Pancreatic anastomosis training models: Current status and future directions.

Autor: Joshi K; Department of HPB surgery, University Hospitals Birmingham NHS Foundation Trust, University of Birmingham, UK., Espino DM; Department of Mechanical Engineering, University of Birmingham, UK., Shepherd DE; Department of Mechanical Engineering, University of Birmingham, UK., Mahmoodi N; Department of Mechanical Engineering, University of Birmingham, UK., Roberts KJ; Department of HPB surgery, University Hospitals Birmingham NHS Foundation Trust, University of Birmingham, UK., Chatzizacharias N; Department of HPB surgery, University Hospitals Birmingham NHS Foundation Trust, University of Birmingham, UK., Marudanayagam R; Department of HPB surgery, University Hospitals Birmingham NHS Foundation Trust, University of Birmingham, UK., Sutcliffe RP; Department of HPB surgery, University Hospitals Birmingham NHS Foundation Trust, University of Birmingham, UK. Electronic address: robert.sutcliffe@uhb.nhs.uk.
Jazyk: angličtina
Zdroj: Pancreatology : official journal of the International Association of Pancreatology (IAP) ... [et al.] [Pancreatology] 2024 Jun; Vol. 24 (4), pp. 624-629. Date of Electronic Publication: 2024 Apr 01.
DOI: 10.1016/j.pan.2024.03.020
Abstrakt: Postoperative pancreatic fistula (POPF) is a major cause of morbidity and mortality after pancreatoduodenectomy (PD), and previous research has focused on patient-related risk factors and comparisons between anastomotic techniques. However, it is recognized that surgeon experience is an important factor in POPF outcomes, and that there is a significant learning curve for the pancreatic anastomosis. The aim of this study was to review the current literature on training models for the pancreatic anastomosis, and to explore areas for future research. It is concluded that research is needed to understand the mechanical properties of the human pancreas in an effort to develop a synthetic model that closely mimics its mechanical properties. Virtual reality (VR) is an attractive alternative to synthetic models for surgical training, and further work is needed to develop a VR pancreatic anastomosis training module that provides both high fidelity and haptic feedback.
Competing Interests: Declaration of competing interest "The authors report no proprietary or commercial interest in any product mentioned or concept discussed in this article."
(Copyright © 2024 The Authors. Published by Elsevier B.V. All rights reserved.)
Databáze: MEDLINE
Externí odkaz: