Usefulness of structured‐cadaveric training for trans‐anal pelvic exenteration
Purpose Structured training using cadaveric simulation is useful for trans‐anal surgery; however, no studies have examined the effectiveness of cadaveric training for advanced trans‐anal surgery including pelvic exenteration (PE). Methods Twelve colorectal surgeons attended a total of 10 cadaveric s...
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| Veröffentlicht in: | Asian journal of endoscopic surgery 2022-04, Vol.15 (2), p.299-305 |
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| container_title | Asian journal of endoscopic surgery |
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| creator | Tominaga, Tetsuro Nonaka, Takashi Fukuda, Akiko Moriyama, Masaaki Oyama, Shosaburo Ishii, Mitsutoshi Takamura, Keiko Tsurumoto, Toshiyuki Sawai, Terumitsu Nagayasu, Takeshi |
| description | Purpose
Structured training using cadaveric simulation is useful for trans‐anal surgery; however, no studies have examined the effectiveness of cadaveric training for advanced trans‐anal surgery including pelvic exenteration (PE).
Methods
Twelve colorectal surgeons attended a total of 10 cadaveric simulation training courses between 2016 and 2021 and completed a questionnaire at the end of the program. We divided 14 consecutive patients who underwent trans‐anal PE between 2015 and 2021 into two groups: pre‐training group and post‐training group, and compared the clinico‐pathological features between the groups.
Results
The median length of clinical experience of the surgeons was 12 years. There was high score agreement among the surgeons that the course was useful for recognition of anatomical and layer structure, training for trans‐anal total mesorectal excision and trans‐anal PE, and reducing complications specific to the trans‐anal approach. Compared with the pre‐training group, patients in the post‐training group had a higher rate of two‐team surgery (77.8% vs 0%, P = .021), and shorter time to specimen removal (273 vs 423 min, P = .045).
Conclusions
Structured‐cadaveric training has potential use as a technical step‐up in advanced trans‐anal surgery that might contribute to better short‐term outcomes in the clinical setting. |
| doi_str_mv | 10.1111/ases.12998 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2580025044</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2646469871</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4238-3c674e22f9e41465bdc152055465d2a5f3039392b44b4660f04e6b4d0e3a349e3</originalsourceid><addsrcrecordid>eNp90MtKAzEUBuAgiq3VjQ8gA25EmJrrXJal1AsUBGvXIZM5I1OmmZrMVLvzEXxGn8TUqV24MFnkhHz8hB-hc4KHxK8b5cANCU3T5AD1SSySUKQEH-5nTHvoxLkFxlFMODtGPcYjErOU9dHT3EHRVgacC-oicI1tddNayL8-PrXK1RpsqYPGqtKU5iUoaru9GOeflVFVsIJq7QG8g2nAqqaszSk6KlTl4Gx3DtD8dvI8vg-nj3cP49E01JyyJGQ6ijlQWqTACY9ElmsiKBbCzzlVomDY_zClGecZjyJcYA5RxnMMTDGeAhugqy53ZevXFlwjl6XTUFXKQN06SUWCMRWYc08v_9BF3Vr_f68i7neaxMSr605pWztnoZArWy6V3UiC5bZpuW1a_jTt8cUuss2WkO_pb7UekA68lRVs_omSo9lk1oV-A5X5iik</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2646469871</pqid></control><display><type>article</type><title>Usefulness of structured‐cadaveric training for trans‐anal pelvic exenteration</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><creator>Tominaga, Tetsuro ; Nonaka, Takashi ; Fukuda, Akiko ; Moriyama, Masaaki ; Oyama, Shosaburo ; Ishii, Mitsutoshi ; Takamura, Keiko ; Tsurumoto, Toshiyuki ; Sawai, Terumitsu ; Nagayasu, Takeshi</creator><creatorcontrib>Tominaga, Tetsuro ; Nonaka, Takashi ; Fukuda, Akiko ; Moriyama, Masaaki ; Oyama, Shosaburo ; Ishii, Mitsutoshi ; Takamura, Keiko ; Tsurumoto, Toshiyuki ; Sawai, Terumitsu ; Nagayasu, Takeshi</creatorcontrib><description>Purpose
Structured training using cadaveric simulation is useful for trans‐anal surgery; however, no studies have examined the effectiveness of cadaveric training for advanced trans‐anal surgery including pelvic exenteration (PE).
Methods
Twelve colorectal surgeons attended a total of 10 cadaveric simulation training courses between 2016 and 2021 and completed a questionnaire at the end of the program. We divided 14 consecutive patients who underwent trans‐anal PE between 2015 and 2021 into two groups: pre‐training group and post‐training group, and compared the clinico‐pathological features between the groups.
Results
The median length of clinical experience of the surgeons was 12 years. There was high score agreement among the surgeons that the course was useful for recognition of anatomical and layer structure, training for trans‐anal total mesorectal excision and trans‐anal PE, and reducing complications specific to the trans‐anal approach. Compared with the pre‐training group, patients in the post‐training group had a higher rate of two‐team surgery (77.8% vs 0%, P = .021), and shorter time to specimen removal (273 vs 423 min, P = .045).
