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KMID : 0371420180940030142
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Annals of Surgical Treatment and Research
2018 Volume.94 No. 3 p.142 ~ p.146
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In vivo porcine training model of laparoscopic common bile duct repair with T-tube insertion under the situation of iatrogenic common bile duct injury
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Kim Eun-Young
Hong Tae-Ho
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Abstract
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Purpose: We introduce a training porcine model for laparoscopic common bile duct (CBD) repair with T-tube insertion. The model could be the feasible training tool for a surgeon learning hepatobiliary surgery.
Methods: Totally laparoscopic CBD repair with T-tube insertion was performed on 9 pigs by 9 trainees naive in hepatobiliary surgery. Similar to the situation of iatrogenic injury, CBD was transected by laparoscopic scissors at the middle part about 1 cm in length, and the transected CBD was repaired through end-to-end anastomosis with T-tube insertion. A secureness of anastomosis was confirmed by saline leakage test and all animals were sacrificed after the surgery.
Results: All novice surgeons completed operations successfully without complications. Total mean operative time was 85 ± 1.7 minutes and the mean time spent performing the CBD repair with T-tube insertion was 71 ± 3 minutes. There was no bile leakage after primary anastomosis in all animals.
Conclusion: This porcine training model for laparoscopic CBD repair with T-tube insertion could be a feasible and effective training tool for surgeons with little experience in laparoscopic hepatobiliary surgery.
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KEYWORD
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Training model, CBD injury, T-tube, Laparoscopy
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