Tan Hiang Jin, Chiow Adrian Kah Heng, Lee Lip Seng, Liao Suyue, Feng Ying, Thiruchelvam Nita
Hepatopancreatobiliary Service, Department of Surgery, Changi General Hospital, Singapore.
Surgery Academic Clinical Programme, Duke-NUS Medical School, Singapore.
Ann Hepatobiliary Pancreat Surg. 2023 Nov 30;27(4):428-432. doi: 10.14701/ahbps.23-040. Epub 2023 Aug 4.
Minimally invasive pancreatoduodenectomy (MIS PD) is a well reported technique with several advantages over conventional open pancreatoduodenectomy. In comparison to distal pancreatectomy, the adoption of MIS PD has been slow due to the technical challenges involved, particularly in the reconstruction phase of the pancreatojejunostomy (PJ) anastomosis. Hence, we introduce a low-cost model for PJ anastomosis simulation in MIS PD. We fashioned a model of a cut pancreas and limb of jejunum using economical and easily accessible materials comprising felt fabric and the modelling compound, Play-Doh. Surgeons can practice MIS PJ suturing using this model to help mount their individual learning curve for PJ creation. Our video demonstrates that this model can be utilized in simulation practice mimicking steps during live surgery. Our model is a cost-effective and easily replicable tool for surgeons looking to simulate MIS PJ creation in preparation for MIS PD.
微创胰十二指肠切除术（MIS PD）是一种报道充分的技术，与传统开放性胰十二指肠切除术相比具有若干优势。与远端胰腺切除术相比，由于所涉及的技术挑战，尤其是在胰空肠吻合术（PJ）重建阶段，MIS PD的采用进展缓慢。因此，我们引入了一种用于MIS PD中PJ吻合模拟的低成本模型。我们使用包括毛毡织物和造型化合物培乐多在内的经济且易于获取的材料制作了一个胰腺切割模型和空肠段模型。外科医生可以使用该模型练习MIS PJ缝合，以帮助他们建立个人在创建PJ方面的学习曲线。我们的视频表明，该模型可用于模拟实际手术过程中的步骤进行模拟练习。对于希望模拟MIS PJ创建以准备MIS PD的外科医生来说，我们的模型是一种经济高效且易于复制的工具。
