Modelo biológico ex vivo para entrenamiento de anastomosis hepático-yeyunal laparoscópica

Abstract

laparoscópica, siendo de gran importancia en el dominio de técnicas avanzadas como la anastomosis hepático-yeyunal. Esto cobra aún mayor jerar-quía en centros de cirugía de bajo volumen como el nuestro. Conclusiones: El modelo descrito es fácilmente aplicable y resulta atractivo por su bajo costo y sencillez. ABSTRACT Introduction: The hepatic-jejunostomy is a technique that may be indicated in multiple pathologies of the hepatobiliary sphere, whose realization by laparoscopy is a technical challenge. Objective: To describe a model of laparoscopic hepatic-jejunal anastomosis training using ex vivo biological tissues. Material and methods: A model of box trainer training using bovine renal artery and small intestine is described. The technique consists of performing an anastomosis with double continuous 5-0 silk suture. Results: A survey conducted to a group of surgeons with different levels of experience demonstrated the face validity of the proposed model. Discussion: The simulated training allows to improve the skills in laparoscopic surgery, being of great importance in the domain of advanced techniques such as hepatic-jejunal anastomosis. This becomes even more important in low volume surgery centers like ours. Conclusions: The model described is easily applicable and attractive because of its low cost and simplicity. Palabras clave: Hepático-yeyunostomía, anastomosis, simulación.