| Popis: |
Surgical skill consists of theoretical knowledge, upgraded with everyday practice in the operating room. Given the limited amount of time residents can spend in the operating room to observe the procedure first-hand, the acquisition of skills that guarantee the minimum degree of surgical competences represent a demanding educational process. Video-based surgical learning facilitates the transfer of knowledge and skills, improving trainee education and preparation for surgery [1, 2]. This thyroid surgery educational video was recorded in 3D 4K, using VITOM® 3D (KARL STORZ SE & Co. KG, Tuttlingen, Germany) mounted on the VERSACRANE TM Holding System (KARL STORZ SE & Co. KG, Tuttlingen, Germany). The camera was placed close to the surgeon’s eyes and dynamically followed the operation. The video was recorded in high resolution, with close-ups of important surgical anatomy and steps. By default, the video is ready to be displayed in 2d mode. Optionally 3D video can be easily viewed using red–cyan 3D glasses on any electronic device that has 3D video software installed. The surgical technique demonstrated requires only one assistant. An incision is made below the cricoid cartilage. The length of the incision corresponds to the diameter of the largest thyroid nodule and is usually between four and six cm. Skin flaps are not raised using this technique, and the strap muscles are directly approached and retracted laterally (Fig. 1). The surgical field is small, and changes at various stages of the operation. The assistant’s hands are mostly kept at a 180-degree angle (Fig. 2). One hand holds the strap muscles with a Roux retractor, and the other pulls the thyroid out of its bed using stay sutures. Stay sutures are placed through the thyroid parenchyma with an atraumatic needle. In addition to their traction effect, they reduce blood flow to The unprecedented COVID-19 pandemic has placed added strain on the transfer of surgical knowledge and skills [3]. The use of video-based surgical learning, particularly 3D technology, may bridge the gap between theoretical knowledge and practical skills [4, 5]. |
Full Text from ScienceDirect