Title
Chicken gizzard: A new training model for laparoscopic urethrovesical anastomosis
Other title
[Molleja de pollo: Un nuevo modelo para entrenamiento laparoscópico de la anastomosis uretrovesical]
Date Issued
01 November 2009
Access level
open access
Resource Type
journal article
Author(s)
Publisher(s)
Elsevier
Abstract
Objective: To create a simple, inexpensive, and reproducible model that would provide a new training option for performing urethrovesical anastomosis during laparoscopic radical prostatectomy. Material and methods: Design and experimentation were carried out in 2008. Materials employed included a laparoscopic training box, video camera, monitor, needle holder, sutures, and non-eviscerated chickens weighing more than 2 kilograms. The model was prepared with a new vision of a structure similar to the human pelvis. To create the anastomosis, we used the gizzard (bladder neck) and the rectum (urethra). Once the model was placed in the box, the anastomosis was performed in very similar anatomical conditions to those in real procedures. The anastomosis quality was assessed by means of an impermeability test and transanal endoscopy. Results: The operating field is very similar to the human pelvis. Tissues with a quality, texture, and diameter resembling those of the urethra (rectum) and the bladder neck (gizzard) offer the possibility of practicing anastomosis and anterior racket. Conclusions: The model for urethrovesical anastomosis using the chicken gizzard and rectum is simple, easy, available, inexpensive and reproducible. The anatomy of the chicken and the characteristics of its tissues allow for training under conditions very similar to those present in human cases. © 2009 AEU.
Start page
1083
End page
1087
Volume
33
Issue
10
Language
Spanish
OCDE Knowledge area
Oncología
Urología, Nefrología
Subjects
Scopus EID
2-s2.0-77649107327
PubMed ID
Source
Actas Urologicas Espanolas
ISSN of the container
02104806
Sources of information:
Directorio de Producción Científica
Scopus