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Development of a training model for laparoscopic common bile duct exploration.

Sánchez A, Rodríguez O, Benítez G, Sánchez R, De la Fuente L - JSLS (2010 Jan-Mar)

Bottom Line: We describe an inert, simple, very low-cost, and readily available training model.The proposed model has allowed for the development of the skills necessary for partaking in said procedures, contributing to its development and diminishing surgery time as the trainee advances down the learning curve.Further studies are directed towards objectively determining the impact of the model on skill acquisition.

View Article: PubMed Central - PubMed

Affiliation: Central University of Venezuela, Surgery Department III, University Hospital of Caracas, Caracas, Venezuela. dralexissanchez@hotmail.com

ABSTRACT

Background: Training and experience of the surgical team are fundamental for the safety and success of complex surgical procedures, such as laparoscopic common bile duct exploration.

Methods: We describe an inert, simple, very low-cost, and readily available training model. Created using a "black box" and basic medical and surgical material, it allows training in the fundamental steps necessary for laparoscopic biliary tract surgery, namely, (1) intraoperative cholangiography, (2) transcystic exploration, and (3) laparoscopic choledochotomy, and t-tube insertion.

Results: The proposed model has allowed for the development of the skills necessary for partaking in said procedures, contributing to its development and diminishing surgery time as the trainee advances down the learning curve. Further studies are directed towards objectively determining the impact of the model on skill acquisition.

Conclusion: The described model is simple and readily available allowing for accurate reproduction of the main steps and maneuvers that take place during laparoscopic common bile duct exploration, with the purpose of reducing failure and complications.

Show MeSH
Transcystic duct exploration model.
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Related In: Results  -  Collection

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Figure 3: Transcystic duct exploration model.

Mentions: The use of a transparent catheter allows the surgeon to practice the capture of fictitious calculi in a 2-dimensional plane, as would be done in live surgical exploration guided by fluoroscopy, thus allowing familiarization with the helicoidal baskets or Dormia baskets, instruments that are not usually handled by the surgeon (Figure 3).


Development of a training model for laparoscopic common bile duct exploration.

Sánchez A, Rodríguez O, Benítez G, Sánchez R, De la Fuente L - JSLS (2010 Jan-Mar)

Transcystic duct exploration model.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3021306&req=5

Figure 3: Transcystic duct exploration model.
Mentions: The use of a transparent catheter allows the surgeon to practice the capture of fictitious calculi in a 2-dimensional plane, as would be done in live surgical exploration guided by fluoroscopy, thus allowing familiarization with the helicoidal baskets or Dormia baskets, instruments that are not usually handled by the surgeon (Figure 3).

Bottom Line: We describe an inert, simple, very low-cost, and readily available training model.The proposed model has allowed for the development of the skills necessary for partaking in said procedures, contributing to its development and diminishing surgery time as the trainee advances down the learning curve.Further studies are directed towards objectively determining the impact of the model on skill acquisition.

View Article: PubMed Central - PubMed

Affiliation: Central University of Venezuela, Surgery Department III, University Hospital of Caracas, Caracas, Venezuela. dralexissanchez@hotmail.com

ABSTRACT

Background: Training and experience of the surgical team are fundamental for the safety and success of complex surgical procedures, such as laparoscopic common bile duct exploration.

Methods: We describe an inert, simple, very low-cost, and readily available training model. Created using a "black box" and basic medical and surgical material, it allows training in the fundamental steps necessary for laparoscopic biliary tract surgery, namely, (1) intraoperative cholangiography, (2) transcystic exploration, and (3) laparoscopic choledochotomy, and t-tube insertion.

Results: The proposed model has allowed for the development of the skills necessary for partaking in said procedures, contributing to its development and diminishing surgery time as the trainee advances down the learning curve. Further studies are directed towards objectively determining the impact of the model on skill acquisition.

Conclusion: The described model is simple and readily available allowing for accurate reproduction of the main steps and maneuvers that take place during laparoscopic common bile duct exploration, with the purpose of reducing failure and complications.

Show MeSH