Chytas Dimitrios, Gyftopoulos Kostis
Basic Sciences Laboratory, Department of Physiotherapy, University of Peloponnese, Sparta, Greece.
European University Cyprus, Nicosia, Cyprus.
ANZ J Surg. 2023 Jul-Aug;93(7-8):1787-1792. doi: 10.1111/ans.18436. Epub 2023 Mar 28.
Thiel-embalmed cadavers (TeCs) have been proposed as an alternative and probably safer method of surgical training, compared to formalin-embalmed cadavers. We aimed to perform a systematic review on the use of TeCs in urology training and their ability to represent real-life anatomy.
PubMed, SCOPUS and Cochrane databases were searched for articles with purpose to explore the use of TeCs in urology training, without date restrictions, according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. From each paper, we evaluated the type of procedure, the number of participants, the type of study, the educational outcomes and their level, according to Kirkpatrick hierarchy.
Of the 225 records initially retrieved, eight articles were eventually included. All studies evaluated participants' perceptions about the procedure. Overall, urology trainees and specialists have positively commented on the educational value of TeCs, which have been also found able to adequately mimic real-life conditions. In all the eight studies, trainees stated that tissue quality of TeCs was adequately realistic and considered TeCs as a useful surgical training tool.
Although the use of TeCs in urology training has so far been limited, their value as a surgical training tool has been positively perceived. These outcomes suggest that TeCs may also enhance urology trainees' surgical skills and may encourage their implementation as a simulation tool in urology training.
与福尔马林防腐尸体相比，已有人提出将蒂尔防腐尸体（TeCs）作为一种替代性且可能更安全的外科手术训练方法。我们旨在对TeCs在泌尿外科训练中的应用及其呈现真实解剖结构的能力进行系统评价。
根据系统评价和Meta分析的首选报告项目（PRISMA）声明，在PubMed、SCOPUS和Cochrane数据库中检索关于探索TeCs在泌尿外科训练中应用的文章，无日期限制。从每篇论文中，我们根据柯克帕特里克层次结构评估了手术类型、参与者数量、研究类型、教育结果及其水平。
在最初检索到的225条记录中，最终纳入了8篇文章。所有研究都评估了参与者对该手术的看法。总体而言，泌尿外科实习生和专家对TeCs的教育价值给予了积极评价，TeCs也被发现能够充分模拟真实情况。在所有8项研究中，实习生表示TeCs的组织质量足够逼真，并认为TeCs是一种有用的外科手术训练工具。
尽管目前TeCs在泌尿外科训练中的应用有限，但它们作为一种外科手术训练工具的价值已得到积极认可。这些结果表明，TeCs也可能提高泌尿外科实习生的手术技能，并可能鼓励将其作为一种模拟工具应用于泌尿外科训练。
