OP 32. Assessment of a Porcine Model for the Laparoscopic Ileocecal Resection


M. Sánchez-Hurtado, B. Fernández-Tomé, L. Correa-Martín, S. Enciso Sanz, A Matos-Azevedo, F. Pérez-Duarte, I. Días-Güemes Martín-Portugués, J. Fatás Cabeza, F. Sánchez-Margallo

Chair(s): Péter Lukovich, Roland Demaria & József Sándor

14:40 - 14:50h at Pest Room (C)

Categories: Surgical Education and Simulation, Oral Session

Session: Oral Session IV - Surgical Education


Background:
References on laparoscopic training techniques of the ileocecal region of porcine model are almost inexistent. We aimed to contribute with a standardized description of surgical steps for laparoscopic ileocecal resection (LIR) on porcine model in order to apply it to advanced laparoscopic colorectal training. Afterwards, we assessed the proposed model during the last three editions of the Colorectal Laparoscopic Surgery Course at our centre.

Material and Methods:
The animal must be placed in dorsal recumbency with slight left tilt. 4 trocars are introduced, 3 in the left paramedian region and the fourth for the assistant. From here on we proceed with the identification of anatomical landmarks (terminal ileum, cecum, ileocecal fold and ascending colon), followed by cecal resection and ileocolic anastomosis. 53 digestive surgeons attended the course and subjectively assessed different topics about the porcine model on a 1-10 scale at the end of the 2.5 days course.

Result:
The porcine animal model for LIR obtained an average score of 9.26±0.21 points. 78,7% of the participants considered to be prepared to apply this surgical technique on their daily clinical practice on human patients and 75,3% believed to have made considerable skills progress.

Conclusion:
Our training program and proposed porcine animal model were amply accepted and considered useful. Although this animal species presents several anatomical differences regarding humans, it represents a reproducible model and it is also constitutes an economic alternative to other experimental models (canine model).