Training for laparoscopic Nissen fundoplication with a newly designed model: a replacement for animal tissue models?
Identifieur interne : 000408 ( PascalFrancis/Checkpoint ); précédent : 000407; suivant : 000409Training 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 [Royaume-Uni] ; Richard Goossens [Pays-Bas] ; Jack J. Jakimowicz [Pays-Bas]Source :
- Surgical endoscopy [ 0930-2794 ] ; 2010.
Descripteurs français
- Pascal (Inist)
English descriptors
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Abstract
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. 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. 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. Conclusion 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.
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Jakimowicz</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Surgery, Catharina Hospital Eindhoven, Michelangelolaan 2</s1><s2>5623 ZA Eindhoven</s2><s3>NLD</s3><sZ>4 aut.</sZ></inist:fA14><country>Pays-Bas</country><wicri:noRegion>5623 ZA Eindhoven</wicri:noRegion></affiliation><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Faculty of Industrial Design Engineering, Delft University of Technology</s1><s2>Delft</s2><s3>NLD</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ></inist:fA14><country>Pays-Bas</country><wicri:noRegion>Delft</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">INIST</idno><idno type="inist">11-0108607</idno><date when="2010">2010</date><idno type="stanalyst">PASCAL 11-0108607 INIST</idno><idno type="RBID">Pascal:11-0108607</idno><idno type="wicri:Area/PascalFrancis/Corpus">000517</idno><idno type="wicri:Area/PascalFrancis/Curation">000E54</idno><idno type="wicri:Area/PascalFrancis/Checkpoint">000408</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">Training for laparoscopic Nissen fundoplication with a newly designed model: a replacement for animal tissue models?</title><author><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"><inist:fA14 i1="02"><s1>Faculty of Industrial Design Engineering, Delft University of Technology</s1><s2>Delft</s2><s3>NLD</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ></inist:fA14><country>Pays-Bas</country><wicri:noRegion>Delft</wicri:noRegion></affiliation></author><author><name sortKey="Christie, Lorna" sort="Christie, Lorna" uniqKey="Christie L" first="Lorna" last="Christie">Lorna Christie</name><affiliation wicri:level="1"><inist:fA14 i1="03"><s1>Cuschieri Skills Centre</s1><s2>Dundee, Scotland</s2><s3>GBR</s3><sZ>2 aut.</sZ></inist:fA14><country>Royaume-Uni</country><wicri:noRegion>Cuschieri Skills Centre</wicri:noRegion></affiliation></author><author><name sortKey="Goossens, Richard" sort="Goossens, Richard" uniqKey="Goossens R" first="Richard" last="Goossens">Richard Goossens</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Faculty of Industrial Design Engineering, Delft University of Technology</s1><s2>Delft</s2><s3>NLD</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ></inist:fA14><country>Pays-Bas</country><wicri:noRegion>Delft</wicri:noRegion></affiliation></author><author><name sortKey="Jakimowicz, Jack J" sort="Jakimowicz, Jack J" uniqKey="Jakimowicz J" first="Jack J." last="Jakimowicz">Jack J. Jakimowicz</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Surgery, Catharina Hospital Eindhoven, Michelangelolaan 2</s1><s2>5623 ZA Eindhoven</s2><s3>NLD</s3><sZ>4 aut.</sZ></inist:fA14><country>Pays-Bas</country><wicri:noRegion>5623 ZA Eindhoven</wicri:noRegion></affiliation><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Faculty of Industrial Design Engineering, Delft University of Technology</s1><s2>Delft</s2><s3>NLD</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ></inist:fA14><country>Pays-Bas</country><wicri:noRegion>Delft</wicri:noRegion></affiliation></author></analytic><series><title level="j" type="main">Surgical endoscopy</title><title level="j" type="abbreviated">Surg. endosc.</title><idno type="ISSN">0930-2794</idno><imprint><date when="2010">2010</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">Surgical endoscopy</title><title level="j" type="abbreviated">Surg. endosc.