Introduction of a simulation model for choledocho- and pancreaticojejunostomy.
Pancreaticoduodenectomy includes choledochojejunostomy and pancreaticojejunostomy, which require hand-sewn anastomoses. Educational simulation models for choledochojejunostomy and pancreaticojejunostomy have not been designed. We introduce a simulation model for choledochojejunostomy and pancreaticojejunostomy created with a skin closure pad and a vascular model. A wound closure pad and a vein model (4 mm diameter) were used as a stump model of the pancreas. Pancreaticojejunostomy was simulated with a stump model of the pancreas and a double layer bowel model; these models were stabilized in an end-to-side fashion on a magnetic board using magnetic clips. In addition, vein (6 or 8 mm diameter) and bowel models were used to simulate choledochojejunostomy. Pancreatic and hepatobiliary surgery are relatively rare, particularly in a community hospital although surgical residents wish to practice these procedures. Our simulator enables surgeons and surgical residents to practice choledocho- and pancreaticojejunostomy through open or laparoscopic approaches.
Department of Gastrointestinal Surgery, Hirosaki University Graduate School of Medicine, Hirosaki, Japan. shunji@cc.hirosaki-u.ac.jp
Shunji
S
Narumi
Yoshikazu
Y
Toyoki
Keinosuke
K
Ishido
Daisuke
D
Kudo
Minoru
M
Umehara
Norihisa
N
Kimura
Takuya
T
Miura
Takahiro
T
Muroya
Kenichi
K
Hakamada
D002768:Choledochostomy / Q000193:education*; D002983:Clinical Competence; D004503:Education, Medical, Graduate / Q000379:methods*; D006801:Humans; D007396:Internship and Residency; D059032:Learning Curve; D008953:Models, Anatomic; D010193:Pancreaticojejunostomy / Q000193:education*; D013663:Teaching / Q000379:methods*