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Learning Modern Laryngeal Surgery in a Dissection Laboratory

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Published on: March 18, 2020

Human corpse model for video-assisted thoracoscopic lobectomy simulation and training.

Andrea Dell'Amore¹, Rafael Boscolo-Berto², Marco Schiavon¹

¹Thoracic Surgery Unit, Department of Cardiac, Thoracic and Vascular Sciences, University of Padova, Padova, Italy.

Interactive Cardiovascular and Thoracic Surgery

|September 24, 2020

Summary

This study introduces a novel human cadaver simulation model for video-assisted thoracic surgery (VATS) lobectomy training. The model offers a realistic alternative to animal models for surgical skills acquisition.

Keywords:

Human model Surgical simulation Thoracic surgery Thoracic surgery training Video-assisted thoracic surgery lobectomy

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Area of Science:

Medical Education
Surgical Simulation
Thoracic Surgery

Background:

Minimally invasive surgery simulation is crucial for surgical education.
Existing animal models have limitations for training.
A realistic, accessible simulation model is needed for video-assisted thoracic surgery (VATS) lobectomy.

Purpose of the Study:

To present a novel simulation model for VATS lobectomy using human cadavers.
To evaluate the model's effectiveness as an alternative to animal models.
To assess the feasibility of training VATS lobectomy on the developed cadaver model.

Main Methods:

Developed a VATS lobectomy simulation model using human cadavers.
Utilized selective cardiac cannulation to fill pulmonary vessels with gel for enhanced visibility and bleeding simulation.
Conducted hands-on sessions where surgeons performed lobectomies, with tutors evaluating procedure completion and complications.

Main Results:

Surgeons completed all procedural steps; prior experience influenced operative time and tutor support.
Median operative time was 83 minutes.
The simulation model provided realistic training conditions, with participants rating the experience positively.

Conclusions:

The human cadaver model effectively simulates VATS lobectomy.
This model serves as a viable and realistic alternative to animal models for surgical training.
The simulation validates key features necessary for surgical simulator training.