A qualitative assessment of human cadavers embalmed by Thiel's method used in laparoscopic training for renal resection

Authors

  • Bhavan Prasad Rai,

    1. Department of Urology, Medical Research Institute, Ninewells Hospital and Medical School, University of Dundee, Dundee, Scotland, United Kingdom
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  • Benjie Tang,

    1. Cuschieri Skills Centre, Institute for Health Skills and Education, Ninewells Hospital and Medical School, University of Dundee, Dundee, Scotland, United Kingdom
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  • Roos Eisma,

    1. Centre for Anatomy and Human Identification, College of Life Sciences, University of Dundee, Dundee, Scotland, United Kingdom
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  • Roger W. Soames,

    1. Centre for Anatomy and Human Identification, College of Life Sciences, University of Dundee, Dundee, Scotland, United Kingdom
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  • Haitao Wen,

    1. Department of Urology, Ningbo Urology and Nephropathy Hospital, Ningbo University, Ningbo, People's Republic of China
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  • Ghulam Nabi

    Corresponding author
    1. Department of Urology, Medical Research Institute, Ninewells Hospital and Medical School, University of Dundee, Dundee, Scotland, United Kingdom
    • Department of Urology, Ninewells Hospital, Academic Surgical Practice, Medical Research Institute, University of Dundee, Dundee DD1 9SY, Scotland, United Kingdom
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Abstract

Human cadaveric tissue is the fundamental substrate for basic anatomic and surgical skills training. A qualitative assessment of the use of human cadavers preserved by Thiel's method for a British Association of Urological Surgeons—approved, advanced laparoscopic renal resection skills training course is described in the present study. Four trainees and four experienced laparoscopic surgeons participated in the course. All participants completed a five-point Likert scale satisfaction questionnaire after their training sessions. The quality of cadaveric tissue and the training session were assessed with particular emphasis placed on the ease of patient positioning, the ease of trocar placement, the preservation of tissue planes, the ease of renal pedicle dissection, and the quality of tissue preservation. All of the participants highly rated the quality of the cadaveric tissue embalmed by Thiel's method (mean scores for quality on the five-point Likert scale were 4.5 and 4.3 by the trainees and experienced laparoscopic surgeons, respectively). All of the steps of laparoscopic renal resection were rated 4.0 or more on the Likert scale by both trainees and faculty members. The initial response rates for using a human cadaver embalmed by Thiel's method as a training tool for laparoscopic nephrectomy showed encouraging results. The performance of a laparoscopic nephrectomy on a human cadaver embalmed by Thiel's method bears close resemblance to real laparoscopic nephrectomy procedures, and thus demonstrates added advantages to the previously reported models. © 2012 American Association of Anatomists.

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