Laparoscopic training model using fresh human cadavers without the establishment of penumoperitoneum
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Citações na Scopus
9
Tipo de produção
article
Data de publicação
2016
Título da Revista
ISSN da Revista
Título do Volume
Editora
MEDKNOW PUBLICATIONS & MEDIA PVT LTD
Citação
JOURNAL OF MINIMAL ACCESS SURGERY, v.12, n.2, p.190-193, 2016
Resumo
Background: Laparoscopy is a well-established alternative to open surgery for treating many diseases. Although laparoscopy has many advantages, it is also associated with disadvantages, such as slow learning curves and prolonged operation time. Fresh frozen cadavers may be an interesting resource for laparoscopic training, and many institutions have access to cadavers. One of the main obstacles for the use of cadavers as a training model is the difficulty in introducing a sufficient pneumoperitoneum to distend the abdominal wall and provide a proper working space. The purpose of this study was to describe a fresh human cadaver model for laparoscopic training without requiring a pneumoperitoneum. Materials and Methods and Results: A fake abdominal wall device was developed to allow for laparoscopic training without requiring a pneumoperitoneum in cadavers. The device consists of a table-mounted retractor, two rail clamps, two independent frame arms, two adjustable handle and rotating features, and two frames of the abdominal wall. A handycam is fixed over a frame arm, positioned and connected through a USB connection to a television and dissector; scissors and other laparoscopic materials are positioned inside trocars. The laparoscopic procedure is thus simulated. Conclusion: Cadavers offer a very promising and useful model for laparoscopic training. We developed a fake abdominal wall device that solves the limitation of space when performing surgery on cadavers and removes the need to acquire more costly laparoscopic equipment. This model is easily accessible at institutions in developing countries, making it one of the most promising tools for teaching laparoscopy.
Palavras-chave
Cadaver, laparoscopy, teaching
Referências
- American Society for Bariatric Surgery's guidelines for granting privileges in bariatric surgery, 2006, SURG OBES RELAT DIS, V2, P65
- [Anonymous], 1998, SURG ENDOSC, V12, P379
- Giger U, 2008, SURG ENDOSC, V22, P901, DOI 10.1007/s00464-007-9502-7
- Occelli B, 2000, J AM ASSOC GYN LAP, V7, P51, DOI 10.1016/S1074-3804(00)80009-2
- SOPER NJ, 1994, NEW ENGL J MED, V330, P409, DOI 10.1056/NEJM199402103300608
- Pattanshetti VM, 2010, ANZ J SURG, V80, P676, DOI 10.1111/j.1445-2197.2010.05454.x
- MEYERS WC, 1991, NEW ENGL J MED, V324, P1073
- Chapron C, 2002, HUM REPROD, V17, P1334, DOI 10.1093/humrep/17.5.1334
- Driscoll PJ, 2008, AM J SURG, V196, P265, DOI 10.1016/j.amjsurg.2007.09.044
- Birch DW, 2009, CAN J SURG, V52, P321
- Aggarwal R, 2004, BRIT J SURG, V91, P1549, DOI 10.1002/bjs.4816
- Sharma M, 2012, WORLD J SURG, V36, P1732, DOI 10.1007/s00268-012-1564-6
- Miskovic D, 2010, ANN SURG, V252, P943, DOI 10.1097/SLA.0b013e3181f662e5
- Manning RG, 2009, ANN SURG, V249, P794, DOI 10.1097/SLA.0b013e3181a3eaa9
- Crothers IR, 1999, ENDOSCOPY, V31, P365, DOI 10.1055/s-1999-26
- Hart R, 2001, GYNAECOL ENDOSC, V10, P289, DOI 10.1046/j.1365-2508.2001.00466.x
- Lloyd GM, 2011, COLORECTAL DIS, V13, pE303, DOI 10.1111/j.1463-1318.2011.02610.x
- Figert PL, 2001, J AM COLL SURGEONS, V193, P533, DOI 10.1016/S1072-7515(01)01069-9
- Voitk AJ, 1998, CAN J SURG, V41, P446
- Sturm LP, 2008, ANN SURG, V248, P166, DOI 10.1097/SLA.0b013e318176bf24
- Wattiez A, 2002, J AM ASSOC GYN LAP, V9, P339, DOI 10.1016/S1074-3804(05)60414-8
- Derossis AM, 1998, SURG ENDOSC-ULTRAS, V12, P1117, DOI 10.1007/s004649900796
- EAES guidelines, 1994, SURG ENDOSC, V8, P721
- Emken Jeremy L, 2004, JSLS, V8, P195
- Harrell AG, 2005, AM J SURG, V190, P239, DOI 10.1016/j.amjsurg.2005.05.019
- Kenyon TAG, 1997, SURG ENDOSC-ULTRAS, V11, P812, DOI 10.1007/s004649900460
- Liu S Y, 1991, J Laparoendosc Surg, V1, P241, DOI 10.1089/lps.1991.1.241
- Rosser JC, 1997, ARCH SURG-CHICAGO, V132, P200