Development of biotissue training models for anastomotic suturing in pancreatic surgery
Background - Anastomotic suturing is the Achilles heel of pancreatic surgery. Especially in laparoscopic and robotically assisted surgery, the pancreatic anastomosis should first be trained outside the operating room. Realistic training models are therefore needed. - Methods - Models of the pancreas...
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| Dokumenttyp: | Article (Journal) |
| Sprache: | Englisch |
| Veröffentlicht: |
31 May 2023
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| In: |
HPB
Year: 2023, Jahrgang: 25, Heft: 6, Pages: 625-635 |
| ISSN: | 1477-2574 |
| DOI: | 10.1016/j.hpb.2023.02.002 |
| Online-Zugang: | Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1016/j.hpb.2023.02.002 Verlag, lizenzpflichtig, Volltext: https://www.sciencedirect.com/science/article/pii/S1365182X23000412 
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| Verfasserangaben: | Emir Karadza, Caelan M. Haney, Eldridge F. Limen, Philip C. Müller, Karl-Friedrich Kowalewski, Marta Sandini, Erica Wennberg, Mona W. Schmidt, Eleni A. Felinska, Franziska Lang, Gabriel Salg, Hannes G. Kenngott, Elena Rangelova, Sven Mieog, Frederique Vissers, Maarten Korrel, Maurice Zwart, Alain Sauvanet, Martin Loos, Arianeb Mehrabi, Martin de Santibanes, Shailesh V. Shrikhande, Mohammad Abu Hilal, Marc G. Besselink, Beat P. Müller-Stich, Thilo Hackert, Felix Nickel |
MARC
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| 245 | 1 | 0 | |a Development of biotissue training models for anastomotic suturing in pancreatic surgery |c Emir Karadza, Caelan M. Haney, Eldridge F. Limen, Philip C. Müller, Karl-Friedrich Kowalewski, Marta Sandini, Erica Wennberg, Mona W. Schmidt, Eleni A. Felinska, Franziska Lang, Gabriel Salg, Hannes G. Kenngott, Elena Rangelova, Sven Mieog, Frederique Vissers, Maarten Korrel, Maurice Zwart, Alain Sauvanet, Martin Loos, Arianeb Mehrabi, Martin de Santibanes, Shailesh V. Shrikhande, Mohammad Abu Hilal, Marc G. Besselink, Beat P. Müller-Stich, Thilo Hackert, Felix Nickel |
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| 520 | |a Background - Anastomotic suturing is the Achilles heel of pancreatic surgery. Especially in laparoscopic and robotically assisted surgery, the pancreatic anastomosis should first be trained outside the operating room. Realistic training models are therefore needed. - Methods - Models of the pancreas, small bowel, stomach, bile duct, and a realistic training torso were developed for training of anastomoses in pancreatic surgery. Pancreas models with soft and hard textures, small and large ducts were incrementally developed and evaluated. Experienced pancreatic surgeons (n = 44) evaluated haptic realism, rigidity, fragility of tissues, and realism of suturing and knot tying. - Results - In the iterative development process the pancreas models showed high haptic realism and highest realism in suturing (4.6 ± 0.7 and 4.9 ± 0.5 on 1-5 Likert scale, soft pancreas). The small bowel model showed highest haptic realism (4.8 ± 0.4) and optimal wall thickness (0.1 ± 0.4 on −2 to +2 Likert scale) and suturing behavior (0.1 ± 0.4). The bile duct models showed optimal wall thickness (0.3 ± 0.8 and 0.4 ± 0.8 on −2 to +2 Likert scale) and optimal tissue fragility (0 ± 0.9 and 0.3 ± 0.7). - Conclusion - The biotissue training models showed high haptic realism and realistic suturing behavior. They are suitable for realistic training of anastomoses in pancreatic surgery which may improve patient outcomes. | ||
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