</title><idno type="ISSN">0930-2794</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Animal</term><term>Design</term><term>Endoscopic surgery</term><term>Laparoscopy</term><term>Nissen operation</term><term>Treatment</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Intervention Nissen</term><term>Laparoscopie</term><term>Conception</term><term>Animal</term><term>Chirurgie endoscopique</term><term>Traitement</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">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. 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. 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. Conclusion 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.</div></front></TEI><inist><standard h6="B"><pA><fA01 i1="01" i2="1"><s0>0930-2794</s0></fA01><fA02 i1="01"><s0>SUREEX</s0></fA02><fA03 i2="1"><s0>Surg. endosc.</s0></fA03><fA05><s2>24</s2></fA05><fA06><s2>12</s2></fA06><fA08 i1="01" i2="1" l="ENG"><s1>Training for laparoscopic Nissen fundoplication with a newly designed model: a replacement for animal tissue models?</s1></fA08><fA11 i1="01" i2="1"><s1>BOTDEN (Sanne M. B. 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All rights reserved.</s1></fA44><fA45><s0>18 ref.</s0></fA45><fA47 i1="01" i2="1"><s0>11-0108607</s0></fA47><fA60><s1>P</s1></fA60><fA61><s0>A</s0></fA61><fA64 i1="01" i2="1"><s0>Surgical endoscopy</s0></fA64><fA66 i1="01"><s0>USA</s0></fA66><fC01 i1="01" l="ENG"><s0>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. 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. 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. Conclusion 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.</s0></fC01><fC02 i1="01" i2="X"><s0>002B24E06</s0></fC02><fC03 i1="01" i2="X" l="FRE"><s0>Intervention Nissen</s0><s5>04</s5></fC03><fC03 i1="01" i2="X" l="ENG"><s0>Nissen operation</s0><s5>04</s5></fC03><fC03 i1="01" i2="X" l="SPA"><s0>Operación Nissen</s0><s5>04</s5></fC03><fC03 i1="02" i2="X" l="FRE"><s0>Laparoscopie</s0><s5>07</s5></fC03><fC03 i1="02" i2="X" l="ENG"><s0>Laparoscopy</s0><s5>07</s5></fC03><fC03 i1="02" i2="X" l="SPA"><s0>Laparoscopia</s0><s5>07</s5></fC03><fC03 i1="03" i2="X" l="FRE"><s0>Conception</s0><s5>08</s5></fC03><fC03 i1="03" i2="X" l="ENG"><s0>Design</s0><s5>08</s5></fC03><fC03 i1="03" i2="X" l="SPA"><s0>Diseño</s0><s5>08</s5></fC03><fC03 i1="04" i2="X" l="FRE"><s0>Animal</s0><s5>10</s5></fC03><fC03 i1="04" i2="X" l="ENG"><s0>Animal</s0><s5>10</s5></fC03><fC03 i1="04" i2="X" l="SPA"><s0>Animal</s0><s5>10</s5></fC03><fC03 i1="05" i2="X" l="FRE"><s0>Chirurgie endoscopique</s0><s5>30</s5></fC03><fC03 i1="05" i2="X" l="ENG"><s0>Endoscopic surgery</s0><s5>30</s5></fC03><fC03 i1="05" i2="X" l="SPA"><s0>Cirugía endoscópica</s0><s5>30</s5></fC03><fC03 i1="06" i2="X" l="FRE"><s0>Traitement</s0><s5>31</s5></fC03><fC03 i1="06" i2="X" l="ENG"><s0>Treatment</s0><s5>31</s5></fC03><fC03 i1="06" i2="X" l="SPA"><s0>Tratamiento</s0><s5>31</s5></fC03><fC07 i1="01" i2="X" l="FRE"><s0>Endoscopie</s0><s5>37</s5></fC07><fC07 i1="01" i2="X" l="ENG"><s0>Endoscopy</s0><s5>37</s5></fC07><fC07 i1="01" i2="X" l="SPA"><s0>Endoscopía</s0><s5>37</s5></fC07><fN21><s1>073</s1></fN21><fN44 i1="01"><s1>OTO</s1></fN44><fN82><s1>OTO</s1></fN82></pA></standard></inist><affiliations><list><country><li>Pays-Bas</li><li>Royaume-Uni</li></country></list><tree><country name="Pays-Bas"><noRegion><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></noRegion><name sortKey="Goossens, Richard" sort="Goossens, Richard" uniqKey="Goossens R" first="Richard" last="Goossens">Richard Goossens</name><name sortKey="Jakimowicz, Jack J" sort="Jakimowicz, Jack J" uniqKey="Jakimowicz J" first="Jack J." last="Jakimowicz">Jack J. Jakimowicz</name><name sortKey="Jakimowicz, Jack J" sort="Jakimowicz, Jack J" uniqKey="Jakimowicz J" first="Jack J." last="Jakimowicz">Jack J. Jakimowicz</name></country><country name="Royaume-Uni"><noRegion><name sortKey="Christie, Lorna" sort="Christie, Lorna" uniqKey="Christie L" first="Lorna" last="Christie">Lorna Christie</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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