Longitudinal Force Measurement and its Relationship to Technical Competence for Esophageal Anastomosis in a Thoracoscopic Esophageal Atresia/Tracheo-Esophageal Fistula Simulator

Liddy, Hamish J.; Choi, Clara; Luenenschloss, Nicola; Beasley, Spencer W.; Wells, Jonathan M.

doi:10.1016/j.jpedsurg.2023.02.026

Cited by 2 publications

(1 citation statement)

References 9 publications

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“…Recently, EA-TEF surgery training tools have been developed. Barsness et al 13 , 14 developed rapid-prototyped hybrid-type or synthetic simulators for EA-TEF repair, while Wells et al reported serial development of synthetic simulators, removing ethical issues of using animal intestines 17 – 19 . However, more realistic use of materials and a need for education on the entire process of EA-TEF repair, including trocar insertion, have led us to develop this 3D-printing-based thoracoscopic surgical simulator derived from computed tomography (CT) of an actual EA-TEF patient.…”

Section: Introductionmentioning

confidence: 99%

A 3D printed esophageal atresia–tracheoesophageal fistula thorascopy simulator for young surgeons

Youn,

Ko,

Yang

et al. 2024

Sci Rep

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We developed a 3D-printed thoracoscopic surgery simulator for esophageal atresia with tracheoesophageal fistula (EA-TEF) and assessed its effectiveness in educating young pediatric surgeons. Prototype production and modifications were repeated five times before producing the 3-D printed final product based on a patient’s preoperative chest computed tomography. A 24-item survey was used to rate the simulator, adapted from a previous report, with 16 young surgeons with an average of 6.2 years of experience in pediatric surgery for validation. Reusable parts of the thoracic cage were printed to combine with replaceable parts. Each structure was fabricated using diverse printing materials, and subsequently affixed to a frame. In evaluating the simulator, the scores for each factor were 4.33, 4.33, 4.27, 4.31, 4.63, and 4.75 out of 5, respectively, with the highest ratings in value and relevance. The global rating was 3.38 out of 4, with ten stating that it could be used with slight improvements. The most common comment from participants was that the esophageal anastomosis was close to the actual EA-TEF surgery. The 3D-printed thoracoscopic EA-TEF surgery simulator was developed and reflected the actual surgical environment. It could become an effective method of training young pediatric surgeons.

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