肝脏吲哚菁绿荧光染色在住院医师规范化培训肝外科临床教学中的应用探索

肝脏 ›› 2022, Vol. 27 ›› Issue (11): 1223-1226.

肝脏吲哚菁绿荧光染色在住院医师规范化培训肝外科临床教学中的应用探索

傅修涛, 张欣, 黄傲, 史颖弘, 丁振斌

200032 上海复旦大学附属中山医院肝脏外科

收稿日期:2022-04-12 出版日期:2022-11-30 发布日期:2023-01-31

Application and exploration of liver indocyanine green fluorescent staining in clinical teaching of liver surgery in standardized training of residents

FU Xiu-tao, ZHANG Xin, HUANG Ao, SHI Ying-hong, DING Zhen-bin

Department of Liver Surgery and Transplantation, Zhongshan Hospital, Fudan University, Shanghai 200032, China

Received:2022-04-12 Online:2022-11-30 Published:2023-01-31
Contact: DING Zhen-bin, Email: ding.zhenbin@zs-hospital.sh.cn

摘要/Abstract

摘要： 目的探讨肝脏吲哚菁绿染色技术在住院医师规范化培训肝外科临床教学实践中的作用。方法 2021年1月—2021年12月在复旦大学附属中山医院肝脏外科轮转的规范化培训的住院医师,随机分为两组,对照组15人,采用传统的教师讲解加肝切除手术带教方法教学;实验组15人,在传统的教学方法上增加吲哚菁绿荧光染色的肝脏手术理论与术中带教。两组均采用理论笔试与口试,了解对肝脏解剖知识获取的效果以及教学方式方法的满意度。结果实验组住院医师对肝脏解剖结构有更深的印象和认识。结论吲哚菁绿荧光染色技术能够使外科医生更直观准确深入地理解肝脏解剖知识。

关键词: 吲哚菁绿, 荧光染色, 肝脏, 手术教学

Abstract: Objective To investigate the effect of liver indocyanine green fluorescent staining technique in the clinical teaching of residents in standardized training of liver surgery.Methods The residents who received standardized training in our department from January 2021 to December 2021 were randomly divided into two groups. The control group of 15 residents was taught by the traditional teachers’ explanation and the hepatectomy surgical training; the experimental group of 15 residents was given the traditional teaching method plus indocyanine green fluorescent staining of liver surgery training. Both groups took theoretical written and oral tests to check the effect of acquiring knowledge of liver anatomy and their satisfaction with teaching Methods.Results Residents in the experimental group had a deeper impression and understanding of the anatomical structure of the liver.Conclusion Indocyanine green fluorescence staining technology can make surgeons more intuitive, accurate and in-depth understanding of liver anatomy.

Key words: Indocyanine green, Fluorescent staining, Liver, Surgical training

傅修涛, 张欣, 黄傲, 史颖弘, 丁振斌. 肝脏吲哚菁绿荧光染色在住院医师规范化培训肝外科临床教学中的应用探索[J]. 肝脏, 2022, 27(11): 1223-1226.

FU Xiu-tao, ZHANG Xin, HUANG Ao, SHI Ying-hong, DING Zhen-bin. Application and exploration of liver indocyanine green fluorescent staining in clinical teaching of liver surgery in standardized training of residents[J]. Chinese Hepatolgy, 2022, 27(11): 1223-1226.

参考文献

[1] 谢干, 周海涛, 郑四鸣. 精准肝脏解剖的研究进展. 现代实用医学, 2021, 33(3): 411-413.
[2] 宋天强. 肝脏解剖分区及命名的历史演变与展望. 中国实用外科杂志, 2018, 38(4): 470-472.
[3] 耿磊, 邓俊芳, 胡晨, 等. 外科住院医师规范化培训手术教学和技能培训实践的探讨. 中国毕业后医学教育, 2018, 2(4): 247-249,263.
[4] 李成刚, 赵之明, 胡明根, 等. 吲哚菁绿在机器人肝脏FNH切除术中的应用. 中华腔镜外科杂志(电子版), 2021, 14(1): 15-18.
[5] 姚韩, 王健东. 吲哚菁绿荧光导航在腹腔镜肝切除术中的临床价值. 肝脏, 2021, 26(11): 1272-1275.
[6] 杜金柱, 高才植, 高允海. 吲哚菁绿荧光显像在复杂腹腔镜胆囊切除术中的初步应用观察. 中华肝胆外科杂志, 2020, 26(8): 595-599.
[7] 金法, 胡朝, 吴可人, 等. 吲哚菁绿荧光导航在腹腔镜胆囊切除术中的应用. 浙江临床医学, 2021, 23(12): 1711-1713.
[8] 谢国伟, 吴泓. 吲哚菁绿荧光显像技术打开"肝脏四扇门"在腹腔镜精准肝切除中的应用. 腹部外科, 2020, 33(3): 184-189.
[9] 王潇宁, 吴硕东, 汪聪, 等. LC术中经静脉注射吲哚菁绿最佳给药剂量的探讨. 肝胆胰外科杂志, 2022, 34(1): 4-9.
[10] 姜子铭, 杨帆, 徐海峰, 等. 综合教学方法在肝脏外科中的应用. 医学研究杂志, 2021, 50(11): 158-162.
[11] 陈孝平, 陈义发. 熟悉肝脏解剖及合理选用控制出血技术以提高肝切除成功率. 临床外科杂志, 2010, 18(9): 582.
[12] 吴仲敏, 李伯友, 梁勇, 等. 局部解剖学与外科手术学整合教学改革研究. 局解手术学杂志, 2015, (01): 106-107.
[13] 石梦尧, 黄歆, 胡尊琪, 等. 临床解剖教学在普外科专培手术教学中的实施. 中国继续医学教育, 2021, 13(23): 80-82.
[14] 马晨辉, 温军业, 郭怀斌, 等. 吲哚菁绿荧光显像在微创肝胆外科中的应用进展. 山东医药, 2020, 60(19): 85-89.
[15] 张成武. 吲哚菁绿荧光导航技术在腹腔镜肝切除术中的应用. 肝胆胰外科杂志, 2019, 31(9): 513-516,521.
[16] 刘永昌, 赵殿堂, 孙启峰, 等. 吲哚菁绿荧光导航和三维可视化腹腔镜精准手术治疗原发性肝癌患者应用研究. 实用肝脏病杂志, 2021, 24(4): 561-564.