A simple, inexpensive simulation exercise in the construction of sutured intra-thoracic oesophageal anastomoses

The ability to perform a hand-sutured intra-thoracic oesophago-gastric anastomosis remains an important skill for surgeons in the developing world to master. In the developed world, this skill is no longer widely practiced due to the prevalent use of surgical staplers in most centres. A simple preparation for teaching aspects of hand-sutured anastomotic techniques is described. The set-up accurately evokes the spatial relationships and restrictions encountered during the course of an intra-thoracic oesophago-gastric anastomosis, and enables trainees to gain immediate feedback regarding their progress towards mastering this important thoracic surgical skill.