Conclusions
Structured‐cadaveric training has potential use as a technical step‐up in advanced trans‐anal surgery that might contribute to better short‐term outcomes in the clinical setting.</description><identifier>ISSN: 1758-5902</identifier><identifier>EISSN: 1758-5910</identifier><identifier>DOI: 10.1111/ases.12998</identifier><identifier>PMID: 34617393</identifier><language>eng</language><publisher>Kyoto, Japan: John Wiley & Sons Australia, Ltd</publisher><subject>Anal Canal - surgery ; Cadaver ; cadaveric training ; Humans ; Pelvic Exenteration ; Rectal Neoplasms - surgery ; Retrospective Studies ; Surgeons ; Surgery ; total pelvic exenteration ; trans‐anal approach</subject><ispartof>Asian journal of endoscopic surgery, 2022-04, Vol.15 (2), p.299-305</ispartof><rights>2021 Asia Endosurgery Task Force and Japan Society of Endoscopic Surgery and John Wiley & Sons Australia, Ltd.</rights><rights>2022 Asia Endosurgery Task Force and Japan Society of Endoscopic Surgery and John Wiley & Sons Australia, Ltd</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4238-3c674e22f9e41465bdc152055465d2a5f3039392b44b4660f04e6b4d0e3a349e3</citedby><cites>FETCH-LOGICAL-c4238-3c674e22f9e41465bdc152055465d2a5f3039392b44b4660f04e6b4d0e3a349e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fases.12998$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fases.12998$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34617393$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Tominaga, Tetsuro</creatorcontrib><creatorcontrib>Nonaka, Takashi</creatorcontrib><creatorcontrib>Fukuda, Akiko</creatorcontrib><creatorcontrib>Moriyama, Masaaki</creatorcontrib><creatorcontrib>Oyama, Shosaburo</creatorcontrib><creatorcontrib>Ishii, Mitsutoshi</creatorcontrib><creatorcontrib>Takamura, Keiko</creatorcontrib><creatorcontrib>Tsurumoto, Toshiyuki</creatorcontrib><creatorcontrib>Sawai, Terumitsu</creatorcontrib><creatorcontrib>Nagayasu, Takeshi</creatorcontrib><title>Usefulness of structured‐cadaveric training for trans‐anal pelvic exenteration</title><title>Asian journal of endoscopic surgery</title><addtitle>Asian J Endosc Surg</addtitle><description>Purpose
Structured training using cadaveric simulation is useful for trans‐anal surgery; however, no studies have examined the effectiveness of cadaveric training for advanced trans‐anal surgery including pelvic exenteration (PE).
Methods
Twelve colorectal surgeons attended a total of 10 cadaveric simulation training courses between 2016 and 2021 and completed a questionnaire at the end of the program. We divided 14 consecutive patients who underwent trans‐anal PE between 2015 and 2021 into two groups: pre‐training group and post‐training group, and compared the clinico‐pathological features between the groups.
Results
The median length of clinical experience of the surgeons was 12 years. There was high score agreement among the surgeons that the course was useful for recognition of anatomical and layer structure, training for trans‐anal total mesorectal excision and trans‐anal PE, and reducing complications specific to the trans‐anal approach. Compared with the pre‐training group, patients in the post‐training group had a higher rate of two‐team surgery (77.8% vs 0%, P = .021), and shorter time to specimen removal (273 vs 423 min, P = .045).
