Risikobewusstsein und Training zur Pr?vention von Komplikationen in der minimal-invasiven Chirurgie

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• 作者：F. Nickel ; K.-F. Kowalewski ; Prof. Dr. B.P. Müller-Stich
• 关键词：Laparoskopische Chirurgie ; Lernkurve ; Instrumentenkoordination ; Trainingsmodalit?ten ; Computersimulatoren ; Laparoscopic surgery ; Learning curve ; Instrument coordination ; Training modalities ; Computer simulations
• 刊名：Der Chirurg
• 出版年：2015
• 出版时间：December 2015
• 年：2015
• 卷：86
• 期：12
• 页码：1121-1127
• 全文大小：838 KB
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  24.McKinley SK, Brunt LM, Schwai
• 作者单位：F. Nickel (1)
  K.-F. Kowalewski (1)
  Prof. Dr. B.P. Müller-Stich (1)
  
  1. Klinik für Allgemein-, Viszeral- und Transplantationschirurgie, Universit?tsklinikum Heidelberg, Im Neuenheimer Feld 110, 69120, Heidelberg, Deutschland
  
• 刊物类别：Medicine
• 刊物主题：Medicine & Public Health
  Surgery
  Cardiac Surgery
  Pediatric Surgery
  Plastic Surgery
  Traumatic Surgery
  Vascular Surgery
  
• 出版者：Springer Berlin / Heidelberg
• ISSN：1433-0385

文摘

Background Minimally invasive surgery (MIC) requires surgeons to have a different set of skills and capabilities from that of open surgery. The indirect camera view, lack of a three-dimensional view, restricted haptic feedback with lack of tissue feeling and difficult instrument coordination with fulcrum and pivoting effects result in an additional learning curve compared to open surgery. The prolonged learning curve leads to a higher risk of complications and special awareness of these risks is therefore mandatory. Training of special laparoscopic skills outside the operating room is needed to optimize patient outcome and to minimize the ocurrence of complications related to the learning curve.