Related Experiment Video
Updated: Jan 8, 2026
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An Ivor Lewis Esophagectomy Designed to Minimize Anastomotic Complications and Optimize Conduit Function
Published on: April 17, 2020
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Construct validation: simulation of thoracoscopic intrathoracic anastomosis
Thomas Fabian1, Owen S Glotzer1, Charles T Bakhos1
1Albany Medical College, and Section of Thoracic Surgery, Albany Medical Center, Albany, NY, USA.
Summary
This study developed a simulation model for thoracoscopic intrathoracic anastomosis training. The model effectively improved resident surgical skills, with 100% success rates achieved after multiple attempts.
Area of Science:
- Surgical Simulation
- Minimally Invasive Surgery
- Medical Education
Background:
- Developing effective training tools is crucial for advancing minimally invasive surgical techniques.
- The thoracoscopic intrathoracic anastomosis is a complex procedure within the Ivor Lewis minimally invasive esophagectomy.
Purpose of the Study:
- To create a realistic simulation model for teaching thoracoscopic intrathoracic anastomosis.
- To assess the model's efficacy in improving surgical resident skills.
Main Methods:
- Utilized porcine tissue in an artificial hemithorax to mimic the operative environment.
- Trained general and thoracic surgery residents on the simulation model.
- Evaluated anastomosis quality using objective and subjective criteria, including leak testing.
Main Results:
- Participant success rates in completing the anastomosis increased with practice, reaching 100%.
- Completion time and anastomosis quality significantly improved across successive attempts.
- Objective assessments demonstrated skill enhancement over the training period.
Conclusions:
- The developed simulation model is effective for training thoracoscopic intrathoracic anastomosis.
- This tool supports the evolving educational needs for minimally invasive esophagectomy procedures.
