Literature DB >> 25565549

Preliminary validation of Thiel embalmed cadavers for laparoscopic radical nephrectomy.

Bhavan P Rai1, Jens-Uwe Stolzenburg, Samuel Healy, Benjie Tang, Patrick Jones, Clare Sweeney, Bhaskar K Somani, Chandra Shekhar Biyani, Ghulam Nabi.   

Abstract

PURPOSE: This study evaluated face, content, construct validity, and reliability of Thiel embalmed cadavers (TEC) as a training tool for transperitoneal laparoscopic nephrectomy (TLN).
MATERIALS AND METHODS: The study participants were prospectively recruited through an advanced laparoscopic renal resection teaching skill course. The participants were grouped into: nonexperts (performed fewer than 50 TLNs) and experts (performed more than 50 TLNs). All the participants performed TLN on TEC, which was video recorded. All participants rated their overall experience of performing TLN on TEC with emphasis on realism (face validity). The participants were asked to rate the appropriateness of TEC for training in TLN (content training). Two experienced laparoscopic surgeons, using validated modified Objective Structured Assessment of Technical Skills, assessed the individual videos. The parameters studied were: Respect for tissues, time and motion, and instrument handling for each step of laparoscopic nephrectomy (LN) (construct validity). Test-retest and interrater reliability was also evaluated.
RESULTS: Twenty-four participants (4 experts and 20 nonexperts) took part in this study. The mean overall rating for the experience of TLN on TEC was 4.5 (Face Validity). The mean score for the appropriateness of TEC as a training tool for TLN was 4.6 (content validity) when evaluated by the four experts. The mean scores for the nonexperts and experts using video recordings for various variables were: Respect for tissue-1.74 (standard deviation [SD]-0.62) vs 3.63 (SD-1.06), (P<0.01), time and motion-1.74 (SD-0.58) vs 4 (SD-0.76), (P<0.01), and instrument handling-1.84 (SD-0.61) vs 4.25 (SD-0.71), (P<0.01) (construct validity). The study also suggested test-retest and interrater reliability.
CONCLUSIONS: This study suggests face, content, and constructs validity and reliability of the TEC as a training tool for TLN.

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Year:  2015        PMID: 25565549     DOI: 10.1089/end.2014.0719

Source DB:  PubMed          Journal:  J Endourol        ISSN: 0892-7790            Impact factor:   2.942


  7 in total

1.  Increasing urology exposure among undergraduates: A U.K. Perspective Authors' response.

Authors:  Patrick Jones; Bhavan Prasad Rai; Hasan A R Qazi; Bhaskar K Somani; Ghulam Nabi
Journal:  Can Urol Assoc J       Date:  2015-12-14       Impact factor: 1.862

2.  Training for laparoscopic pancreaticoduodenectomy.

Authors:  Tamotsu Kuroki; Hikaru Fujioka
Journal:  Surg Today       Date:  2018-05-10       Impact factor: 2.549

Review 3.  A review of simulation training and new 3D computer-generated synthetic organs for robotic surgery education.

Authors:  Daniel M Costello; Isabel Huntington; Grace Burke; Brooke Farrugia; Andrea J O'Connor; Anthony J Costello; Benjamin C Thomas; Philip Dundee; Ahmed Ghazi; Niall Corcoran
Journal:  J Robot Surg       Date:  2021-09-03

4.  Assessment of laparoscopic training for gynecological malignancies using Thiel-embalmed human cadavers.

Authors:  Tomoka Usami; Toru Fujioka; Ayaka Yoshida; Hitomi Miyaue; Toshiaki Yasuoka; Yuka Uchikura; Kazuko Takagi; Yuko Matsubara; Takashi Matsumoto; Keiichi Matsubara; Takashi Sugiyama
Journal:  Mol Clin Oncol       Date:  2018-09-07

5.  The status of ward-based clinical education: the medical students' opinion.

Authors:  Farzana Begum; Farah Jaffar; Doa'a Kerwat; Salma Marouf; Hiral Rana; Yasir Ashraf; Bassit Malik
Journal:  Adv Med Educ Pract       Date:  2016-10-07

6.  A Multispecialty Evaluation of Thiel Cadavers for Surgical Training.

Authors:  Marina Yiasemidou; David Roberts; Daniel Glassman; James Tomlinson; Shekhar Biyani; Danilo Miskovic
Journal:  World J Surg       Date:  2017-05       Impact factor: 3.352

7.  Cadaveric Spinal Surgery Simulation: A Comparison of Cadaver Types.

Authors:  James E Tomlinson; Marina Yiasemidou; Anna L Watts; Dave J H Roberts; Jake Timothy
Journal:  Global Spine J       Date:  2015-09-29
  7 in total

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