Kim Eun Young, Hong Tae Ho
Department of Trauma and Surgical Critical Care, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Department of Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Ann Surg Treat Res. 2018 Mar;94(3):142-146. doi: 10.4174/astr.2018.94.3.142. Epub 2018 Feb 28.
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.
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.
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.
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.
我们介绍一种用于腹腔镜胆总管（CBD）修复并插入T管的猪训练模型。该模型可能是外科医生学习肝胆外科手术的可行训练工具。
9名未接触过肝胆外科手术的学员对9头猪进行了完全腹腔镜下胆总管修复并插入T管的操作。与医源性损伤情况类似，用腹腔镜剪刀在胆总管中部将其横断约1厘米长，横断的胆总管通过端端吻合并插入T管进行修复。通过盐水渗漏试验确认吻合的安全性，术后对所有动物实施安乐死。
所有新手外科医生均成功完成手术，无并发症发生。总平均手术时间为85±1.7分钟，进行胆总管修复并插入T管的平均时间为71±3分钟。所有动物一期吻合后均无胆漏。
这种用于腹腔镜胆总管修复并插入T管的猪训练模型，对于在腹腔镜肝胆外科手术方面经验较少的外科医生而言，可能是一种可行且有效的训练工具。
