Annals of thoracic surgery short reports · 2024
Three-Dimensional Printed Model of the Mediastinum for Cardiothoracic Surgery Resident Education.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Byrd Catherine T, Trope Winston L, Guo H Henry, Gifford Kyle, Bhandari Prasha, Benson Jalen, Liou Douglas Z, Backhus Leah M, Berry Mark F, Shrager Joseph B, Lui Natalie S
Аннотация
BACKGROUND: Mediastinoscopy remains an important component of lung cancer staging. The development of endobronchial ultrasonography has meant residents perform fewer mediastinoscopies. We hypothesized that a 3-dimensional printed model of the mediastinum would be an effective tool for teaching residents the anatomy and techniques for mediastinoscopy.
METHODS: A color model of the mediastinum was 3-dimensionally printed based on segmented computed tomographic images. For 2 years, residents and attendings were asked to provide a skills assessment after every mediastinoscopy. During the second year, all residents received standardized instruction for mediastinoscopy using the 3-dimensional model. Skills assessments were compared between the residents taught with and without the 3-dimensional model.
RESULTS: There were 49 resident and 65 attending surveys completed. Residents taught with the 3-dimensional model were more likely to answer that they could identify normal anatomy "well"/"very well" compared with residents taught without the model (86% vs 52%, P = .015). Residents taught with the 3-dimensional model more frequently answered they were able to perform an uncomplicated mediastinoscopy "well"/ "very well" (59% vs 31%, P = .079) compared with residents taught without the 3-dimensional model, although this was not significant. Attendings were equally likely to answer "well"/"very well" that residents taught with the 3-dimensional model could identify normal anatomy (52% vs 55%, P > .99) and perform an uncomplicated mediastinoscopy (48% vs 43%, P = .79) compared with those taught without the model.
CONCLUSIONS: A 3-dimensional printed model of the mediastinum may be an effective tool for teaching mediastinoscopy.
METHODS: A color model of the mediastinum was 3-dimensionally printed based on segmented computed tomographic images. For 2 years, residents and attendings were asked to provide a skills assessment after every mediastinoscopy. During the second year, all residents received standardized instruction for mediastinoscopy using the 3-dimensional model. Skills assessments were compared between the residents taught with and without the 3-dimensional model.
RESULTS: There were 49 resident and 65 attending surveys completed. Residents taught with the 3-dimensional model were more likely to answer that they could identify normal anatomy "well"/"very well" compared with residents taught without the model (86% vs 52%, P = .015). Residents taught with the 3-dimensional model more frequently answered they were able to perform an uncomplicated mediastinoscopy "well"/ "very well" (59% vs 31%, P = .079) compared with residents taught without the 3-dimensional model, although this was not significant. Attendings were equally likely to answer "well"/"very well" that residents taught with the 3-dimensional model could identify normal anatomy (52% vs 55%, P > .99) and perform an uncomplicated mediastinoscopy (48% vs 43%, P = .79) compared with those taught without the model.
CONCLUSIONS: A 3-dimensional printed model of the mediastinum may be an effective tool for teaching mediastinoscopy.