Lidia Coloma1, Ramiro Cabello2, Carmen González1, Cristina Quicios1, Gonzalo Bueno1, Juan Vicente García1, Ana Begoña Arribas3, Francisco Clascá4. 1. Urology Department, Hospital Universitario Fundación Jiménez Díaz/Universidad Autónoma de Madrid, Madrid, Spain. 2. Urology Department, Hospital Universitario Fundación Jiménez Díaz/Universidad Autónoma de Madrid, Madrid, Spain. rcabello@fjd.es. 3. Vascular Surgery Department, Hospital Universitario Fundación Jiménez Díaz/Universidad Autónoma de Madrid, Madrid, Spain. 4. Anatomy, Histology and Neuroscience Department, School of Medicine, Universidad Autónoma de Madrid, Madrid, Spain.
Abstract
PURPOSE OF REVIEW: To evaluate the utility of cadaveric models for kidney transplant (KT) surgery training. RECENT FINDINGS: Medline® and PubMed® databases were searched for English and Spanish language articles published describing different learning models used in KT formation. We evaluated the use of cadavers preserved by Thiel's embalming method (TEM) as KT simulation models. Students were divided in groups of 4 people: four trainees mentored by an expert in KT surgery. Among the trainees were surgical residents and low-experience surgeons. A total of 39 TEM preserved bodies were used, of which 75 viable renal grafts were obtained. In each cadaver, two complete transplantation processes were performed, each consisting of en bloc nephrectomy with the trunk of aorta and inferior vena cava, bench surgery and perfusion with saline of the organ, and KT surgery. As with any surgical procedure, learning KT surgery is a stepwise process that requires years of dedication. The models available for the surgical simulation of KT surgery allow to practice and achieve dexterity in performing the procedure in a safe and reproducible way. Training on TEM-preserved corpses offers a highly realistic model for the surgical simulation of KT surgery.
PURPOSE OF REVIEW: To evaluate the utility of cadaveric models for kidney transplant (KT) surgery training. RECENT FINDINGS: Medline® and PubMed® databases were searched for English and Spanish language articles published describing different learning models used in KT formation. We evaluated the use of cadavers preserved by Thiel's embalming method (TEM) as KT simulation models. Students were divided in groups of 4 people: four trainees mentored by an expert in KT surgery. Among the trainees were surgical residents and low-experience surgeons. A total of 39 TEM preserved bodies were used, of which 75 viable renal grafts were obtained. In each cadaver, two complete transplantation processes were performed, each consisting of en bloc nephrectomy with the trunk of aorta and inferior vena cava, bench surgery and perfusion with saline of the organ, and KT surgery. As with any surgical procedure, learning KT surgery is a stepwise process that requires years of dedication. The models available for the surgical simulation of KT surgery allow to practice and achieve dexterity in performing the procedure in a safe and reproducible way. Training on TEM-preserved corpses offers a highly realistic model for the surgical simulation of KT surgery.
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