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Written by: Li Enci
2021-07-05 07:00
Last update date: 2021-07-05 07:00
Minimally invasive surgery emphasizes hand-eye coordination, a sense of distance, and the use of instruments. Surgeons can operate freely in the operating room. Behind the scenes is to raise soldiers for thousands of days. The "Eastern District Hospital Minimally Invasive Surgery Training Center" is the place for military training.
Training centers such as a small science museum, training equipment including "ball machine", retired mechanical arms, and the simulation of human organs made by 3D printing "earth cannon", the texture is almost real.
Approximately 500 to 600 medical staff visit the center for training every year, and the team won the Hospital Authority Outstanding Staff and Team Award this year.
Deng Zongyi, director of the Minimally Invasive Surgery Training Center of Eastern Hospital, said that seeing young doctors mastering skills and applying them appropriately after training is "a very happy thing," and he hopes to learn more with experts from all over the world in the future.
Deng Zongyi (left), director of the Minimally Invasive Surgery Training Center of Eastern Hospital, said that doctors have different surgical qualifications and need to be taught in accordance with their aptitude.
(Photo by Li Enci)
Deng Zongyi, director of the Minimally Invasive Surgery Training Center of Eastern Hospital, said that the predecessors knew that minimally invasive surgery will become the general trend. So the Minimally Invasive Surgery Training Center was established in 1995 and relocated and expanded in 2007 to provide training for fledgling doctors and nurses.
The center was refurbished in 2017 and now holds about 30 training courses every year, with about 500 to 600 doctors and nurses participating.
Especially for stomach and liver surgery, it takes 5 to 8 hours. I don’t want to know how to do it after 10 times.
Deng Zongyi, Director of Minimally Invasive Surgery Training Center, Eastern Hospital
Deng Zongyi recalled that the doctor training model 30 years ago was called "see one, do one, teach one", that is, after a doctor listened to a teaching, he would perform surgery with a knife, and then he could teach his younger generations.
He believes that doctors have different surgical qualifications and need to be taught in accordance with their aptitude. "Some people have done good gestures 10 times, and some people have to practice 30 times." In the age when patient safety is the first place, this kind of emphasis is "genius wave". The training method is unacceptable. "Especially for stomach and liver resection, it takes 5 to 8 hours. I don’t know how to do it even 10 times."
Surgeon’s training ground, clip bead machine, clay artillery organ simulation to assist in knife training
The Minimally Invasive Surgery Training Center is a training place for the resident doctors, allowing them to make skilled gestures before entering the actual operating room.
"Combined laparoscopic and endoscopic minimally invasive training operating room" is like a small science museum, with a number of training equipment, including hand-eye coordination training "ball machine", retired mechanical arm, and through 3D printing " Simulations of human organs made of "earth guns"
The simulation steps of the local artillery organs are exquisite. The hero behind the scenes is Zheng Qizhi, the administrative assistant of the medical audio-visual production team of the Eastern District Hospital.
He said that self-control can not only reduce costs, but also respond to doctors' requirements and get closer to the real scene.
The beginning of the design always uses limited materials and unlimited creativity. The "prostate tissue model" simulates the urinary duct and prostate hyperplasia. At first, the carrot was made into a tube with pork, and then 3D printing technology was used.
The production of the uterus model in the Department of Obstetrics and Gynecology was meticulous, and it took nearly half a year from conception to completion.
Zheng Qizhi said that the tail keel part was 3D printed with real-life data, and the skin material "has been changed several times and I have not answered it," and it has been continuously improved to make the doctor's stitches feel like real.
In addition, the gastroscope training device will groan the patient to simulate the situation of struggling.
The team also buys fresh pig feet and pig offal from the market from time to time, and trains doctors on basic skills such as surgery, stitching and knotting.
Zhu Yanhua, deputy consultant surgeon of Eastern Hospital, said that minimally invasive surgery emphasizes hand-eye coordination, sense of distance, and the use of instruments, and it takes time to become familiar.
When the young resident doctor is on weekends, he will make an appointment to practice in the training room, and ask the audio-visual production team to prepare pig entrails and other materials one day in advance.
In addition, the center has a clinical simulation surgery training room, which can improve the communication and cooperation capabilities of surgeons, brain departments, orthopedics, etc. through simulating cross-specialty emergency situations, such as serious traffic accidents.
The team of the Minimally Invasive Surgery Training Center of Eastern Hospital won the Outstanding Staff and Team Award of the Hospital Authority this year.
Deng Zongyi has been the director of the center since 2013. He expressed his gratitude to the first director, Li Jiahua, "At that time, everyone had dreams, but it was dangerous to know those who dreamed, so there would be no objective restrictions to realize the dreams one by one. "He also said that seeing young doctors mastering the skills and applying them properly after training is "it's a happy thing."
In the past, 20% of the center’s training was for international exchanges. Li Jiahua said that in the past two years, due to the influence of social movements and the epidemic, the center’s connection with the mainland and foreign countries has weakened. He hopes to learn more with experts from all over the world in the future.
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