2023 Fiscal Year Final Research Report

LPEC simulator development and global expansion of tele-simulation education

Research Project

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Project/Area Number	21K12754
Research Category	Grant-in-Aid for Scientific Research (C)
Allocation Type	Multi-year Fund
Section	一般
Review Section	Basic Section 90140:Medical technology assessment-related
Research Institution	Kagoshima University
Principal Investigator	MURAKAMI Masakazu 鹿児島大学, 鹿児島大学病院, 特任助教 (40825361)
Co-Investigator(Kenkyū-buntansha)	家入里志鹿児島大学, 医歯学域医学系, 教授 (00363359) 大西峻鹿児島大学, 医歯学域鹿児島大学病院, 助教 (10614638) 倉島庸北海道大学, 医学研究院, 准教授 (40374350) 加治建久留米大学, 医学部, 教授 (50315420) 山田耕嗣鹿児島大学, 医歯学総合研究科, 客員研究員 (80528042) パウデルサシーム北海道大学, 医学研究院, 客員研究員 (80811489)
Project Period (FY)	2021-04-01 – 2024-03-31
Keywords	外科教育 / シミュレーション教育 / テレシミュレーション教育 / Off-the-jobトレーニング / LPEC / 小児内視鏡外科手術 / Global Surgery
Outline of Final Research Achievements	We developed the disease-specific simulator for laparoscopic percutaneous extraperitoneal closure (LPEC) for pediatric inguinal hernia. In March 2023, we conducted the post-conference workshop at the first international conference hosted in Nepal. The workshop included off-the-job training of LPEC using the simulator and live surgery. In November 2023, we visited Nepal again to conduct a follow-up survey after the workshop. The follow-up survey revealed that the indication in boys over 3 years of age at the national Kanti Children's Hospital changed from Potts’ procedure to LPEC and that LPEC is performed on a girl with suspected bilateral inguinal hernia at Patan Hospital, one of the largest general hospitals in Nepal. A total of 60 LPEC procedures were performed, without recurrence or complications. SBT using disease-specific simulator is effective for safe introduction of new pediatric endoscopic surgical procedures in LMICs.
Free Research Field	小児外科
Academic Significance and Societal Importance of the Research Achievements	シミュレータを用いたOff-the-jobトレーニングとテレシミュレーション教育を併用することによって、遠隔地である発展途上国安全において安全に新たな小児内視鏡外科手術の術式を導入することが可能であった。今後、新たな術式についても同様に指導を行うことで、世界的な外科医療の不均衡の是正を進めることができると考えている。