3(14.1)分比21.9(25.0)分],但差异无统计学意义(P=0.468)。在训练顺序交换后的第二次测试中,A组和B组学生夹豆子、模块穿线、打结缝合的测试成绩增长幅度相近[37.5(23.4)分比25.0(21.9)分,30.0(20.0)分比40.0(0)分,31.5(15.3)分比44.2(18.2)分],其差异均无统计学意义(均P>0.05)。所有12名学生对此次腹腔镜操作均表示满意,其中9名非常满意;所有学生均认为Smagister活器官训练系统效果优于传统干箱训练。 结论 Smagister活器官训练系统对腹腔镜模块穿线训练帮助比较大,在其他操作训练方面与传统干箱训练方式效果相当。Smagister活器官训练系统对增强腹腔镜操作教学效果具有一定的参考意义。

关键词: 临床医学, 医院,教学, 腹腔镜, 模型,教育

Abstract: Objective To investigate the effectiveness of laparoscopic skills training based on the Smagister Living Organ Training System. Methods In September 2024, a crossover controlled trial was conducted with 12 fourth-year clinical medicine students from the Eighth Affiliated Hospital of Sun Yat-sen University. The students were randomly divided into Group A and Group B, with 6 students in each group. They underwent laparoscopic skills training using either the Smagister Living Organ Training System or the traditional dry box training method in different sequences. Comprehensive laparoscopic skills were assessed using tasks including bean picking, module threading, and knot tying/suturing (score out of 100 for each task and 300 for the total). Feedback on the training experience was collected after training. Data were analyzed using Wilcoxon signed-rank test and Mann-Whitney U test (exact method). Results Compared with the pre-training scores [120.0 (29.9) ], the first post-training scores [199.0 (41.8) ] and the second post-training scores [227.5 (48.8) ] were improved (both P<0.05). Students trained with the Smagister system showed a greater score increase in the module threading task than those trained with the traditional dry box [40.0 (15.0) vs. 20.0 (0), P=0.024]. Students trained with the traditional dry box showed a slightly greater score increase in the bean picking task than those trained with the Smagister system , though the difference was not statistically significant [31.3 (14.1) vs. 21.9 (25.0), P=0.468]. In the second test after crossover, the score increases for bean picking, module threading, and knot tying/suturing were similar between the two groups [37.5 (23.4) vs. 25.0 (21.9), 30.0 (20.0) vs. 40.0 (0), 31.5 (15.3) vs. 44.2 (18.2), all P>0.05]. All 12 students were satisfied with the laparoscopic training, and 9 were very satisfied; all students believed that the Smagister system was superior to the traditional dry box training. Conclusions The Smagister Living Organ Training System provided significant advantages for laparoscopic module threading exercises, while demonstrating comparable effectiveness to traditional dry box training method in other operational drills. This system holds valuable reference significance for enhancing the instructional outcomes of laparoscopic procedures.

Key words: Clinical medicine, Hospitals, teaching, Laparoscopes, Models, educational

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