2010, Number 3
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Rev Mex Cir Endoscop 2010; 11 (3)
Minimally invasive biliary and pancreatic dissection in pigs as a training model for advanced laparoscopy
Santana DMD, González RV, Fuentes MF, Cerón RM, Hurtado RMÁ, Bravo AE
Language: Spanish
References: 10
Page: 145-149
PDF size: 444.06 Kb.
ABSTRACT
Background: Since over 50 years ago, surgery has been linked to the abandonment of conventional procedures in order to give place to minimally invasive procedures framed inside laparoscopic cholecystectomy as the fact that defines an explosive growth in this kind of practices. This is also the starting point for technological improvement and the several advanced techniques that have been developed up to date.
Methods: Six pigs were operated by means of performing a biliary and a pancreatic dissection through laparoscopic route. Two surgical teams worked on the operations. The first team carried out the biliary dissection, and the second team performed the pancreatic dissection. Surgery time and complications during the surgery were evaluated as a part of the training.
Results: The two procedures were performed in the pigs without any kind of complications. It was observed that complications decrease when mastering the technique. The same happens with a reduction in the surgical team fatigue, which is reflected in the shortening of the operating time.
Conclusions: The use of animal experimental models provides laparoscopy surgeons an improvement of their surgical skills as well as a decrease in surgery time and complications, with the possibility of getting higher in the learning curve.
REFERENCES
Azcoitia MF, Farías SJA, Experiencia de enseñanza-aprendizaje de cirugía laparoscópica en estudiantes de medicina de pregrado, Cirujano General 2001; 23 (3): 139-144.
Gaviria F, Uribe C, Escobar F, Castellanos R, Aramburo D, Rodríguez M, Correa JJ. Modelo experimental para entrenamiento de nefrectomía laparoscópica, Instituto de Cirugía Mínimamente invasiva (Medlap), Hospital Pablo Tobón Uribe, Medellín Colombia.
García Galisteo E, Del Rosal Samaniego JM, Baena González V, Santos García Baquero A., Aprendizaje de la cirugía laparoscópica en Pelvitrainer y en simuladores virtuales. Actas Urol Esp 2006; 30 (5): 451-456.
Cerrolaza M. Miquilarena R. Rodríguez O. Urbina B. Prado A. Navas H. Realidad virtual para entrenamiento en cirugía laparoscópica. Rev Venez Cir 2006; 59 (2): 72-74.
González R.V, Rico H.M, López L.J, Higuera H.F.R, Montes de Oca D.E. Modelo de entrenamiento laparoscópico para exploración de la vía biliar. Asociación mexicana de cirugía endoscópica 2007; 8 (3): 108-113.
Ballesteros PM, Domínguez BJ, Zarco CJ, Fernández DBM, Martínez MC, Fernández MMC, Vaquero MF. Estudio experimental en el cerdo para la disección y sutura de prótesis aórtica por laparoscopia. Angiología 2007; 59 (6): 427-432.
Usón GJ, Sánchez MFM, Díaz GMPI, Loscertales MAB, Soria GF, Pascual SGS. Modelos experimentales en la cirugía laparoscópica urológica. Actas Urol Esp 2006; 30 (5): 443-450.
Bestard VJE, Raventós BCX, Celma DA, Rosal FM, Esteve M, Morote RJ. El modelo porcino en la cirugía experimental del trasplante renal. Actas Urol Esp 2008; 32 (1): 91-101.
Escalona PA, Bellolio RF, Jarufe CN, Devaud JN, Perez BG, Guajardo M, Ibañez AL. Resección hepática laparoscópica en modelo porcino: Desarrollo de un modelo experimental. Rev Chilena de Cirugía 2006; 58(3): 203-207.
Guzman S, Velasco A, Kompatzki A, Martínez C, Trucco C, Baquedano P, Troncoso P, Dell’Oro A, Coz F, Orvieto M, Figueroa A. Utilidad creciente de la cirugía laparoscópica en urología: Nuestra experiencia inicial. Revista chilena de urología 2002; 67(1): 79-84.