Simulation and Training for Pediatric Colorectal Surgery and Anorectal Malformation: A Scoping review

Abstract

Purpose: To study the published literature for various models used for simulation and training in the field of pediatric colorectal surgery. Method: A PubMed search was conducted for studies of simulation models in anorectal malformation on 24 March 2024 with the search words ‘simulation pediatric colorectal surgery’ followed by another search on ‘simulation AND anorectal malformation’ that gave 22 and 14 results respectively (total 36). After removing 4 duplicate publications, 12 were found relevant to simulation and training in colorectal diseases. One publication relevant to the topic was added from literature, 13 articles were studied. Results: Of these 5;1;4;3 were on Inanimate models; Animate model; 3D reconstructions; Training. Simulation models are available for Posterior sagittal anorectoplasty. The same inanimate model was used in 5 articles. The animate model was based on a chicken cadaver. 3D models have been made for personalized preoperative assessment and to understand the imaging in anorectal malformation. One 3D model was made by regeneration of organoid epithelium. Training modules were made to evaluate surgical dissection, standardize surgical techniques and improve proficiency. Conclusions:Simulation models are an important tool for teaching the steps of surgery and discussing the nuances of operative complications amongst mentors and peers. With advances in this field, the development of high-fidelity models, more training modules and consensus on surgical techniques will benefit surgical training.