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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한외과학회 Annals of Surgical Treatment and Research Annals of Surgical Treatment and Research Vol.94 No.3
- 발행연도
- 2018.3
- 수록면
- 142 - 146 (5page)
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초록· 키워드
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Purpose: We introduce a training porcine model for laparoscopic common bile duct (CBD) repair with T-tube insertion. The model could be the feasible training tool for a surgeon learning hepatobiliary surgery.
Methods: Totally laparoscopic CBD repair with T-tube insertion was performed on 9 pigs by 9 trainees naïve in hepatobiliary surgery. Similar to the situation of iatrogenic injury, CBD was transected by laparoscopic scissors at the middle part about 1 cm in length, and the transected CBD was repaired through end-to-end anastomosis with T-tube insertion. A secureness of anastomosis was confirmed by saline leakage test and all animals were sacrificed after the surgery.
Results: All novice surgeons completed operations successfully without complications. Total mean operative time was 85 ± 1.7 minutes and the mean time spent performing the CBD repair with T-tube insertion was 71 ± 3 minutes. There was no bile leakage after primary anastomosis in all animals.
Conclusion: This porcine training model for laparoscopic CBD repair with T-tube insertion could be a feasible and effective training tool for surgeons with little experience in laparoscopic hepatobiliary surgery.
Methods: Totally laparoscopic CBD repair with T-tube insertion was performed on 9 pigs by 9 trainees naïve in hepatobiliary surgery. Similar to the situation of iatrogenic injury, CBD was transected by laparoscopic scissors at the middle part about 1 cm in length, and the transected CBD was repaired through end-to-end anastomosis with T-tube insertion. A secureness of anastomosis was confirmed by saline leakage test and all animals were sacrificed after the surgery.
Results: All novice surgeons completed operations successfully without complications. Total mean operative time was 85 ± 1.7 minutes and the mean time spent performing the CBD repair with T-tube insertion was 71 ± 3 minutes. There was no bile leakage after primary anastomosis in all animals.
Conclusion: This porcine training model for laparoscopic CBD repair with T-tube insertion could be a feasible and effective training tool for surgeons with little experience in laparoscopic hepatobiliary surgery.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES
참고문헌 (15)
참고문헌 신청
[학술지(정기간행물)] - Dagash H / 2003 / When can I be proficient in laparoscopic surgery? A systematic review of the evidence / J Pediatr Surg 38 : 720 ~ 724
[학술지(정기간행물)] - Schoffl H / 2006 / Pulsatile perfused porcine coronary arteries for microvascular training / Ann Plast Surg 57 : 213 ~ 216
[학술지(정기간행물)] - Pettigrew RA / 1987 / Evaluating surgical risk: the importance of technical factors in determining outcome / Br J Surg 74 : 791 ~ 794
[학술지(정기간행물)] - Wu JS / 1998 / Laparoscopic hepatic lobectomy in the porcine model / Surg Endosc 12 : 232 ~ 235
[학술지(정기간행물)] - Hua J / 2015 / Primary closure and rate of bile leak following laparoscopic common bile duct exploration via choledochotomy / Dig Surg 32 : 1 ~ 8
[학술지(정기간행물)] - Schoffl H / 2006 / Pulsatile perfused porcine coronary arteries for microvascular training / Ann Plast Surg 57 : 213 ~ 216
[학술지(정기간행물)] - Pettigrew RA / 1987 / Evaluating surgical risk: the importance of technical factors in determining outcome / Br J Surg 74 : 791 ~ 794
[학술지(정기간행물)] - Wu JS / 1998 / Laparoscopic hepatic lobectomy in the porcine model / Surg Endosc 12 : 232 ~ 235
[학술지(정기간행물)] - Hua J / 2015 / Primary closure and rate of bile leak following laparoscopic common bile duct exploration via choledochotomy / Dig Surg 32 : 1 ~ 8
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UCI(KEPA) : I410-ECN-0101-2018-514-001804893