Animal model for training in laparoscopic pyeloplasty

Autor: Rafael Sanchez-Salas, G. Cruz, A. García-Seguí, Rair Valero, Alexis Sánchez-Ismayel, J. Moanack
Rok vydání: 2012
Předmět:
Zdroj: Actas Urológicas Españolas (English Edition). 36:54-59
ISSN: 2173-5786
DOI: 10.1016/j.acuroe.2011.06.018
Popis: Objective With the coming of the laparoscopy, multiple surgical techniques have been developed that have revolutionized the urological practice. Laparoscopic pyeloplasty has been one of the most developed techniques. However, there are very few training models that permit the surgeon to decrease the learning curve. An animal model of training for the laparoscopic pyeloplasty technique is described. Methods Eight procedures of laparoscopic pyeloplasty were performed using the animal model ( Gallus gallus ) in the laparoscopic practice laboratory of the Urology Service of the University Hospital of Caracas. The preparation times of the model and the operation times of each surgeon were compared. The statistical analysis was made calculating the mean operation time, standard deviation, frequencies and percentages. A significant value was considered as p Results The laparoscopic pyeloplasty procedure was performed successfully in all of the cases by two surgeons. The preparation time ranged from a maximum of 14 min to a minimum of 6 min, this being the same for both surgeons in the fourth case. The operation time ranged from a maximum of 65 min to a minimum of 43 min, observing significant differences when comparing the times individually for each surgeon. Only one case had filtration when comparing the patency of the specimen. Conclusions The animal model of training of laparoscopic pyeloplasty that is described is economical, reproducible, of easy availability and it makes it possible to develop laparoscopic surgical skills and competency necessary for reconstructive surgery and techniques that warrant intracorporeal suture.
Databáze: OpenAIRE