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Training in laparoscopic colorectal surgery: a new educational model using specially embalmed human anatomical specimen
Surgical Endoscopy, 02/03/2012

Slieker JC et al. – The new training model for laparoscopic colorectal surgery proved to be a high–quality tool, concentrating on laparoscopic colorectal anatomy in a skills training setting. Authors believe it may be a valuable adjunct to residency training programs based on the principle of “training before the job.”

Methods
  • The new embalming method Anubifix combines long–term high–quality embalming of human bodies with almost normal flexibility and plasticity, and the body can be kept operational as long as conventionally embalmed human specimens.
  • A colorectal training model was created in a specimen in which anatomical landmarks of colorectal anatomy were permanently colored to explore laparoscopic colorectal anatomy in a skills training setting.
  • Airtight closure of the abdominal wall permits the creation of pneumoperitoneum.
  • Residents were asked to test the model by mobilizing the small and large bowels and expose the central vessels and ureters.
  • Afterward they were asked to fill out an eight–item questionnaire about the model.

Results
  • Eleven surgical residents in their first and second year of training participated.
  • Responses to the questionnaire showed that a majority of residents considered the model to be representative of the real situation and superior to animal models or virtual reality simulators, and helped to improve the knowledge of three–dimensional anatomy and laparoscopic skills.

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