How we acquire suturing skills for laparoscopic hepaticojejunostomy
How we acquire suturing skills for laparoscopic hepaticojejunostomy
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如何掌握腹腔镜肝空肠吻合缝合技术
DOI：
10.1111/ases.13083
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发表时间：
2022
影响因子：
1
通讯作者：
Ieiri Satoshi
中科院分区：
文献类型：
--
作者：
Murakami Masakazu;Yamada Koji;Onishi Shun;Sugita Koshiro;Yano Keisuke;Harumatsu Toshio;Yamada Waka;Matsukubo Makoto;Muto Mitsuru;Kaji Tatsuru;Ieiri Satoshi
腹腔镜胆总管囊肿切除和肝管空肠吻合术是一种典型的外科手术，需要腹腔镜手术，包括缝针和打结。腹腔镜针驱动和打结是一项技术要求很高的技能，特别是在小婴儿和儿童中。我们开发了一个腹腔镜肝管空肠吻合模拟训练。该模拟器是根据计算机断层扫描数据为1岁婴儿体型开发的，并根据临床情况的3D扫描仪数据再现了气腹条件。我们机构的受训外科医生（SIT）在进行临床病例之前必须使用模拟器获得腹腔镜肝管空肠吻合术的实践。自2016年引入使用该模拟器的实践以来，我们的机构已经管理了13例胆总管囊肿。6例SIT共完成13例腹腔镜胆总管囊肿切除、肝管空肠吻合术。无吻合口胆漏发生。腹腔镜疾病特异性模拟器实践可有效获得安全的肝管空肠吻合术技能，用于治疗儿童胆总管囊肿，作为脱产培训。
Laparoscopic choledochal cyst excision and hepaticojejunostomy is a representative surgical procedure requiring laparoscopic suturing including needle driving and knot tying. Laparoscopic needle driving and knot tying is a highly technically demanding skill, especially in small infants and children. We developed a laparoscopic hepaticojejunostomy simulator for training. This simulator was developed for a 1‐year‐old infant body size based on computed tomography data and reproduced a pneumoperitoneum condition based on 3D scanner data of the clinical situation. Surgeon in training (SITs) of our institution have to acquire practice of laparoscopic hepaticojejunostomy using a simulator before performing clinical cases. Thirteen cases of choledochal cyst have been managed at our institution since the introduction of practice using this simulator in 2016. Six SITs performed 13 cases of laparoscopic choledochal cyst excision and hepaticojejunostomy. There were no cases of anastomotic bile leakage. Laparoscopic disease‐specific simulator practice is effective for the acquisition of secure hepaticojejunostomy skills for the treatment of choledochal cysts in children as off‐the‐job training.
影响因子：
1.7
作者：
Yamataka, Atsuyuki;Lane, Geoffrey J.;Cazares, Joel
通讯作者：
Cazares, Joel