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Laparoscopic Liver Surgery Training Course on Thiel-Embalmed Human Cadavers: Program Evaluation, Trainer's Long-Term
Nikdokht Rashidian1,2, Wouter Willaert2,3, Mariano Cesare Giglio1,4
1Department of Human Structure and Repair, Ghent University Faculty of Medicine, Ghent, Belgium.
World Journal of Surgery
|August 4, 2019
Summary
Training on Thiel cadavers is superior for laparoscopic liver surgery (LLS). This method, combined with interactive sessions and proctorship, enhances surgical skills and addresses implementation obstacles.
Area of Science:
- Surgical Education
- Hepatobiliary Surgery
- Minimally Invasive Surgery
Background:
- Laparoscopic liver surgery (LLS) requires specialized training.
- Thiel-embalmed human bodies offer a realistic training platform.
- Evaluating existing training programs is crucial for improvement.
Purpose of the Study:
- To assess participant feedback on a laparoscopic liver surgery (LLS) course utilizing Thiel-embalmed human bodies.
- To identify key factors influencing the effectiveness of LLS training.
Main Methods:
- Anonymous survey distributed to 119 participants of 10 LLS masterclasses (2010-2017).
- Survey explored participant characteristics, course evaluation, and implementation obstacles.
- Data collected from 64 surgeons (53.8% response rate).
Main Results:
- Training on Thiel cadavers was rated superior (49.2%) compared to other methods.
- 43 surgeons (67.2%) reported increased LLS case volume post-training.
- Identified obstacles included inadequate training, patient referral, financial constraints, and team/time limitations.
Conclusions:
- A structured program with interactive discussion, live operations, and hands-on Thiel cadaver training under proctorship enhances LLS training.
- Addressing team building is vital for future laparoscopic liver surgery courses.