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Laparoscopic Liver Surgery Training Course on Thiel-Embalmed Human Cadavers: Program Evaluation, Trainer’s Long-Term Feedback and Steps Forward

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Abstract

Objectives

The purpose of this study was to evaluate the feedback of participants upon laparoscopic liver surgery (LLS) course on Thiel-embalmed human bodies.

Methods

From 2010 to 2017, ten LLS masterclasses have been organized by the Department of Hepatobiliary Surgery at Ghent University Hospital. A 23-question anonymous survey was electronically sent to 119 participants between November 2017 and January 2018, exploring their characteristics and asking for evaluation of the course. The obstacles for implementing LLS in their centers have been assessed.

Results

Sixty-four surgeons (53.8%) responded to the survey; 42 (65.6%) were employed at a university hospital; and 39 (60.9%) were in the first decade of their practice as a consultant surgeon. Forty-three (67.2%) surgeons reported an increased percentage of LLS cases afterward. Training on Thiel cadavers was considered superior (49.2%) to other training options including proctoring in the operating room (34.9%), virtual reality (6.3%), video training (4.8%) and practicing on pigs (4.8%). Obstacles identified contained inadequate training, patient’s referral pattern, financial issues, lack of dedicated surgical team and time constrains.

Conclusions

This survey revealed that a structured short-time program incorporating interactive discussion, live operations and hands-on training on human bodies under proctorship may enhance efficient training in laparoscopic liver surgery. In a step forward for upcoming courses, the importance of team building has to be addressed.

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Acknowledgements

The authors would like to thank the experts from UK, Italy, France, Norway, South Korea, Germany, Japan and the Netherlands who have contributed with their passion and dedication to the success of the courses. The department of HPB Surgery of the Ghent University Hospital received restricted grant from Medtronic for the masterclasses (Reference No. KW/1791/HHB/006/013). The company played no role in design and conduct of the study; in the collection, management and interpretation of data; or in the preparation of the manuscript.

Funding

Nil.

Author information

Authors and Affiliations

  1. Department of Human Structure and Repair, Ghent University Faculty of Medicine, Ghent, Belgium

    Nikdokht Rashidian, Mariano Cesare Giglio, Vincenzo Scuderi, Francesca Tozzi, Aude Vanlander & Roberto I. Troisi

  2. Division of Gastrointestinal Surgery, Ghent University Hospital, Ghent, Belgium

    Nikdokht Rashidian & Wouter Willaert

  3. Department of Anatomy, Embryology, Histology and Medical Physics, Ghent University Hospital, Ghent, Belgium

    Wouter Willaert & Katharina D’Herde

  4. Department of Clinical Medicine and Surgery, Federico II University, Naples, Italy

    Mariano Cesare Giglio & Roberto I. Troisi

  5. Division of Pancreas, Liver and Biliary Surgery, Virginia Mason Medical Center, Seattle, USA

    Adnan Alseidi

Authors
  1. Nikdokht Rashidian
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  2. Wouter Willaert
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  3. Mariano Cesare Giglio
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  4. Vincenzo Scuderi
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  5. Francesca Tozzi
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  6. Aude Vanlander
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  7. Katharina D’Herde
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  8. Adnan Alseidi
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  9. Roberto I. Troisi
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Corresponding author

Correspondence to Roberto I. Troisi.

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Conflict of interest

The authors declared that they have no conflict of interest.

Ethical approval

The study was approved by the local Ethics Committee (IRB Approval No. B670201836650).

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Rashidian, N., Willaert, W., Giglio, M.C. et al. Laparoscopic Liver Surgery Training Course on Thiel-Embalmed Human Cadavers: Program Evaluation, Trainer’s Long-Term Feedback and Steps Forward. World J Surg 43, 2902–2908 (2019). https://doi.org/10.1007/s00268-019-05103-x

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  • DOI: https://doi.org/10.1007/s00268-019-05103-x

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