ABSTRACT
Objective:To introduce the experience of robotic surgery training course in the University of Pittsburgh Medical Center.Methods:The specific process of the training course was introduced in detail, and the results of the training course were summarized and analyzed. A total of 15 surgeons completed the first step of the training (operation table simulation training), 14 (93.3%) completed the second step (pancreatoduodenectomy tissue anastomosis simulation training), and 196 cases of tissue anastomosis simulation training were completed. Statistical analysis was performed using STATA and SPSS software. Wilcoxon rank sum test was used to analyze the data.Results:The average scores of the surface validity Likert scale for anastomosis simulation training were: (15/20) for Pancreaticojejunostomy (PJ), (15/20) for Gastrojejunostomy (GJ), and (17/20) for Hepatocholangiojejunostomy (HJ). In the PJ and GJ simulation training, compared with the gold standard, the error rate and OSATS score were significantly improved ( P > 0.05), and the operation time was not significantly reduced ( P < 0.05). In HJ simulation training, the error rate, OSATS score and operation time did not show significant improvement ( P < 0.05). However, it could be concluded that all the simulation operations performed by the trainees after the training were better than the first time, when linear regression and quadratic fitting models were performed to analyze continuous trainings of the trainees as a group. Conclusion:The training course carried out by the University of Pittsburgh Medical Center is valid and effective, and it can be used for reference to explore a way for the development of robotic surgery fitting to the real conditions of our country.
ABSTRACT
Objective]We summarized Professor Liu Qiting’s clinical experience of using Yishenjianpihuazhuo Decoction in the treatment of the gynecological disease.[Method] By analyzing the recognition to the causa morbi and mechanism in Liu Qiting ’s treating gynecological disease, this paper summarized the dialectical nursing points of Jianpi Yishen Huazhuo Decoction curing the gynecological disease. [Results] The disease is mostly owing to deficient spleen and kidney, wet heat and toxin accumulated internal y which causes Dai channel uncontrol ed, so the Jianpiyishenhuazhuo Decoction was taken for the treatment of the gynecological disease, with good effect. [Conclusion] Professor Liu Qiting using Jianpi Yishen Huazhuo Decoction in the treatment of gynecological disease has significant implications in the traditional Chinese medicine treatment of gynecological disease.