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构建低成本、低逼真度的肾移植模型:关于圣安东尼奥肾移植模型的技术报告

Building a Low-Cost and Low-Fidelity Kidney Transplant Model: A Technical Report on the San Antonio Kidney Transplant Model.

作者信息

Patnaik Ronit, Khan Mustafa T, Yamaguchi Seiji, Fritze Danielle M

机构信息

General Surgery, University of Texas Health Science Center at San Antonio, San Antonio, USA.

Transplant Surgery, University of Texas Health Science Center at San Antonio, San Antonio, USA.

出版信息

Cureus. 2022 Apr 6;14(4):e23883. doi: 10.7759/cureus.23883. eCollection 2022 Apr.

DOI:10.7759/cureus.23883
PMID:35530913
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9075688/
Abstract

One of the most challenging aspects of the kidney transplant operation is performing vascular anastomoses in the confines and depths of the iliac fossa. General surgery residents need to be adequately trained in this skill to maximize their intraoperative experience during their transplant surgery rotation. While several kidney transplant models have been developed, they are limited in their ability to simulate the challenges of performing anastomoses at varying depths and in confined spaces. Furthermore, they may be expensive or require specialized equipment, such as three-dimensional printers, to build. In this technical report, we describe how to build a low-fidelity, low-cost, and portable kidney transplant model capable of simulating vascular anastomoses at varying depths. Our model can be easily replicated for less than 30 USD using materials available in local stores. It uses inexpensive and reusable parts, allowing trainees a high volume of repetitions.

摘要

肾移植手术最具挑战性的方面之一是在髂窝的范围内和深处进行血管吻合。普通外科住院医师需要接受该技能的充分培训,以在移植手术轮转期间最大化其术中体验。虽然已经开发了几种肾移植模型,但它们在模拟在不同深度和受限空间进行吻合的挑战方面能力有限。此外,它们可能成本高昂或需要专门设备(如三维打印机)来构建。在本技术报告中,我们描述了如何构建一个低保真度、低成本且便携的肾移植模型,该模型能够模拟不同深度的血管吻合。我们的模型使用当地商店可得的材料,花费不到30美元即可轻松复制。它使用廉价且可重复使用的部件,使学员能够进行大量重复练习。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/52cc/9075688/f2e87f54ce0c/cureus-0014-00000023883-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/52cc/9075688/50bda2d5d3c7/cureus-0014-00000023883-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/52cc/9075688/c5dc1bdaec34/cureus-0014-00000023883-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/52cc/9075688/5cf2c23ae5af/cureus-0014-00000023883-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/52cc/9075688/e60aaaff2392/cureus-0014-00000023883-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/52cc/9075688/f2e87f54ce0c/cureus-0014-00000023883-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/52cc/9075688/50bda2d5d3c7/cureus-0014-00000023883-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/52cc/9075688/c5dc1bdaec34/cureus-0014-00000023883-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/52cc/9075688/5cf2c23ae5af/cureus-0014-00000023883-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/52cc/9075688/e60aaaff2392/cureus-0014-00000023883-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/52cc/9075688/f2e87f54ce0c/cureus-0014-00000023883-i06.jpg

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本文引用的文献

1
The Creation of a Novel Low-Cost Bench-Top Kidney Transplant Surgery Simulator and a Survey on Its Fidelity and Educational Utility.一种新型低成本台式肾移植手术模拟器的创建及其逼真度和教育效用的调查。
Cureus. 2020 Nov 10;12(11):e11427. doi: 10.7759/cureus.11427.
2
Three Dimensionally Printed Interactive Training Model for Kidney Transplantation.用于肾脏移植的三维打印交互式训练模型
J Surg Educ. 2020 Sep-Oct;77(5):1013-1017. doi: 10.1016/j.jsurg.2020.03.012. Epub 2020 May 11.
3
Changing Education Paradigms: Training Transplant Fellows for High Stake Procedures.
Cureus. 2022 Jun 2;14(6):e25602. doi: 10.7759/cureus.25602. eCollection 2022 Jun.
改变教育范式:为高风险手术培训移植研究员。
J Surg Educ. 2020 Jul-Aug;77(4):830-836. doi: 10.1016/j.jsurg.2020.01.005. Epub 2020 Feb 14.
4
Robotic kidney autotransplantation in a porcine model: a procedure-specific training platform for the simulation of robotic intracorporeal vascular anastomosis.猪模型中的机器人肾脏自体移植:用于模拟机器人体内血管吻合的特定手术训练平台。
J Robot Surg. 2018 Dec;12(4):693-698. doi: 10.1007/s11701-018-0806-5. Epub 2018 Mar 31.
5
The faster the better: anastomosis time influences patient survival after deceased donor kidney transplantation.越快越好:吻合时间影响尸体供肾移植术后患者的生存情况。
Transpl Int. 2015 May;28(5):535-43. doi: 10.1111/tri.12516. Epub 2015 Jan 21.
6
An experimental model for training in renal transplantation surgery with human cadavers preserved using W. Thiel's embalming technique.一种使用W. 蒂尔尸体防腐技术保存的人体尸体进行肾移植手术训练的实验模型。
J Surg Educ. 2015 Mar-Apr;72(2):192-7. doi: 10.1016/j.jsurg.2014.10.002. Epub 2014 Dec 30.
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Surgical skill and complication rates after bariatric surgery.减重手术后的手术技能和并发症发生率。
N Engl J Med. 2013 Oct 10;369(15):1434-42. doi: 10.1056/NEJMsa1300625.
8
Do we need animal hands-on courses for transplantation surgery?我们是否需要动物实践课程来进行移植手术?
Clin Transplant. 2013 Jul-Aug;27 Suppl 25:6-15. doi: 10.1111/ctr.12155.
9
Is dissection humane?解剖是否人道?
J Med Ethics Hist Med. 2011 Apr 6;4:4. Print 2011.
10
The impact of vascular anastomosis time on early kidney transplant outcomes.血管吻合时间对肾移植早期结局的影响。
Transplant Res. 2013 May 15;2(1):8. doi: 10.1186/2047-1440-2-8.