지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한외과학회 Annals of Surgical Treatment and Research Annals of Surgical Treatment and Research Vol.88 No.6
- 발행연도
- 2015.5
- 수록면
- 306 - 310 (5page)
이용수
초록· 키워드
오류제보하기
Purpose: The purpose of this study was to develop a porcine training model for laparoscopic choledochojejunostomy (CJ) that can act as a bridge between simulation models and actual surgery for novice surgeons. The feasibility of this model was evaluated.
Methods: Laparoscopic CJ using intracorporeal sutures was performed on ten animals by a surgical fellow with no experience in human laparoscopic CJ. A single layer of running sutures was placed in the posterior and anterior layers. Jejunojejunostomy was performed using a linear stapler, and the jejunal opening was closed using absorbable unidirectional sutures (V-Loc 180).
Results: The average operation time was 131.3 ± 36.4 minutes, and the CJ time was 57.5 ± 18.4 minutes. Both the operation time and CJ time showed a steady decrease with an increasing number of cases. The average diameter of the CBD was 6.4 ± 0.8 mm. Of a total of ten animals, eight were sacrificed after the procedure. In two animals, a survival model was evaluated. Both pigs recovered completely and survived for two weeks, after which both animals were sacrificed. None of the animals exhibited any signs of bile leakage or anastomosis site stricture.
Conclusion: The porcine training model introduced in this paper is an adequate model for practicing laparoscopic CJ. Human tissue simulation is excellent.
Methods: Laparoscopic CJ using intracorporeal sutures was performed on ten animals by a surgical fellow with no experience in human laparoscopic CJ. A single layer of running sutures was placed in the posterior and anterior layers. Jejunojejunostomy was performed using a linear stapler, and the jejunal opening was closed using absorbable unidirectional sutures (V-Loc 180).
Results: The average operation time was 131.3 ± 36.4 minutes, and the CJ time was 57.5 ± 18.4 minutes. Both the operation time and CJ time showed a steady decrease with an increasing number of cases. The average diameter of the CBD was 6.4 ± 0.8 mm. Of a total of ten animals, eight were sacrificed after the procedure. In two animals, a survival model was evaluated. Both pigs recovered completely and survived for two weeks, after which both animals were sacrificed. None of the animals exhibited any signs of bile leakage or anastomosis site stricture.
Conclusion: The porcine training model introduced in this paper is an adequate model for practicing laparoscopic CJ. Human tissue simulation is excellent.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES
참고문헌 (14)
참고문헌 신청
[학술지(정기간행물)] - Han HS. / 2004 / Laparoscopic Roux-en-Y choledochojejunostomy for benign biliary disease / Surg Laparosc Endosc Percutan Tech 14 : 80 ~ 84
[학술지(정기간행물)] - Gumbs AA. / 2010 / Laparoscopic radical cholecystectomy and Roux-en-Y choledochojejunostomy for gallbladder cancer / Surg Endosc 24 : 1766 ~ 1768
[학술지(정기간행물)] - Reznick RK. / 2006 / Teaching surgical skills : changes in the wind / N Engl J Med 355 : 2664 ~ 2669
[학술지(정기간행물)] - Hon SS. / 2010 / In vitro porcine training model for colonic endoscopic submucosal dissection : an inexpensive and safe way to acquire a complex endoscopic technique / Surg Endosc 24 : 2439 ~ 2443
[학술지(정기간행물)] - Narumi S. / 2012 / Introduction of a simulation model for choledochoand pancreaticojejunostomy / Hepatogastroenterology 59 : 2333 ~ 2334
[학술지(정기간행물)] - Gumbs AA. / 2010 / Laparoscopic radical cholecystectomy and Roux-en-Y choledochojejunostomy for gallbladder cancer / Surg Endosc 24 : 1766 ~ 1768
[학술지(정기간행물)] - Reznick RK. / 2006 / Teaching surgical skills : changes in the wind / N Engl J Med 355 : 2664 ~ 2669
[학술지(정기간행물)] - Hon SS. / 2010 / In vitro porcine training model for colonic endoscopic submucosal dissection : an inexpensive and safe way to acquire a complex endoscopic technique / Surg Endosc 24 : 2439 ~ 2443
[학술지(정기간행물)] - Narumi S. / 2012 / Introduction of a simulation model for choledochoand pancreaticojejunostomy / Hepatogastroenterology 59 : 2333 ~ 2334
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UCI(KEPA) : I410-ECN-0101-2016-514-001512189