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Órgano Oficial de el Colegio Mexicano de Urología

2007, Number 2

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Bol Col Mex Urol 2007; 22 (2)

Cirugía urológica reconstructiva laparoscópica en modelo experimental animal inanimado: Desarrollo de habilidades

Ríos MC, Sánchez MLC, Sánchez MC

Language: Spanish
References: 45
Page: 61-69
PDF size: 369.30 Kb.


ABSTRACT

Purpose: To evaluate if the chicken as experimental model is useful to acquire and improve surgical laparoscopic skills. Subjects and methods: Prospective, longitudinal, descriptive, observational and open ended. Urology residents attend to teaching session on laparoscopic training. In chickens esophagus; stomach and heart were leave in place the rest of the viscera were removed. The model was placed in the training box and was dissected at the level of the stomach and esophagus-gastric junction, the anastomosis was realized with simple separated suturing of vicryl 000. Descriptive statistics: U Mann Whitney and Wilcoxon tests. Results: Twelve urology residents attend to laparoscopic training with a media of invested time of hours per day was 180 (60-30) minutes, 176 chickens was operated. The mean time of the complete practice was 79.11 (54.5-106) minutes in the beginning and 23.95 (15.4-44.7) minutes (p = 0.000) at the end of the study. The media of chickens to realize an anastomosis of quality was 4 (2-7) chickens. Conclusions: Vesicouretral anastomosis may be more easily after the practice or this model, capable of being reproduced in any means and with a minimum of investment of money and reducing the learning curve.


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