Specialized educational program for high-grade liver injury management: a three-dimensional printed model approach.

IF 1.7 4区医学 Q2 SURGERY

Surgery Today Pub Date : 2025-02-01 Epub Date: 2024-08-10 DOI:10.1007/s00595-024-02911-0

David Aranovich, Yifat Fainzilber Goldman, Neev Tchernin, Ricardo Alfici, Mickey Dudkiewicz, Mansoor Khan, Yoram Ohana, Boris Kessel

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引用次数: 0

Abstract

Purpose: The study aims to present a specialized educational program using a 3D printed model for managing Grade IV and V liver injuries. Hepatic packing, a common technique, may not always achieve sufficient hemostasis in these cases, warranting alternative solutions such as mesh liver wrapping. However, mastering this procedure is challenging due to limited teaching resources and the need for repeated practice.

Methods: A computer-based model was created from an abdominal CT scan to produce a real-sized injured liver model using thermoplastic elastomer TPU-95. Trainees received systematic instruction from an instructor, allowing them to perform the procedure under supervision and independently.

Results: Eight surgical residents at Hillel Yaffe Medical Center participated in the program, with the majority successfully completing the procedure under supervision. Furthermore, trainees demonstrated reduced procedure times when performing independently, indicating improved proficiency.

Conclusion: This educational approach offers a simple and repeatable method for continuous training in managing high-grade liver injuries, holding potential for enhanced patient outcomes.

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高级肝损伤管理的专门教育计划：三维打印模型方法。

目的：本研究旨在介绍一种使用 3D 打印模型处理 IV 级和 V 级肝损伤的专业教育计划。肝脏包扎是一种常用技术，但在这些病例中不一定能实现充分止血，因此需要采用网状肝脏包扎等替代解决方案。然而，由于教学资源有限且需要反复练习，掌握这种手术方法具有挑战性：方法：使用热塑性弹性体 TPU-95 通过腹部 CT 扫描创建基于计算机的模型，以制作真实大小的受伤肝脏模型。受训人员接受教师的系统指导，在监督下独立完成手术：结果：希勒尔-亚夫医疗中心的八名外科住院医师参加了该项目，其中大部分人在指导下成功完成了手术。此外，受训者在独立完成手术时缩短了手术时间，表明他们的熟练程度有所提高：这种教育方法为处理高级别肝损伤的持续培训提供了一种简单且可重复的方法，有望提高患者的治疗效果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Surgery Today 医学-外科

CiteScore

4.90

自引率

4.00%

发文量

208

审稿时长

1 months

期刊介绍： Surgery Today is the official journal of the Japan Surgical Society. The main purpose of the journal is to provide a place for the publication of high-quality papers documenting recent advances and new developments in all fields of surgery, both clinical and experimental. The journal welcomes original papers, review articles, and short communications, as well as short technical reports("How to do it"). The "How to do it" section will includes short articles on methods or techniques recommended for practical surgery. Papers submitted to the journal are reviewed by an international editorial board. Field of interest: All fields of surgery.