Annals of Hepato-Biliary-Pancreatic Surgery (한국간담췌외과학회지)

The Korean Association of Hepato-Biliary-Pancreatic Surgery (한국간담췌외과학회)
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Low-cost model for pancreatojejunostomy simulation in minimally invasive pancreatoduodenectomy

  • Hiang Jin Tan (Hepatopancreatobiliary Service, Department of Surgery, Changi General Hospital) ;
  • Adrian Kah Heng Chiow (Hepatopancreatobiliary Service, Department of Surgery, Changi General Hospital) ;
  • Lip Seng Lee (Hepatopancreatobiliary Service, Department of Surgery, Changi General Hospital) ;
  • Suyue Liao (Hepatopancreatobiliary Service, Department of Surgery, Changi General Hospital) ;
  • Ying Feng (Hepatopancreatobiliary Service, Department of Surgery, Changi General Hospital) ;
  • Nita Thiruchelvam (Hepatopancreatobiliary Service, Department of Surgery, Changi General Hospital)
  • Received : 2023.03.21
  • Accepted : 2023.05.12
  • Published : 2023.11.30
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Abstract

Minimally invasive pancreatoduodenectomy (MIS PD) is a well reported technique with several advantages over conventional open pancreatoduodenectomy. In comparison to distal pancreatectomy, the adoption of MIS PD has been slow due to the technical challenges involved, particularly in the reconstruction phase of the pancreatojejunostomy (PJ) anastomosis. Hence, we introduce a lowcost model for PJ anastomosis simulation in MIS PD. We fashioned a model of a cut pancreas and limb of jejunum using economical and easily accessible materials comprising felt fabric and the modelling compound, Play-Doh. Surgeons can practice MIS PJ suturing using this model to help mount their individual learning curve for PJ creation. Our video demonstrates that this model can be utilized in simulation practice mimicking steps during live surgery. Our model is a cost-effective and easily replicable tool for surgeons looking to simulate MIS PJ creation in preparation for MIS PD.

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References

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