J Med Assoc Thai 2005; 88 (9):189

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Minimally Invasive Surgery Training in Soft Cadaver (MIST-SC)
Udomsawaengsup S Mail, Pattana-arun J , Tansatit T , Pungpapong S , Navicharern P , Sirichindakul B , Nonthasoot B , Park-art R , Sriassadaporn S , Kyttayakerana K , Wongsaisuwan M , Rojanasakul A

Objectives: The purpose of this study was to evaluate the surgical anatomy, tissue plane, organ consistency of soft cadaver and the possibility of minimally invasive surgery training in soft cadaver.
Setting: Surgical Training Center. Department of Anatomy and Department of Surgery Faculty of Medicine, Chulalongkorn University
Design: Prospective descriptive study
Material and Method: 2 soft cadavers were scheduled for fully laparoscopic surgery in upper gastrointestinal, colorectal, hepatopancreatobiliary and solid organs surgery. All the procedures were performed by the experienced surgical staffs and assisted by surgical staffs and/or surgical residents. The surgical anatomy, tissue plane, organ consistency and the satisfactory in performing the procedures were recorded for evaluation.
Results: The surgical anatomy, the tissue consistency the anatomical plane were very well preserved with mean score of 4.72±0.45 All the surgeons were satisfied with the findings, the mean score was 4.97±0.18 All the plan procedures were completely performed with great satisfactory results.
Conclusion: The Minimally Invasive Surgery Training in Soft Cadaver (MIST-SC) was feasible with great satisfactory. This successful integration of basic and advanced laparoscopic procedures into the soft cadaver setting would be the next step in evolution of MIS training.

Keywords: Minimally invasive surgery, Training, Laparoscopic surgery, Cadaver, Soft cadaver, MIST-SC


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