Conclusions
Structured‐cadaveric training has potential use as a technical step‐up in advanced trans‐anal surgery that might contribute to better short‐term outcomes in the clinical setting.</description><subject>Anal Canal - surgery</subject><subject>Cadaver</subject><subject>cadaveric training</subject><subject>Humans</subject><subject>Pelvic Exenteration</subject><subject>Rectal Neoplasms - surgery</subject><subject>Retrospective Studies</subject><subject>Surgeons</subject><subject>Surgery</subject><subject>total pelvic exenteration</subject><subject>trans‐anal approach</subject><issn>1758-5902</issn><issn>1758-5910</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp90MtKAzEUBuAgiq3VjQ8gA25EmJrrXJal1AsUBGvXIZM5I1OmmZrMVLvzEXxGn8TUqV24MFnkhHz8hB-hc4KHxK8b5cANCU3T5AD1SSySUKQEH-5nTHvoxLkFxlFMODtGPcYjErOU9dHT3EHRVgacC-oicI1tddNayL8-PrXK1RpsqYPGqtKU5iUoaru9GOeflVFVsIJq7QG8g2nAqqaszSk6KlTl4Gx3DtD8dvI8vg-nj3cP49E01JyyJGQ6ijlQWqTACY9ElmsiKBbCzzlVomDY_zClGecZjyJcYA5RxnMMTDGeAhugqy53ZevXFlwjl6XTUFXKQN06SUWCMRWYc08v_9BF3Vr_f68i7neaxMSr605pWztnoZArWy6V3UiC5bZpuW1a_jTt8cUuss2WkO_pb7UekA68lRVs_omSo9lk1oV-A5X5iik</recordid><startdate>202204</startdate><enddate>202204</enddate><creator>Tominaga, Tetsuro</creator><creator>Nonaka, Takashi</creator><creator>Fukuda, Akiko</creator><creator>Moriyama, Masaaki</creator><creator>Oyama, Shosaburo</creator><creator>Ishii, Mitsutoshi</creator><creator>Takamura, Keiko</creator><creator>Tsurumoto, Toshiyuki</creator><creator>Sawai, Terumitsu</creator><creator>Nagayasu, Takeshi</creator><general>John Wiley & Sons Australia, Ltd</general><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>202204</creationdate><title>Usefulness of structured‐cadaveric training for trans‐anal pelvic exenteration</title><author>Tominaga, Tetsuro ; Nonaka, Takashi ; Fukuda, Akiko ; Moriyama, Masaaki ; Oyama, Shosaburo ; Ishii, Mitsutoshi ; Takamura, Keiko ; Tsurumoto, Toshiyuki ; Sawai, Terumitsu ; Nagayasu, Takeshi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4238-3c674e22f9e41465bdc152055465d2a5f3039392b44b4660f04e6b4d0e3a349e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Anal Canal - surgery</topic><topic>Cadaver</topic><topic>cadaveric training</topic><topic>Humans</topic><topic>Pelvic Exenteration</topic><topic>Rectal Neoplasms - surgery</topic><topic>Retrospective Studies</topic><topic>Surgeons</topic><topic>Surgery</topic><topic>total pelvic exenteration</topic><topic>trans‐anal approach</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Tominaga, Tetsuro</creatorcontrib><creatorcontrib>Nonaka, Takashi</creatorcontrib><creatorcontrib>Fukuda, Akiko</creatorcontrib><creatorcontrib>Moriyama, Masaaki</creatorcontrib><creatorcontrib>Oyama, Shosaburo</creatorcontrib><creatorcontrib>Ishii, Mitsutoshi</creatorcontrib><creatorcontrib>Takamura, Keiko</creatorcontrib><creatorcontrib>Tsurumoto, Toshiyuki</creatorcontrib><creatorcontrib>Sawai, Terumitsu</creatorcontrib><creatorcontrib>Nagayasu, Takeshi</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Asian journal of endoscopic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tominaga, Tetsuro</au><au>Nonaka, Takashi</au><au>Fukuda, Akiko</au><au>Moriyama, Masaaki</au><au>Oyama, Shosaburo</au><au>Ishii, Mitsutoshi</au><au>Takamura, Keiko</au><au>Tsurumoto, Toshiyuki</au><au>Sawai, Terumitsu</au><au>Nagayasu, Takeshi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Usefulness of structured‐cadaveric training for trans‐anal pelvic exenteration</atitle><jtitle>Asian journal of endoscopic surgery</jtitle><addtitle>Asian J Endosc Surg</addtitle><date>2022-04</date><risdate>2022</risdate><volume>15</volume><issue>2</issue><spage>299</spage><epage>305</epage><pages>299-305</pages><issn>1758-5902</issn><eissn>1758-5910</eissn><abstract>Purpose
Structured training using cadaveric simulation is useful for trans‐anal surgery; however, no studies have examined the effectiveness of cadaveric training for advanced trans‐anal surgery including pelvic exenteration (PE).
Methods
Twelve colorectal surgeons attended a total of 10 cadaveric simulation training courses between 2016 and 2021 and completed a questionnaire at the end of the program. We divided 14 consecutive patients who underwent trans‐anal PE between 2015 and 2021 into two groups: pre‐training group and post‐training group, and compared the clinico‐pathological features between the groups.
Results
The median length of clinical experience of the surgeons was 12 years. There was high score agreement among the surgeons that the course was useful for recognition of anatomical and layer structure, training for trans‐anal total mesorectal excision and trans‐anal PE, and reducing complications specific to the trans‐anal approach. Compared with the pre‐training group, patients in the post‐training group had a higher rate of two‐team surgery (77.8% vs 0%, P = .021), and shorter time to specimen removal (273 vs 423 min, P = .045).
Conclusions
Structured‐cadaveric training has potential use as a technical step‐up in advanced trans‐anal surgery that might contribute to better short‐term outcomes in the clinical setting.</abstract><cop>Kyoto, Japan</cop><pub>John Wiley & Sons Australia, Ltd</pub><pmid>34617393</pmid><doi>10.1111/ases.12998</doi><tpages>7</tpages></addata></record> |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Anal Canal - surgery Cadaver cadaveric training Humans Pelvic Exenteration Rectal Neoplasms - surgery Retrospective Studies Surgeons Surgery total pelvic exenteration trans‐anal approach |
| title | Usefulness of structured‐cadaveric training for trans‐anal pelvic exenteration |
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