Narumi Shunji, Toyoki Yoshikazu, Ishido Keinosuke, Kudo Daisuke, Umehara Minoru, Kimura Norihisa, Miura Takuya, Muroya Takahiro, Hakamada Kenichi
Department of Gastrointestinal Surgery, Hirosaki University Graduate School of Medicine, Hirosaki, Japan.
Hepatogastroenterology. 2012 Oct;59(119):2333-4. doi: 10.5754/hge11544.
Pancreaticoduodenectomy includes choledochojejunostomy and pancreaticojejunostomy, which require hand-sewn anastomoses. Educational simulation models for choledochojejunostomy and pancreaticojejunostomy have not been designed. We introduce a simulation model for choledochojejunostomy and pancreaticojejunostomy created with a skin closure pad and a vascular model. A wound closure pad and a vein model (4 mm diameter) were used as a stump model of the pancreas. Pancreaticojejunostomy was simulated with a stump model of the pancreas and a double layer bowel model; these models were stabilized in an end-to-side fashion on a magnetic board using magnetic clips. In addition, vein (6 or 8 mm diameter) and bowel models were used to simulate choledochojejunostomy. Pancreatic and hepatobiliary surgery are relatively rare, particularly in a community hospital although surgical residents wish to practice these procedures. Our simulator enables surgeons and surgical residents to practice choledocho- and pancreaticojejunostomy through open or laparoscopic approaches.
胰十二指肠切除术包括胆总管空肠吻合术和胰肠吻合术，这两种吻合术都需要手工缝合。目前尚未设计出用于胆总管空肠吻合术和胰肠吻合术的教学模拟模型。我们介绍一种用皮肤闭合垫和血管模型创建的胆总管空肠吻合术和胰肠吻合术模拟模型。使用伤口闭合垫和静脉模型（直径4毫米）作为胰腺残端模型。用胰腺残端模型和双层肠管模型模拟胰肠吻合术；这些模型通过磁性夹以端侧方式稳定固定在磁性板上。此外，使用静脉（直径6或8毫米）和肠管模型模拟胆总管空肠吻合术。胰腺和肝胆手术相对少见，尤其是在社区医院，尽管外科住院医师希望练习这些手术操作。我们的模拟器使外科医生和外科住院医师能够通过开放或腹腔镜手术方式练习胆总管空肠吻合术和胰肠吻合术。
