In vivo porcine training model of laparoscopic common bile duct repair with T-tube insertion under the situation of iatrogenic common bile duct injury
Annals of Surgical Treatment and Research
; : 142-146, 2018.
Article
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| WPRIM
| ID: wpr-713270
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WPRO
ABSTRACT
PURPOSE:
We introduce a training porcine model for laparoscopic common bile duct (CBD) repair with T-tube insertion. The model could be the feasible training tool for a surgeon learning hepatobiliary surgery.METHODS:
Totally laparoscopic CBD repair with T-tube insertion was performed on 9 pigs by 9 trainees naïve in hepatobiliary surgery. Similar to the situation of iatrogenic injury, CBD was transected by laparoscopic scissors at the middle part about 1 cm in length, and the transected CBD was repaired through end-to-end anastomosis with T-tube insertion. A secureness of anastomosis was confirmed by saline leakage test and all animals were sacrificed after the surgery.RESULTS:
All novice surgeons completed operations successfully without complications. Total mean operative time was 85 ± 1.7 minutes and the mean time spent performing the CBD repair with T-tube insertion was 71 ± 3 minutes. There was no bile leakage after primary anastomosis in all animals.CONCLUSION:
This porcine training model for laparoscopic CBD repair with T-tube insertion could be a feasible and effective training tool for surgeons with little experience in laparoscopic hepatobiliary surgery.Palabras clave
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Índice:
WPRIM
Asunto principal:
Porcinos
/
Bilis
/
Laparoscopía
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Conducto Colédoco
/
Tempo Operativo
/
Cirujanos
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Aprendizaje
Límite:
Animals
Idioma:
En
Revista:
Annals of Surgical Treatment and Research
Año:
2018
Tipo del documento:
Article