Surgical cystectomy training using human cadavers embalmed using Thiel's method: a pilot study.

Autor: Jaeger D; Institute of Anatomy and Clinical Morphology, University of Witten/Herdecke, Witten, Germany., Maghaireh O; Department of Urology, Helios Hospital, Bonn, Germany., Shaleva A; Department of Urology, Helios Hospital, Bonn, Germany., Mohammed N; Department of Urology, Lausitzer Seenland Klinikum, Hoyerswerda, Germany.; Department of Urology, Assiut University, Assiut, Egypt., Hinrichs E; Institute of Anatomy and Clinical Morphology, University of Witten/Herdecke, Witten, Germany., Schumann S; Institute of Anatomy, University Medical Center of the Johannes Gutenberg-University Mainz, Mainz, Germany., Reiss G; Institute of Anatomy and Clinical Morphology, University of Witten/Herdecke, Witten, Germany., Feigl G; Institute of Anatomy and Clinical Morphology, University of Witten/Herdecke, Witten, Germany., Abol-Enein H; Department of Urology, Mansoura University, Mansoura, Egypt., Hautmann R; Department of Urology, University of Ulm, Ulm, Germany.
Jazyk: angličtina
Zdroj: BJU international [BJU Int] 2024 Nov; Vol. 134 (5), pp. 834-840. Date of Electronic Publication: 2024 Aug 15.
DOI: 10.1111/bju.16505
Abstrakt: Objectives: To develop the use of Thiel soft embalmed human cadavers (TeC) in open radical cystectomy (ORC) training for the first time, to investigate the effect of cadaveric training on surgical trainees' technical skills/performance and to determine how trainees perceive the use of cadaveric workshops.
Methods: A 3-day hands-on workshop was organised. Ten trainees performed ORC on five TeC, supervised by five experts. Feedback from trainees and mentors was evaluated on a five-point Likert scale. All procedures were completed in a fully equipped surgical environment and complied with the principles outlined in the Declaration of Helsinki.
Results: The workshop participants evaluated the anatomical and manipulation characteristics of the TeC as similar to real-life conditions. The colour and consistency of the urethra and ureter differed little from those in live patients. The trainees stated that the TeC were beneficial for learning the stages of ORC and urinary diversion (UD), while their self-confidence increased. In terms of realism, all steps of radical cystectomy (RC) were rated 4 out of 5 or higher on the Likert scale by both trainees and faculty.
Conclusions: The use of TeC for RC und UD was perceived as favourable by trainees and faculty. The TeC demonstrated a surprising ability to mimic real-life anatomy and represent a new and effective surgical training tool.
(© 2024 BJU International.)
Databáze: MEDLINE
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