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Training for laparoscopic Nissen fundoplication with a newly designed model: a replacement for animal tissue models?

Identifieur interne : 000E59 ( PubMed/Checkpoint ); précédent : 000E58; suivant : 000E60

Training for laparoscopic Nissen fundoplication with a newly designed model: a replacement for animal tissue models?

Auteurs : Sanne M B I. Botden [Pays-Bas] ; Lorna Christie ; Richard Goossens ; Jack J. Jakimowicz

Source :

RBID : pubmed:20526629

English descriptors

Abstract

To bridge the early learning curve for laparoscopic Nissen fundoplication from the clinical setting to a safe environment, training models can be used. This study aimed to develop a reusable, low-cost model to be used for training in laparoscopic Nissen fundoplication procedure as an alternative to the use of animal tissue models.

DOI: 10.1007/s00464-010-1104-0
PubMed: 20526629


Affiliations:


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pubmed:20526629

Le document en format XML

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<title xml:lang="en">Training for laparoscopic Nissen fundoplication with a newly designed model: a replacement for animal tissue models?</title>
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<name sortKey="Botden, Sanne M B I" sort="Botden, Sanne M B I" uniqKey="Botden S" first="Sanne M B I" last="Botden">Sanne M B I. Botden</name>
<affiliation wicri:level="1">
<nlm:affiliation>Department of Surgery, Catharina Hospital Eindhoven, Michelangelolaan 2, 5623 ZA, Eindhoven, The Netherlands. Sanne.Botden@cze.nl</nlm:affiliation>
<country xml:lang="fr">Pays-Bas</country>
<wicri:regionArea>Department of Surgery, Catharina Hospital Eindhoven, Michelangelolaan 2, 5623 ZA, Eindhoven</wicri:regionArea>
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<name sortKey="Christie, Lorna" sort="Christie, Lorna" uniqKey="Christie L" first="Lorna" last="Christie">Lorna Christie</name>
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<name sortKey="Goossens, Richard" sort="Goossens, Richard" uniqKey="Goossens R" first="Richard" last="Goossens">Richard Goossens</name>
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<name sortKey="Jakimowicz, Jack J" sort="Jakimowicz, Jack J" uniqKey="Jakimowicz J" first="Jack J" last="Jakimowicz">Jack J. Jakimowicz</name>
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<title xml:lang="en">Training for laparoscopic Nissen fundoplication with a newly designed model: a replacement for animal tissue models?</title>
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<title level="j">Surgical endoscopy</title>
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<div type="abstract" xml:lang="en">To bridge the early learning curve for laparoscopic Nissen fundoplication from the clinical setting to a safe environment, training models can be used. This study aimed to develop a reusable, low-cost model to be used for training in laparoscopic Nissen fundoplication procedure as an alternative to the use of animal tissue models.</div>
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<Title>Surgical endoscopy</Title>
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<ArticleTitle>Training for laparoscopic Nissen fundoplication with a newly designed model: a replacement for animal tissue models?</ArticleTitle>
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<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">To bridge the early learning curve for laparoscopic Nissen fundoplication from the clinical setting to a safe environment, training models can be used. This study aimed to develop a reusable, low-cost model to be used for training in laparoscopic Nissen fundoplication procedure as an alternative to the use of animal tissue models.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">From artificial organs and tissue, an anatomic model of the human upper abdomen was developed for training in performing laparoscopic Nissen fundoplication. The 20 participants and tutors in the European Association for Endoscopic Surgery (EAES) upper gastrointestinal surgery course completed four complementary tasks of laparoscopic Nissen fundoplication with the artificial model, then compared the realism, haptic feedback, and training properties of the model with those of animal tissue models.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">The main difference between the two training models was seen in the properties of the stomach. The wrapping of the stomach in the artificial model was rated significantly lower than that in the animal tissue model (mean, 3.6 vs. 4.2; p = 0.010). The main criticism of the stomach of the artificial model was that it was too rigid for making a proper wrap. The suturing of the stomach wall, however, was regarded as fairly realistic (mean, 3.6). The crura on the artificial model were rated better (mean, 4.3) than those on the animal tissue (mean, 4.0), although the difference was not significant. The participants regarded the model as a good to excellent (mean, 4.3) training tool.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">The newly developed model is regarded as a good tool for training in laparoscopic Nissen fundoplication procedure. It is cheaper, more durable, and more readily available for training and can therefore be used in every training center. The stomach of this model, however, still needs improvement because it is too rigid for making the wrap.</AbstractText>
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<CommentsCorrectionsList>
<CommentsCorrections RefType="Cites">
<RefSource>Lancet. 2000 Jan 15;355(9199):170-4</RefSource>
<PMID Version="1">10675115</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites">
<RefSource>Surg Endosc. 2008 Oct;22(10):2269-76</RefSource>
<PMID Version="1">18398651</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites">
<RefSource>Surg Endosc. 2007 Aug;21(8):1377-82</RefSource>
<PMID Version="1">17285370</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites">
<RefSource>J Gastrointest Surg. 2007 Apr;11(4):487-92</RefSource>
<PMID Version="1">17436134</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites">
<RefSource>Obes Surg. 2007 Jan;17(1):19-27</RefSource>
<PMID Version="1">17355764</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites">
<RefSource>Surg Endosc. 2006 Nov;20(11):1662-70</RefSource>
<PMID Version="1">17024541</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites">
<RefSource>Curr Urol Rep. 2006 Mar;7(2):114-9</RefSource>
<PMID Version="1">16526995</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites">
<RefSource>Arch Surg. 1999 Mar;134(3):278-81; discussion 282</RefSource>
<PMID Version="1">10088568</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites">
<RefSource>Ann Surg. 1996 Aug;224(2):198-203</RefSource>
<PMID Version="1">8757384</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites">
<RefSource>Arch Surg. 2001 Feb;136(2):180-4</RefSource>
<PMID Version="1">11177138</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites">
<RefSource>Stud Health Technol Inform. 2001;81:69-74</RefSource>
<PMID Version="1">11317820</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites">
<RefSource>Ann R Coll Surg Engl. 2003 Jan;85(1):10-3</RefSource>
<PMID Version="1">12585623</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites">
<RefSource>Ann Surg. 2004 Mar;239(3):325-37</RefSource>
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