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Porcine Liver Transplantation Without Veno-Venous Bypass As an Extended Criteria Donor Model
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The Role of Experimental Animal Models in Liver Transplantation Training Programs
Mohamed El-Shobari1,2, Mahmoud M Ramadan1,2,3, Mohamed Tarek Mahdi4
1Department of Clinical Sciences, College of Medicine, University of Sharjah, Sharjah 27272, United Arab Emirates.
Biomedicines
|March 28, 2026
Summary
Experimental animal models are vital for advanced liver transplantation (LTx) training, improving surgical skills and patient safety. This review analyzes rodent, porcine, and primate models for LTx education.
Area of Science:
- Surgical Education
- Transplantation Surgery
- Medical Simulation
Background:
- Liver transplantation (LTx) is a complex surgical procedure, particularly in patients with advanced liver fibrosis and cirrhosis.
- Surgical exposure limitations, ethical concerns, and patient safety necessitate structured, competency-based training programs.
- Experimental animal models provide realistic environments for practicing complex surgical techniques and understanding fibrotic disease challenges.
Purpose of the Study:
- To critically review the pedagogical use of animal models in liver transplantation training.
- To associate specific animal models with training objectives, assessment tools, and simulation technologies.
- To propose a unified training framework for enhanced skill acquisition and patient outcomes.
Main Methods:
- A narrative review of literature published between 1990 and 2024.
- Searches conducted in PubMed/MEDLINE, Scopus, and Google Scholar.
- Focus on rodent, porcine, and non-human primate models for liver transplantation training.
Main Results:
- Identified specific training objectives and assessment instruments for each animal model.
- Highlighted the integration of contemporary simulation technologies in training.
- Contrasted global training norms and identified best practices.
Conclusions:
- Experimental animal models are indispensable for advanced liver transplantation surgical training.
- A hybrid training architecture incorporating diverse models and simulation is proposed.
- Enhanced training protocols can improve surgical skills, ethical standards, and patient outcomes in liver transplantation.

