A Novel Training Model for Laparoscopic Pyeloplasty Using Chicken Crop

Abstract

Laparoscopic suturing skills require effective training and constant practice to perfect the technique. Adequate practice on this chicken model shortens the learning curve, makes the trainee more confident of his or her skills, and improves his operative performance.

Modelos de entrenamiento en cirugía mínimamente invasiva para pieloplastia laparoscópica: revisión de la literatura*

“…Todos estos artículos se han publicado fundamentalmente en revistas de urología, sobresaliendo el Journal of Endourology, revista publicada por la Sociedad de Endourología, la cual tiene un índice H de SCImago Elsevier® de 78 y con el cual se ubica en el cuartil Q1, un factor de impacto de Thompson Reuters® de 2,27 y un índice H5 de 35 en Google Scholar. En esta revista fueron publicados ocho artículos tenidos en cuenta en esta revisión sistemática (32,35,36,37,38,39,40,41,42,43,44,45,46,47,48,49,50,51).…”

“…Para ello se han implementado una serie de métodos (modelos de entrenamiento) que simulan las condiciones y circunstancias clínicas reales, como simuladores de realidad virtual que permiten una familiarización con el espacio-tiempo durante el abordaje quirúrgico, modelos de pelvis inanimadas confeccionadas en materiales poliméricos con texturas y densidades que ofrecen una resistencia similar a los tejidos orgánicos, laboratorios con cadáveres humanos y laboratorios con biomodelos animales que permiten la transferencia de habilidades a la realidad anatómica (29,30,31,32). No obstante, en la literatura se han reportado pocos modelos patológicos costo-efectivos y éticos (artificiales y naturales) de pieloplastia, que permitan el entrenamiento de la pieloplastia laparoscopia para lograr la optimización de una técnica de sutura y anudamiento estandarizado en tiempos que resulten eficientes y de una cirugía reconstructiva segura y eficaz (33,34,35).…”

Simulation-based cutaneous surgical-skill training on a chicken-skin bench model in a medical undergraduate program

“…[32] In the literature on simulation-based training, similar bench models made from chicken parts postmortem have been previously used with different indications, such as legs for teaching how to change needle angles, microneurosurgical and microvascular surgery and bedsidedetection of glass in wounds;[33–35] thigh, wings, esophagus and trachea for microsurgical surgery training;[36–40] the gizzard, posterior trunks, crop and esophagus for laparoscopic training;[41–43] and others. [44-45]…”

Single-knot running suture anastomosis (one-knot pyeloplasty) for laparoscopic dismembered pyeloplasty: training model on a porcine bladder and clinical results

“…Models can be constructed from synthetic materials or animal tissues. In recent years, three different training models have been described for laparoscopic pyeloplasty [8][9][10]. The first of these, described by Ooi and coworkers, created a pyeloplasty model by reconfiguration of chicken skin [8].…”

“…In many countries, due to legal restrictions, it is not possible to practice surgical techniques on live animals and such models may be invaluable to trainees in this setting. In the latest model, described by Ramachandran et al [10], chicken crop and esophagus were used to simulate the renal pelvis and ureter. They evaluated the effectiveness of this model with three urology trainees performing four dismembered Anderson-Hynes pyeloplasties over a 1-month period.…”