随着微创技术的广泛应用,学习腔镜技术的重要性日益凸显。传统的现场手术观摩学习存在手术室空间有限和手术讲解不充分等诸多弊端。本研究构建了简易的便携式腔镜手术直播系统作为普通外科实习教学的辅助工具, 通过在常规临床实习活动如患者交接、病房巡查、换药操作和医患沟通技巧训练之外,额外增加腔镜手术理论系列课程、实时手术直播教学、手术回看和答疑环节等内容,本研究构建了一种创新性的辅助教学方式。2023年2至6月,便携式腔镜手术直播系统辅助教学方式在苏州大学附属第一医院胃肠外科的30名临床医学专业实习学生中应用,通过理论和操作考核及问卷调查评价教学效果。结果显示,学生的理论和操作考核通过率均为100.0%(30/30),96.7%(29/30)的学生在理论考核中获得良好和优秀,86.7%(26/30)的学生在操作考核中获得良好和优秀。问卷调查结果显示,在便携式腔镜手术直播系统辅助教学方式有助于理解手术内容、有助于提高学习参与感与互动性、有助于提高学习积极性、有助于提高学习灵活性、总体效果良好等方面的10个问题,学生的满意度评分≥4分(4分为“满意”水平)的个数占比92.7%(278/300)。便携式腔镜手术直播系统辅助教学方式在普通外科临床实习中的教学效果良好,学生的满意度较高。

With the widespread adoption of minimally invasive technology, the importance of learning laparoscopic skills has become increasingly prominent. The conventional approach of on-site surgical observation for learning has several inherent limitations, such as limited space in the operating room and insufficient surgical explanations. To address these shortcomings, this study introduced a simple portable laparoscopic surgery live streaming system as an auxiliary tool for general surgical internship teaching. In addition to routine clinical internship activities such as handovers, ward rounds, dressing changes, and doctor-patient communication skills training, theoretical courses on laparoscopic surgery, live surgery streaming, surgery review sessions, and Q&A sessions were included. From February 2023 to June 2023, this innovative teaching method was applied to 30 preclinical students at the Department of Gastrointestinal Surgery,The First Affiliated Hospital of Soochow University. The teaching effectiveness was evaluated through knowledge assessments, skills assessments and subjective questionnaires. The results showed that the students who received the teaching method utilizing laparoscopy surgery live streaming achieved a pass rate of 100.0% (30/30) in both knowledge and skills assessments, with 96.7% (29/30) achieving good to excellent scores in knowledge assessments and 86.7% (26/30) obtaining good to excellent scores in skills assessments.Survey results indicated students' high satisfaction with utilizing the portable laparoscopic surgery live streaming system as an auxiliary teaching tool. Across 10 questions related to various dimensions of learning effectiveness, including understanding surgical content, enhancing learning engagement and interactivity, promoting active learning, improving learning flexibility, and overall effectiveness, 92.7% (278/300) of the responses had satisfaction ratings of ≥4 points, where 4 points represent the “satisfactory” level on a Likert five-level scale. In summary, the teaching effectiveness of utilizing the portable laparoscopic surgery live streaming system as an auxiliary teaching tool was commendable, accompanied by high student satisfaction.