Pancreaticoduodenectomy on soft-embalmed human cadavers according to Dodge – a pilot feasibility report

IF 1.4 Q3 SURGERY

Surgery open science Pub Date : 2025-05-21 DOI:10.1016/j.sopen.2025.05.005

Dariya Jaeger , Eric Hinrichs , Ralf Schoppe , Gebhard Reiss , Georg Feigl , Benno Mann

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引用次数: 0

Abstract

Objective

Pancreaticoduodenectomy (PD) is one of the most complex procedures in abdominal surgery. Nowadays, it is very difficult for novice surgeons to learn the procedure of PD on living patients. New concepts are needed to improve the surgical training of PD, comparable to education in the operating room.

Method

We investigated the feasibility of performing PD on a soft embalmed human cadaver using the Dodge preservation technique, considering all operative steps. Surgery was performed by a certified expert. The settings corresponded to the conditions of the operating room with the original surgical instruments and sutures. Upon completion of the PD, feedback in the form of a comprehensive questionnaire was obtained from the expert by evaluating all relevant operational steps in terms of realism using a 5 point Likert scale.

Results

PD was performed successfully by the expert. The results showed very good feasibility for PD on the used Dodge embalmed cadaver (DeC). The expert confirmed a realistic surgical performance similar to real-life conditions, with good color contrast, clearly visible tissue layers for a layered preparation, and a great result for the reconstruction part of the anastomoses.

Conclusions

New educational methods are needed to improve surgical training of PD. Hands-on training of PD performed on DeC enables a realistic surgical experience and offers a promising educational method for training in pancreatic surgery.

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根据道奇的试点可行性报告，对软防腐尸体进行胰十二指肠切除术

目的胰十二指肠切除术（PD）是腹部外科最复杂的手术之一。目前，新手外科医生学习活体PD的操作是非常困难的。需要新的理念来提高PD的手术培训，堪比手术室的教育。方法综合考虑各操作步骤，探讨采用Dodge保存技术对软防腐尸体进行PD的可行性。手术是由一位有资格的专家进行的。设置符合手术室条件，使用原始手术器械和缝合线。PD完成后，通过使用5分李克特量表评估所有相关操作步骤的真实性，从专家那里获得一份全面问卷的反馈。结果专家成功执行了spd。结果表明，在旧道奇防腐尸体（DeC）上应用PD具有良好的可行性。专家确认了与现实生活条件相似的逼真手术表现，具有良好的颜色对比度，分层准备时清晰可见的组织层，以及吻合器重建部分的良好效果。结论需要新的教育方法来提高PD的手术培训水平。在DeC上进行PD的实践培训可以提供真实的手术经验，并为胰腺手术培训提供了一种有前途的教育方法。

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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