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Can open cholecystectomy be taught by cadaveric simulation?

Callie Breanne Killoran1, Alan de Costa1

  • 1Department of Surgery, James Cook University College of Medicine and Dentistry, Surgery, Cairns Clinical School, Cairns, Queensland, Australia.

ANZ Journal of Surgery
|May 8, 2024
PubMed
Summary
This summary is machine-generated.

Cadaveric simulation effectively teaches surgical trainees open cholecystectomy (OC), a skill declining due to the prevalence of laparoscopic cholecystectomy (LC). This method is highly regarded by participants as a valuable learning tool for OC.

Keywords:
cadaversopen cholecystectomysimulationsurgical educationteaching

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Area of Science:

  • Surgical Education
  • Medical Simulation
  • Anatomy

Background:

  • Laparoscopic cholecystectomy (LC) is the standard for gallbladder removal, offering better recovery than open cholecystectomy (OC).
  • The shift to LC has reduced surgical trainees' exposure to OC techniques and decision-making.
  • This decline necessitates innovative training methods for open procedures.

Purpose of the Study:

  • To validate the use of cadaveric simulation for teaching and learning open cholecystectomy (OC).
  • To assess the effectiveness of cadaveric models in surgical training for OC.

Main Methods:

  • A survey was administered to 25 participants using a 9-point questionnaire with a 5-point Likert scale.
  • Participants' opinions on cadaveric simulation as a teaching tool for OC were collected.
  • Data analysis focused on participant feedback and correlations between trainee and tutor responses.

Main Results:

  • Respondents overwhelmingly found cadaveric simulation highly translatable for learning OC.
  • No significant correlation was observed between candidate and tutor responses (P=0.05, r=0.51).

Conclusions:

  • Cadaveric simulation is a positive and effective learning tool for open cholecystectomy (OC).
  • This simulation method addresses the training gap created by the dominance of laparoscopic cholecystectomy (LC).