A Cadaver Lab Training Facility to Facilitate Laparoscopic Liver Resection

White, Steve; Satchidanand, Rajesh Y.; French, Jeremy; Tait, Ian Z.; Manas, Derek

doi:10.1097/sle.0000000000000046

Cited by 12 publications

(11 citation statements)

References 32 publications

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“…29,30 Similarly, cadaveric models have been adopted in some settings, but their widespread use in LLR is limited by economic considerations. 31 Coaching from experts, as well as decision-making tools to facilitate appropriate selection of In summary, the learning curve for LLR is comprised of cycles of alternating improvement and regression. The "true" learning curve is far more complex than what is suggested by the "idealized" model.…”

Section: Discussionmentioning

confidence: 99%

“Idealized” vs. “True” learning curves: the case of laparoscopic liver resection

Villani

Bohnen

Torabi

et al. 2016

HPB

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Section: Discussionmentioning

confidence: 99%

“Idealized” vs. “True” learning curves: the case of laparoscopic liver resection

Villani

Bohnen

Torabi

et al. 2016

HPB

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“…White et al created a 2-day intensive course that included basic skills, laparoscopic left lateral sectionectomy, and laparoscopic right hepatectomy on cadavers [40]. Thirty-two people took part in the study and only their input was considered, with ProMIS augmented reality surgical simulator (Haptica, Dublin, Ireland) and an ex vivo ovine liver is another model for learning the technical skills required for LLR [18] and could also be used to assess and measure surgical performance.…”

Section: Liver Surgerymentioning

confidence: 99%

Perspective Chapter: Simulation in Complex Laparoscopic Digestive Surgery

Nanayakkara¹,

Chao²,

Koea³

et al. 2024

Current Concepts and Controversies in Laparoscopic Surgery

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The adoption of laparoscopic techniques for complex digestive surgical procedures, such as hepatectomy and pancreatectomy, has been slow in comparison to other areas of surgery. Laparoscopy presents the surgeon with several challenges including ergonomics, lack of haptic feedback, altered fields of vision, and teamwork meaning that there is a significant learning curve for complex laparoscopic digestive surgery, even for the surgeon experienced in open procedures. Simulation is a useful method to train surgeons in complex procedures and has been suggested as a potential mechanism to decrease the duration of the surgeon learning curve in laparoscopic surgery. This chapter will explore current concepts in simulation for complex laparoscopic digestive surgery. Readers will develop an understanding of the role of simulation in surgical procedural training and evidence-based techniques that may be implemented in their own institution.

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“…Cadavers provide a near-perfect environment for replicating and practicing critical steps with proper instruments and with the help of adequate positioning. 12 Fresh frozen cadavers offer flexible joints and tissues with life-like colour and texture of tissues. The absence of formalin and other chemicals avoids exposure to toxic chemicals.…”

Section: Journal Of Clinical and Experimental Hepatologymentioning

confidence: 99%

Learning Gains of Liver Resection and Transplantation Workshop on Genelyn® Embalmed Human Cadavers: Surgical Gastroenterologists’ Perceptions

Rajasekhar

Kumar

Gnanasekaran

et al. 2021

Journal of Clinical and Experimental Hepatology

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Background: In the light of increased requirement for liver transplantation procedures, it is pertinent to develop bankable human expertise in the areas of liver resection and anastomoses. The alternative simulator sources available for learning surgical skills might not always provide the realistic learning gains as provided by human cadavers, especially in terms of haptic and tactile fidelity. For the first time, we have used GenelynÒ embalmed cadavers (GEC) for training the surgical gastroenterologists in liver resection and transplantation procedures and we wish to document our experience of using them to facilitate the learning of liver resection procedures. Materials and methods: A cross-sectional satisfaction survey fitting to the first level of the Kirkpatrick model for training evaluation was performed among participating surgical gastroenterologists of liver resection and transplantation training workshop using GEC. Visual, haptic and tactile characteristics of the liver and related structures were assessed along with overall satisfaction of the workshop. Results: Eleven surgical gastroenterologists had participated in the workshop conducted using three GEC. Nine participants agreed that the transection of liver parenchyma was similar to reality. However, two opined that the liver parenchyma was a bit harder to resect. Identification of portal pedicle, dissection of the peri-portal area and securing vascular anastomoses also had an acceptable level of similarity to real life. The two parameters that received a unanimous degree of the agreement are mobilization of liver and cannulation of key vessels for perfusion. Conclusion: Participants of the cadaveric surgical skills training workshop opined that the soft-embalmed cadaver using GenelynÒ is an excellent realistic model for practicing liver resection and transplantation surgery.

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A Cadaver Lab Training Facility to Facilitate Laparoscopic Liver Resection

Abstract: A dedicated cadaver LLR facility is not only an excellent method to train individuals for safe introduction of clinical liver resection program but it also has the potential to provide certification within this growing technique.

Cited by 12 publications

References 32 publications

“Idealized” vs. “True” learning curves: the case of laparoscopic liver resection

“Idealized” vs. “True” learning curves: the case of laparoscopic liver resection

Perspective Chapter: Simulation in Complex Laparoscopic Digestive Surgery

Learning Gains of Liver Resection and Transplantation Workshop on Genelyn® Embalmed Human Cadavers: Surgical Gastroenterologists’ Perceptions

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