Griffith Sahle P, Cawich Shamir O, Mencia Marlon, Naraynsingh Vijay, Pearce Neil W
Surgery, Queen Elizabeth Hospital, Bridgetown, BRB.
Surgery, University of the West Indies, St. Augustine, TTO.
Cureus. 2019 Sep 28;11(9):e5796. doi: 10.7759/cureus.5796.
Laparoscopic liver resections require advanced laparoscopic skill sets. In the Caribbean, a unique situation exists where centers of excellence for liver resections exist, but surgeons who are trained in advanced laparoscopic surgery are not available throughout the region. Therefore, many patients who are candidates for liver resection in the Caribbean do not have the opportunity to receive laparoscopic operations. We report a case of distance mentoring using readily available, inexpensive equipment to complete a laparoscopic liver resection, mentored by an expert hepatobiliary surgeon. It may be considered, in special cases, as a way to increase the availability of laparoscopic operations. We acknowledge that there are many limitations to the use of this technology and we discuss the pros and cons of distance mentoring for this purpose.
腹腔镜肝切除术需要先进的腹腔镜技术。在加勒比地区，存在一种独特的情况，即有肝脏切除方面的卓越中心，但整个地区缺乏接受过先进腹腔镜手术培训的外科医生。因此，许多在加勒比地区适合进行肝切除的患者没有机会接受腹腔镜手术。我们报告了一例通过使用现成的、廉价设备在一位肝胆外科专家的远程指导下完成腹腔镜肝切除术的病例。在特殊情况下，可将其视为增加腹腔镜手术可及性的一种方式。我们承认使用这项技术存在许多局限性，并讨论了为此目的进行远程指导的利弊。
