Chicken and porcine models for training in laparoscopy and robotics

Ganpule, Arvind; Chhabra, Jaspreet Singh; Desai, Mahesh

doi:10.1097/mou.0000000000000139

Cited by 17 publications

(16 citation statements)

References 37 publications

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“…Since Rassweiler et al[29] highlighted the importance of preclinical training on pelvic trainer and animal studies before advancing to real-time laparoscopic nephrectomy, there has been an increase in number of training models being utilized and reported in literature in regards to urological procedures. The most common models for training are the porcine or chicken models[30]. Initially, authors studied the learning curve for ablative procedures such as total nephrectomy.…”

Section: Animal and Cadaver Model Laboratorymentioning

confidence: 99%

Impact of laparoscopic surgery training laboratory on surgeon's performance

Torricelli¹,

Barbosa²,

Marchini³

2016

WJGS

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Minimally invasive surgery has been replacing the open standard technique in several procedures. Similar or even better postoperative outcomes have been described in laparoscopic or robot-assisted procedures when compared to open surgery. Moreover, minimally invasive surgery has been providing less postoperative pain, shorter hospitalization, and thus a faster return to daily activities. However, the learning curve required to obtain laparoscopic expertise has been a barrier in laparoscopic spreading. Laparoscopic surgery training laboratory has been developed to aid surgeons to overcome the challenging learning curve. It may include tutorials, inanimate model skills training (box models and virtual reality simulators), animal laboratory, and operating room observation. Several different laparoscopic courses are available with specific characteristics and goals. Herein, we aim to describe the activities performed in a dry and animal-model training laboratory and to evaluate the impact of different kinds of laparoscopic surgery training courses on surgeon’s performance. Several tasks are performed in dry and animal laboratory to reproduce a real surgery. A short period of training can improve laparoscopic surgical skills, although most of times it is not enough to confer laparoscopic expertise for participants. Nevertheless, this short period of training is able to increase the laparoscopic practice of surgeons in their communities. Full laparoscopic training in medical residence or fellowship programs is the best way of stimulating laparoscopic dissemination.

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Section: Animal and Cadaver Model Laboratorymentioning

confidence: 99%

Impact of laparoscopic surgery training laboratory on surgeon's performance

Torricelli¹,

Barbosa²,

Marchini³

2016

WJGS

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show abstract

“…A total of 26 studies of adolescent (8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24)(25)(26)(27) and pediatric surgery (28)(29)(30)(31)(32)(33). Huge variation was noticed in the types of validity sought by researchers and suboptimal incorporation of these tools into curricula was noted across the subgroups of urological surgery.…”

Section: Resultsmentioning

confidence: 99%

“…The recent literature has seen insurgence of several of animate simulators comprising porcine, rabbit and chicken models. On account of the natural tissue properties inherent to these animal models, they are proving to be instrumental in acquisition of higher surgical skills such as dissection, suturing and use of energy sources, all of which are required in real-time clinical scenarios (27). In vivo training in the animal model continues to be the most sophisticated training method before resorting to realtime surgery (27,31).…”

Section: The Role Of Simulation In Urological Trainingmentioning

confidence: 99%

Training for MIS in pediatric urology: proposition of a structured training curriculum

et al. 2017

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In Europe there are a lot of training centers for minimally invasive surgery (MIS) but a standardized MIS training program in pediatric urology doesn't exist at the moment. We performed a literature review with the last goals to propose a structured training curriculum in MIS urology for pediatric surgeons. Pediatric urologists have to obtain a valid MIS training curriculum completing the following 4 steps: (I) Theoretical part (theoretical courses, masterclass) to acquire theoretical knowledge; (II) experimental training (simulation on pelvic trainer, virtual reality simulators, animal models, 3-D models) to acquire basic laparoscopic skills; (III) stages in European centers of reference for pediatric MIS urology to learn all surgery aspects; (IV) personal operative experience. At the end of the training period, the trainee would be expected to perform several MIS urological procedures independently, under supervision of an expert tutor. At the end of the training program, each center will analyze the candidate training booklet and release for each applicant a certification after an exam. We think that this MIS training program in pediatric urology may assure an integrated acquisition of basic and advanced laparoscopic skills during residency training in pediatric urology. Each European country should adopt this program so as to secure a standardized technical qualification in MIS urology for all future pediatric urologists.

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“…Various types of laparoscopic surgery simulators have been described [8,13,14]. There are inanimate models such as box trainers or pelvic trainers, virtual reality simulators, cadaveric models, animal tissue models, and animal models [3,4,[15][16][17][18][19].…”

Section: Discussionmentioning

confidence: 99%

“…Additionally, there are ethical, legal, and infectious issues with the potential for cross-contamination of surgical instruments, which make human cadavers a less attractive option [3]. Living animal models for training in laparoscopic surgery have been described and the porcine model is the most widely used [4,13]. In pediatric MAS training, the rabbit model seems to be the preferred model since it simulates the anatomical situation more realistic and it allows to perform more different procedures [4].…”

Section: Discussionmentioning

confidence: 99%

The avian model: a novel and cost-effective animal tissue model for training in neonatal laparoscopic surgery

et al. 2019

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Purpose To design and validate a new and cost-effective animal tissue model for training neonatal minimal access surgery (MAS) skills. Methods A prospective observational study was performed during two Minimally Access Surgery Skill Labs in June 2018 and April 2019. Selected laparoscopic exercises were performed on fresh chicken cadavers using 3 mm MAS instruments (adhesiolysis, cholecystectomy and intestinal anastomosis). Data for validation were collected with a 5-point Likert scale questionnaire based on the Michigan Standard Simulation Experience Scale (MiSSES) and analysis was performed. Results Twenty-seven course participants were recruited (18 females: 9 males). Eighteen delegates (67%) had experience < 50 MAS cases, 6 delegates (22%) 50-100 cases and 3 delegates (11%) > 100 cases. The mean perceived degree of realism was 3.

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Chicken and porcine models for training in laparoscopy and robotics

Cited by 17 publications

References 37 publications

Impact of laparoscopic surgery training laboratory on surgeon's performance

Impact of laparoscopic surgery training laboratory on surgeon's performance

Training for MIS in pediatric urology: proposition of a structured training curriculum

The avian model: a novel and cost-effective animal tissue model for training in neonatal laparoscopic surgery

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