Chinelli J, Rodríguez G

Language: Spanish
References: 16
Page: 39-43
PDF size: 1235.57 Kb.

ABSTRACT

Introduction: The hepatic-jejunostomy is a technique that may be indicated in multiple pathologies of the hepatobiliary sphere, whose realization by laparoscopy is a technical challenge. Objective: To describe a model of laparoscopic hepatic-jejunal anastomosis training using ex vivo biological tissues. Material and methods: A model of box trainer training using bovine renal artery and small intestine is described. The technique consists of performing an anastomosis with double continuous 5-0 silk suture. Results: A survey conducted to a group of surgeons with different levels of experience demonstrated the face validity of the proposed model. Discussion: The simulated training allows to improve the skills in laparoscopic surgery, being of great importance in the domain of advanced techniques such as hepatic-jejunal anastomosis. This becomes even more important in low volume surgery centers like ours. Conclusions: The model described is easily applicable and attractive because of its low cost and simplicity.

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