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Surgical cystectomy training using human cadavers embalmed using Thiel's method: a pilot study.

Dariya Jaeger1, Omar Maghaireh2, Andriy Shaleva2

  • 1Institute of Anatomy and Clinical Morphology, University of Witten/Herdecke, Witten, Germany.

BJU International
|August 15, 2024
PubMed
Summary

Thiel soft embalmed human cadavers (TeC) offer a realistic platform for open radical cystectomy (ORC) training. Cadaveric workshops effectively enhance surgical trainees

Keywords:
Thiel embalmingconduitcystectomyhuman cadaverneobladdersoft embalmingsurgical training

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Area of Science:

  • Urology
  • Surgical Education

Background:

  • Open radical cystectomy (ORC) is a complex procedure.
  • Effective training methods are crucial for surgical proficiency.

Purpose of the Study:

  • To evaluate Thiel soft embalmed cadavers (TeC) for ORC training.
  • To assess the impact of cadaveric training on surgical skills.
  • To determine trainee perceptions of cadaveric workshops.

Main Methods:

  • A 3-day hands-on workshop involving ten trainees and five experts.
  • Ten trainees performed ORC on five TeC in a simulated surgical setting.
  • Trainee and mentor feedback collected using a five-point Likert scale.

Main Results:

  • Trainees found TeC anatomical and manipulation characteristics realistic.
  • TeC realism was rated 4/5 or higher for all radical cystectomy steps.
  • Trainees reported increased self-confidence in performing ORC and urinary diversion (UD).

Conclusions:

  • TeC are a valuable tool for radical cystectomy and urinary diversion training.
  • Cadaveric workshops using TeC are perceived favorably by trainees and faculty.
  • TeC effectively mimic real-life anatomy, serving as an innovative surgical training method.