The new laparoscopic proctocolectomy training (in soft cadaver).
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.
Pattana-arun
Jirawat
J
Colorectal Division, Department of Surgery and Surgical Training Center, Department ofAnatomy, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand. jpattanaarun@gmail.com
Udomsawaengsup
Suthep
S
Sahakitrungruang
Chucheep
C
Tansatit
Tanvaa
T
Tantiphlachiva
Kasaya
K
Rojanasakul
Arun
A
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