The New Laparoscopic Proctocolectomy Training (in Soft Cadaver)
Jirawat Pattana-arun MD*, Suthep Udomsawaengsup MD*, Chucheep Sahakitrungruang MD*, Tanvaa Tansatit MD*, Kasaya Tantiphlachiva MD*, Arun Rojanasakul MD*
Affiliation : * Colorectal Division, Department of Surgery and Surgical Training Center, Department of Anatomy, Faculty of Medicine, Chulalongkorn University
Objectives : The purpose of the present study was to evaluate the quality of preservation (tissue plane, named
vessels identification, consistency of colon and rectum), quality of performing procedures, difficulties and
problems and finally the satisfaction of surgeons in laparoscopic proctocolectomy in soft cadaver.
Setting : Colorectal Division, Department of Surgery and Surgical Training Center, Department of Anatomy,
Faculty of Medicine, Chulalongkorn University.
Design : Prospective descriptive study
Materials and Methods : 10 soft cadavers were scheduled for laparoscopic proctocolectomy. The procedures
(colon - rectum mobilization and named vessels identification) were performed by 14 experienced surgeons (8
colorectal surgeons) and assisted by surgical residents. The quality of preservation, successfulness and the
satisfaction in performing the procedures were recorded using questionnaires for evaluation.
Results : The preservation was very good in every aspect especially tissue plane between colon, mesocolon
and retroperitoneum which was clearly dissected, same as fascia propria of rectum. The named vessels and the
tissue consistency were very well preserved and tolerated to laparoscopic equipment handling. The surgeons
were satisfied with the tissue handling and dissections. There were two difficulties, the first was air leakage
but simply corrected with purse string suture and the second was unflavored smell which was not concerned.
Laparoscopic proctocolectomy could be completely performed in soft cadaver.
Conclusion : Laparoscopic proctocolectomy could be performed in soft cadavers with great satisfaction.
Repeated practice is possible, so the surgeons can gain their experiences outside the operating theatre. This
success may shorten the learning curve and may be the new era in cadaver- based training.
Keywords : Laparoscopic proctocolectomy, Soft cadaver, Training
