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Experimental laparoscopic cholecistectomy in human corpses: 70 cases

BACKGROUND: We present a model of training in laparoscopic cholecistectomy using human corpses. The objective this method is initiate, adapt, prepare and perfect the surgeons in this newer operative technique. METHOD: Seventy stillborn fresh unfreezed of both males and female were used with body heights ranging from 39 to 54 centimeters (average = 49 cm) and weights between 1,210 and 3,900 grams (average = 2,900 g). A complete set of equipment for videolaparoscopic surgery was employed. Each fetus was submitted to experimental videocholecistectomy. The surgical techniques were the same than in vivo colecistectomy laparoscopic. Anatomic biliary dissection and surgical ressection of the gallbladders were feasible. The relevant data for the technical and anatomical aspects of each procedure were registered. RESULTS: The use of human material for training allows similar conditions and identical anatomy as those which will be met during daily operative surgical practice. CONCLUSIONS: The authors concluded that the videolaparoscopic training in stillborn human corpse can be applied in training surgeons in basic and advanced laparoscopic surgery.

Cholecystectomy; Videolaparoscopy; Training; Anatomy; Stillborn


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