关键词: Hernia surgery Inguinal hernia Porcine model Robotic minimally invasive surgery Training

Mesh : Animals Hernia, Inguinal / surgery Robotic Surgical Procedures / education methods Swine Herniorrhaphy / education methods Laparoscopy / education methods Models, Animal Humans Sus scrofa

来  源:   DOI:10.1007/s00464-024-10932-6

Abstract:
BACKGROUND: Implementing a robotic system for minimally invasive surgical procedures necessitates a comprehensive training regimen. This involves not only mastering the technological aspects of the robotic system but also enhancing surgical proficiency in manipulating robotic instruments. Furthermore, procedural expertise in specific surgeries is critical. Minimally invasive inguinal hernia repair is particularly suitable as an initial procedure for human application. The development of a comprehensive training model for this type of repair is a crucial element of such an educational pathway.
METHODS: Anatomical dissections were carried out on pigs to assess both the similarities and differences between pig and human anatomy. A structured minimally invasive inguinal hernia repair was performed to determine the suitability of the porcine inguinal region for training purposes.
RESULTS: A detailed anatomical description of the porcine inguinal region is outlined, to provide a framework for assessing the critical view of the porcine myopectineal orifice. By integrating the human \'ten golden rules\' for safe and effective minimally invasive inguinal hernia repair, the standardized porcine integrated robotic inguinal hernia training (SPIRIT) model describes a step-by-step approach to practice surgical techniques in a realistic setting.
CONCLUSIONS: The SPIRIT model is designed to be a well-structured training model for minimally invasive inguinal hernia repair and incorporates the specific surgical steps as encountered in a human patient.
摘要:
背景:实施用于微创外科手术的机器人系统需要全面的训练方案。这不仅涉及掌握机器人系统的技术方面,还涉及提高手术操作机器人器械的熟练程度。此外,在特定手术的程序专业知识是至关重要的。微创腹股沟疝修补术特别适合作为人类应用的初始程序。为这种类型的修复开发综合培训模型是这种教育途径的关键要素。
方法:对猪进行解剖解剖,以评估猪和人体解剖结构之间的异同。进行了结构化的微创腹股沟疝修补术,以确定猪腹股沟区域是否适合训练。
结果:概述了猪腹股沟区的详细解剖学描述,提供一个框架,以评估猪的肌开放口的关键观点。通过整合人类“十大黄金法则”,实现安全有效的微创腹股沟疝修补术,标准化的猪整合式机器人腹股沟疝训练(SPIRIT)模型描述了在现实环境中逐步练习手术技术的方法.
结论:SPIRIT模型被设计为一种结构良好的微创腹股沟疝修补术训练模型,并结合了人类患者遇到的特定手术步骤。
公众号