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Sheep Liver as a Model for Advanced Laparoscopic Hepatic Resection Training
Rawisak Chanwat1,2, Chairat Bunchaliew2, Nuengruetai Olarnnapalai2
1Department of Surgery, Bumrungrad International Hospital, Bangkok, Thailand.
Asian Journal of Endoscopic Surgery
|August 25, 2025
Summary
The sheep liver is an effective training model for advanced laparoscopic hepatic resection, closely mimicking human anatomy and providing realistic surgical conditions. This study confirms its suitability for surgical education and skill development in liver surgery.
Area of Science:
- Surgical Innovation
- Medical Education
- Comparative Anatomy
Background:
- Laparoscopic hepatic resection demands advanced surgical proficiency.
- The sheep liver presents anatomical similarities to the human liver, making it a potential model for training.
- Assessing the sheep liver's suitability for advanced laparoscopic hepatic surgery training is crucial.
Purpose of the Study:
- To evaluate the sheep liver as an animal model for advanced laparoscopic hepatic resection training.
- To identify the strengths and limitations of using sheep liver models in surgical education.
Main Methods:
- Ten trainees participated in laparoscopic liver surgery on anesthetized sheep.
- Pre-training CT scans were used for anatomical visualization.
- Post-training questionnaires assessed the realism and effectiveness of the sheep model.
Main Results:
- Sheep liver anatomy, particularly the left portal vein, closely mimics human structures.
- 80% of participants found the procedures realistic, with high ratings for organ properties.
- 80% rated the feasibility of advanced laparoscopic liver surgery on sheep models as very high, with 76.7% reporting very high learning success.
Conclusions:
- The sheep liver is a suitable and effective model for advanced laparoscopic hepatic resection training.
- The model demonstrates high realism and feasibility, contributing to successful surgical skill acquisition.
- Further investigation is recommended to explore specific laparoscopic hepatic techniques within this model.

