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Updated: Mar 10, 2026

Heterotopic Renal Autotransplantation in a Porcine Model: A Step-by-Step Protocol
Published on: February 21, 2016
Establishing the Number of Procedures for Optimal Renal Transplantation Training With the Use of a Canine Model
M A Ayala-Garcia1, J M Soel-Encalada2, A Rios Zambudio3
1Department of Research, Hospital Regional de Alta Especialidad del Bajio, Leon, Guanajuato, Mexico; Department of Surgery, Hospital General de SubZona No. 10 del Instituto Mexicano del Seguro Social, Delegación Guanajuato, Mexico.
Background:
The training of surgeons that perform renal transplantations can be diverse. For example, the training profile can vary greatly, involving urologists to general surgeons. The efficacy of training programs directed at transplantation surgeons is influenced by numerous factors, including the specialist profile who is trained, the number of procedures available to trainees in a given teaching hospital, and the duration of training. Here we determine the number of procedures necessary to consolidate and contribute to proficiency in renal transplantation technique.
Methods:
We used a canine model, comparing 32 renal transplantations performed by a urologist and by a general surgeon who had completed their respective training in renal transplantation.
Results:
Our results demonstrated that with 12 surgical procedures, surgeons were able to consolidate their skills in renal transplantation, regardless of their educational background.
Conclusions:
This is an initial effort in the establishment of a system for targeted training of transplantation surgeons directed specifically at correcting deficiencies and consolidating skills acquired during training programs. These efforts should contribute to the improvement of patient safety in public and private health systems.
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Kidney Transplant I: Introduction

