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An Ex Situ Cadaver Liver Training Model Continuously Pressurized to Simulate Specific Skills Involved in Laparoscopic Liver Resection: the Lap-Liver Trainer.
Champavier, Pierre-Guillaume; Beyer-Berjot, Laura; Arnoux, Pierre-Jean; Py, Max; Casanova, Rémy; Berdah, Stéphane; Birnbaum, David Jérémie; Guilbaud, Théophile.
Afiliación
  • Champavier PG; Aix-Marseille Univ, Univ Gustave Eiffel, LBA, Marseille, France. pierre-guillaume.champavier@univ-amu.fr.
  • Beyer-Berjot L; Aix-Marseille Univ, Univ Gustave Eiffel, LBA, Marseille, France.
  • Arnoux PJ; Aix-Marseille Univ, Center for Surgical Teaching and Research (CERC), Marseille, France.
  • Py M; Aix-Marseille Univ, APHM, Hôpital Nord, Department of Digestive Surgery, Marseille, France.
  • Casanova R; Aix-Marseille Univ, Univ Gustave Eiffel, LBA, Marseille, France.
  • Berdah S; Aix-Marseille Univ, Univ Gustave Eiffel, LBA, Marseille, France.
  • Birnbaum DJ; Aix-Marseille Univ, CNRS, ISM, Marseille, France.
  • Guilbaud T; Aix-Marseille Univ, Univ Gustave Eiffel, LBA, Marseille, France.
J Gastrointest Surg ; 27(3): 521-533, 2023 03.
Article en En | MEDLINE | ID: mdl-36624325
BACKGROUND: Laparoscopic liver resection (LLR) requires delicate skills. The aim of the study was to develop a training model mimicking as much as possible intraoperative bleeding and bile leakage during LLR. We also assessed the educational value of the training model. METHODS: The Lap-liver trainer (LLT) combined a continuously pressurized ex situ cadaver liver and a customized mannequin. The customized mannequin was designed by computer-aided design and manufactured by 3D printing. The left lateral sectionectomy (LLS) was chosen to assess the feasibility of a LLR with the LLT. Eighteen volunteers were recruited to perform LLS and to assess the educational value of the LLT using a Likert scale. RESULTS: The customized mannequin consisted of a close laparoscopic training device based on a simplified reconstruction of the abdominal cavity in laparoscopic conditions. Ex situ cadaver livers were pressurized to simulate blood and bile supplies. Each expert surgeon (n = 3) performed two LLS. They were highly satisfied of simulation conditions (4.80 ± 0.45) and strongly recommended that the LLT should be incorporated into a teaching program (5.00 ± 0.0). Eight novice and 4 intermediate surgeons completed a teaching program and performed a LLS. Overall, the level of satisfaction was high (4.92 ± 0.29), and performing such a procedure under simulation conditions benefited their learning and clinical practice (4.92 ± 0.29). CONCLUSIONS: The LLT could provide better opportunities for trainees to acquire and practice LLR skills in a more realistic environment and to improve their ability to deal with specific events related to LLR.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Laparoscopía / Hepatopatías Límite: Humans Idioma: En Revista: J Gastrointest Surg Asunto de la revista: GASTROENTEROLOGIA Año: 2023 Tipo del documento: Article País de afiliación: Francia Pais de publicación: Estados Unidos
Texto completo
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Imprimir
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Laparoscopía / Hepatopatías Límite: Humans Idioma: En Revista: J Gastrointest Surg Asunto de la revista: GASTROENTEROLOGIA Año: 2023 Tipo del documento: Article País de afiliación: Francia Pais de publicación: Estados Unidos