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    Wyświetlanie 1-3 z 3
    Tytuł:
    Porcine model in the laparoscopic liver surgery training
    Autorzy:
    Komorowski, Andrzej
    Mituś, Jerzy
    Sanchez Hurtado, Miguel Angel
    Sanchez Margallo, Francisco Miguel
    Powiązania:
    https://bibliotekanauki.pl/articles/1394344.pdf
    Data publikacji:
    2015
    Wydawca:
    Index Copernicus International
    Tematy:
    laparoscopic liver resection
    porcine model
    laparoscopic training
    Opis:
    The aim of the study was to evaluate the possibility to use live anesthetized pigs as a model for laparoscopic liver resection. During two days laparoscopy course two trainees were operating on two live animals performing exposure of the liver, Pringle manoeuver, division of liver ligaments, dissecting of the structures inside the hepatoduodenal ligament, dissection of the hepatic veins and left lateral liver sectionectomy. Exposure of the liver and Pringle manoeuver were performed correctly within 50 and 35 minutes. Left lateral sectionectomy has been performed correctly within 2 hours. The full dissection of the hepatoduodenal ligament and exposure of the hepatic veins were judged as insufficient by experienced laparoscopic tutors. There was one injury to the suprahepatic vena cava that was managed laparoscopically. The porcine model can be used as an advanced training for laparoscopic liver surgery.
    Źródło:
    Polish Journal of Surgery; 2015, 87, 8; 425-428
    0032-373X
    2299-2847
    Pojawia się w:
    Polish Journal of Surgery
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Enhancement of Surgical Training Practice with the Spring Tensor Heuristic Model
    Autorzy:
    Chiu, C.
    Chaczko, Z.
    Powiązania:
    https://bibliotekanauki.pl/articles/226752.pdf
    Data publikacji:
    2013
    Wydawca:
    Polska Akademia Nauk. Czytelnia Czasopism PAN
    Tematy:
    laparoscopic surgical training
    spring tensor model
    modelling and simulation systems
    Opis:
    The enhancement of surgical simulation tools is an important research study, to assist in the assessment and feedback of medical training practice. In this research, the Spring Tensor Model (STEM) has been used for laparoscopic end-effector navigation through obstacles and high-risk areas. The modelling of the surgical trainer as part of the laparoscopic simulator seeks to emulate the physical environment as a virtualized representation in the integrated infrastructure. Combining sensor network framework paradigms to a surgical knowledge-based construct demonstrates how STEM can enhance medical practice. The architectural hybridisation of the training framework has enabled the adaptation of STEM modelling techniques for a simulated laparoscopic training methodology. The primary benefit of the architecture is that this integration strategy has resulted in a seamless transition of the heuristic framework to be applied to surgical training.
    Źródło:
    International Journal of Electronics and Telecommunications; 2013, 59, 3; 237-244
    2300-1933
    Pojawia się w:
    International Journal of Electronics and Telecommunications
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Learning curve for laparoscopic Roux-en-Y gastric bypass based on the experience of a newly created bariatric center
    Autorzy:
    Dworak, Jadwiga
    Wysocki, Michał
    Rzepa, Anna
    Pędziwiatr, Michał
    Radkowiak, Dorota
    Budzyński, Andrzej
    Major, Piotr
    Powiązania:
    https://bibliotekanauki.pl/articles/1391721.pdf
    Data publikacji:
    2020
    Wydawca:
    Index Copernicus International
    Tematy:
    bariatric center
    clinical competence
    laparoscopic Roux-en-Y gastric bypass
    learning curve
    perioperative complications
    surgical training
    Opis:
    Introduction: Laparoscopic Roux-en-Y gastric bypass (LRYGB) is one of the most common treatments for morbid obesity. The learning curve for this procedure is 50–75 cases for an independent surgeon, and it is considered the most important factor in decreasing complications and mortality. We present our experience and learning curve with LRYGB for a newly established bariatric center in Poland. Material and methods: A prospectively collected database containing 285 LRYGB procedures performed in the II Department of General Surgery of the Jagiellonian University MC in Krakow between 06.2010 and 03.2019 was retrospectively reviewed. Patients were divided into groups of 30 (G1–G10) in the order of the procedures performed by each surgeon. The study analyzed the course of the operation and patient hospitalization, comparing those groups. Learning curve for the newly created bariatric center was established. Results: Operative time in G1–G3 differed significantly from G4–G10 (P < 0.0001). The stabilization point was the 90th procedure. Perioperative complications were observed in 36 (12.63%) patients. Perioperative complications, intraoperative difficulties and adverse events did not differ importantly among groups. Liberal use of “conversions of the operator” from a surgeon to a senior surgeon provides reasonable safety and prevents complications. Conclusions: The institutional learning process stabilization point for LRYGB in a newly established bariatric center is around the 90th operation. LRYGB can be a safe procedure from the very beginning in newly established bariatric centers. Specific bariatric training with active proctoring by an experienced surgeon in a bariatric centre can improve the laparoscopic gastric bypass outcome during the learning curve.
    Źródło:
    Polish Journal of Surgery; 2020, 92, 4; 23-30
    0032-373X
    2299-2847
    Pojawia się w:
    Polish Journal of Surgery
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
      Wyświetlanie 1-3 z 3

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