title: The new laparoscopic proctocolectomy training (in soft cadaver).
abstract: OBJECTIVE
  The purpose of the present study was to evaluate the quality of preservation (tissue plane, named vessels identification, consistency of colon and rectum), quality of performing procedures, difficulties and problems and finally the satisfaction of surgeons in laparoscopic proctocolectomy in soft cadaver.
  
  
  METHODS
  Colorectal Division, Department of Surgery and Surgical Training Center Department of Anatomy, Faculty of Medicine, Chulalongkorn University.
  
  
  METHODS
  Prospective descriptive study
  
  
  METHODS
  10 soft cadavers were scheduled for laparoscopic proctocolectomy. The procedures (colon-rectum mobilization and named vessels identification) were performed by 14 experienced surgeons (8 colorectal surgeons) and assisted by surgical residents. The quality of preservation, successfulness and the satisfaction in performing the procedures were recorded using questionnaires for evaluation.
  
  
  RESULTS
  The preservation was very good in every aspect especially tissue plane between colon, mesocolon and retroperitoneum which was clearly dissected, same asfasciapropria of rectum. The named vessels and the tissue consistency were very well preserved and tolerated to laparoscopic equipment handling. The surgeons were satisfied with the tissue handling and dissections. There were two difficulties, the first was air leakage but simply corrected with purse string suture and the second was unflavored smell which was not concerned. Laparoscopic proctocolectomy could be completely performed in soft cadaver.
  
  
  CONCLUSIONS
  Laparoscopic proctocolectomy could be performed in soft cadavers with great satisfaction. Repeated practice is possible, so the surgeons can gain their experiences outside the operating theatre. This success may shorten the learning curve and may be the new era in cadaver-based training.
authors.affiliation: Colorectal Division, Department of Surgery and Surgical Training Center, Department ofAnatomy, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand. jpattanaarun@gmail.com
authors.forename: Jirawat
authors.initials: J
authors.lastname: Pattana-arun
authors.forename: Suthep
authors.initials: S
authors.lastname: Udomsawaengsup
authors.forename: Chucheep
authors.initials: C
authors.lastname: Sahakitrungruang
authors.forename: Tanvaa
authors.initials: T
authors.lastname: Tansatit
authors.forename: Kasaya
authors.initials: K
authors.lastname: Tantiphlachiva
authors.forename: Arun
authors.initials: A
authors.lastname: Rojanasakul
mesh_terms: D001291:Attitude of Health Personnel; D002102:Cadaver; D002983:Clinical Competence; D003107:Colorectal Surgery / Q000193:education*; D004502:Education, Medical, Continuing / Q000379:methods*; D004503:Education, Medical, Graduate / Q000379:methods*; D006801:Humans; D007396:Internship and Residency; D010535:Laparoscopy; D010549:Personal Satisfaction; D016737:Proctocolectomy, Restorative / Q000193:education*; D011446:Prospective Studies; D013785:Thailand; D014021:Tissue Preservation