Pediatric Thoracoscopic Training in an Experimental Pleural Empyema Rabbit Model

Abstract

As reflected by our experience and the survey completed by the 30 pediatric surgeons, this empyema model in rabbits is very useful for thoracoscopic training.

Validated simulation models in pediatric surgery: A review

“…Of all studies, fourteen calculated or estimated the costs of construction of the simulation model, ranging from €0.20 to €1800. A detailed description or video material for replication was provided for eleven models [14][15][16][17][18][19][20][21][22][23][24] and only five models were available for purchase [16 , 25-28] .…”

“…Marecos et al establish excellent face validation (95%) for a living rabbit model with pleura empyema (New Zealand rabbit, weighing 3.0-4.0 kg) [18] . Furthermore, they provide a detailed description of preparation of the model in the methods.…”

“…Simulation models that received adequate validation scores with the correct number of participants and experts were the ECMO cannulation model by Botden et al [25] , pleura empyema model by Marecos et al (only face validity) [18] , the lobectomy model and the CDH model by Barsness et al [31 ,37] and two EA with TEF models by , three pyloromyotomy models (by Ballouhey et al [20] , Williams et al [45] and Plymale et al [46] ), an animal model for duodenal atresia by Ordorica-Flores et al [48] , a gastroschisis model by Bacarese-Hamilton et al [52] , a model for ureteral reimplantation by Millán et al [23] , a pyeloplasty model by Rod et al [21] , a simulation model for ARM by Van Ling et al [26] , the neonatal laparoscopic surgery model by Zimmerman et al [24] , the PLS and the EoSim evaluated by Retrosi et al (both only content validity) [27] , the EoSim and the La-paroscopyBoxx evaluated by Bökkerink et al [28] .…”

“…The majority of the evaluated simulation models were inanimate. Models entirely made out of animal specimens were described for only four procedures: pleural empyema [18] , CDH [32 , 33] , MIS procedures [19] and duodenal atresia [47] . For all but one of these procedures (pleural empyema) an inanimate alternative was identified [15-17 , 27 , 28 , 30 , 31 , 48 , 54-57] .…”

An Optimum Animal Model for Neonatal Thoracoscopy

“…Though the rabbit and the piglet models have been reported for neonatal thoracoscopic work by various researchers, there is no conclusive evidence in the literature as to which model is better suited for replicating neonatal thoracoscopy. [7][8][9][10][11][12] In this paper, we present our experience, detailing the search for an optimum animal model for neonatal thoracoscopic surgery.…”