A prospective study of a training program for bronchial sleeve resection using operable 3-dimensional modelsCentral MessagePerspective
Objective: To develop a training program for bronchial sleeve reconstruction using our previously developed 3-dimensional (3D) operable airway model and evaluate its effectiveness in surgical trainees. Methods: Eight trainees and 4 faculty surgeons were enrolled. Their right upper lobe sleeve recons...
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| Language: | English |
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Elsevier
2024-10-01
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| Series: | JTCVS Techniques |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666250724002748 |
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| author | Kohei Hashimoto, MD, PhD Daiki Kato, MD, PhD Junji Ichinose, MD, PhD Yosuke Matsuura, MD, PhD Masayuki Nakao, MD, PhD Sakae Okumura, MD Haruhiko Kondo, MD, PhD Takashi Ohtsuka, MD, PhD Mingyon Mun, MD, PhD |
| author_facet | Kohei Hashimoto, MD, PhD Daiki Kato, MD, PhD Junji Ichinose, MD, PhD Yosuke Matsuura, MD, PhD Masayuki Nakao, MD, PhD Sakae Okumura, MD Haruhiko Kondo, MD, PhD Takashi Ohtsuka, MD, PhD Mingyon Mun, MD, PhD |
| author_sort | Kohei Hashimoto, MD, PhD |
| collection | DOAJ |
| description | Objective: To develop a training program for bronchial sleeve reconstruction using our previously developed 3-dimensional (3D) operable airway model and evaluate its effectiveness in surgical trainees. Methods: Eight trainees and 4 faculty surgeons were enrolled. Their right upper lobe sleeve reconstruction procedures were scored by 2 senior surgeons in a blinded fashion on a 5-point Likert scale on the following: airway wall tear, reapplied ligatures, reapplied needles, needle entry and exit, anastomotic bite, and caliber adjustment (full score: 30). The trainees were randomized into training and control groups (n = 4 in each group). The training group underwent 6 cycles of training guided by video-based instructions. The control group underwent regular clinical training. All trainees were reevaluated. Results: Before training, the median score of faculty surgeons was better than that of trainees (27.0 [range, 21.0-28.0] vs 17.5 [range, 9.5, 26.5]; P = .05), suggesting the validity of the scoring method. The initial scores and anastomosis times were similar in the control and training groups. After training, the scores tended to be higher in the training than in the control group (median, 28.2 [range, 27.0-29.0] vs 20.8 [range, 15.0-28.0]; P = .11). The anastomosis time tended to be shorter in the training group (median, 20.0 [18.9, 21.6] minutes vs 24.6 [range 17.8-30.9] minutes; P = .69). The reduction in anastomosis time was significantly greater in the training group (median, −9.4 [range, −4.5 to −13.1] vs 0.0 [range, 5.3 to −6.0]; P = .05). Conclusions: The training program for bronchial sleeve resection using 3D airway models with video-based instructions improved the trainees’ skills. |
| format | Article |
| id | doaj-art-8e7206e644c34919a5403ec0d5d67b4f |
| institution | Kabale University |
| issn | 2666-2507 |
| language | English |
| publishDate | 2024-10-01 |
| publisher | Elsevier |
| record_format | Article |
| series | JTCVS Techniques |
| spelling | doaj-art-8e7206e644c34919a5403ec0d5d67b4f2025-08-20T04:01:02ZengElsevierJTCVS Techniques2666-25072024-10-012721722410.1016/j.xjtc.2024.07.003A prospective study of a training program for bronchial sleeve resection using operable 3-dimensional modelsCentral MessagePerspectiveKohei Hashimoto, MD, PhD0Daiki Kato, MD, PhD1Junji Ichinose, MD, PhD2Yosuke Matsuura, MD, PhD3Masayuki Nakao, MD, PhD4Sakae Okumura, MD5Haruhiko Kondo, MD, PhD6Takashi Ohtsuka, MD, PhD7Mingyon Mun, MD, PhD8Department of Thoracic Surgical Oncology, Cancer Institute Hospital, Japanese Foundation for Cancer Research, Tokyo, Japan; Department of Thoracic Surgery, Kyorin University, Tokyo, Japan; Address for reprints: Kohei Hashimoto, MD, PhD, Division of Thoracic Surgery, Kyorin University, 6-20-2 Shinkawa, Mitaka, Tokyo 181-8611, Japan.Department of Thoracic Surgery, Jikei University, Tokyo, JapanDepartment of Thoracic Surgical Oncology, Cancer Institute Hospital, Japanese Foundation for Cancer Research, Tokyo, JapanDepartment of Thoracic Surgical Oncology, Cancer Institute Hospital, Japanese Foundation for Cancer Research, Tokyo, JapanDepartment of Thoracic Surgical Oncology, Cancer Institute Hospital, Japanese Foundation for Cancer Research, Tokyo, JapanDepartment of Thoracic Surgical Oncology, Cancer Institute Hospital, Japanese Foundation for Cancer Research, Tokyo, JapanDepartment of Thoracic Surgery, Kyorin University, Tokyo, JapanDepartment of Thoracic Surgery, Jikei University, Tokyo, JapanDepartment of Thoracic Surgical Oncology, Cancer Institute Hospital, Japanese Foundation for Cancer Research, Tokyo, JapanObjective: To develop a training program for bronchial sleeve reconstruction using our previously developed 3-dimensional (3D) operable airway model and evaluate its effectiveness in surgical trainees. Methods: Eight trainees and 4 faculty surgeons were enrolled. Their right upper lobe sleeve reconstruction procedures were scored by 2 senior surgeons in a blinded fashion on a 5-point Likert scale on the following: airway wall tear, reapplied ligatures, reapplied needles, needle entry and exit, anastomotic bite, and caliber adjustment (full score: 30). The trainees were randomized into training and control groups (n = 4 in each group). The training group underwent 6 cycles of training guided by video-based instructions. The control group underwent regular clinical training. All trainees were reevaluated. Results: Before training, the median score of faculty surgeons was better than that of trainees (27.0 [range, 21.0-28.0] vs 17.5 [range, 9.5, 26.5]; P = .05), suggesting the validity of the scoring method. The initial scores and anastomosis times were similar in the control and training groups. After training, the scores tended to be higher in the training than in the control group (median, 28.2 [range, 27.0-29.0] vs 20.8 [range, 15.0-28.0]; P = .11). The anastomosis time tended to be shorter in the training group (median, 20.0 [18.9, 21.6] minutes vs 24.6 [range 17.8-30.9] minutes; P = .69). The reduction in anastomosis time was significantly greater in the training group (median, −9.4 [range, −4.5 to −13.1] vs 0.0 [range, 5.3 to −6.0]; P = .05). Conclusions: The training program for bronchial sleeve resection using 3D airway models with video-based instructions improved the trainees’ skills.http://www.sciencedirect.com/science/article/pii/S26662507240027483D modelsurgical educationbronchoplastylung cancer |
| spellingShingle | Kohei Hashimoto, MD, PhD Daiki Kato, MD, PhD Junji Ichinose, MD, PhD Yosuke Matsuura, MD, PhD Masayuki Nakao, MD, PhD Sakae Okumura, MD Haruhiko Kondo, MD, PhD Takashi Ohtsuka, MD, PhD Mingyon Mun, MD, PhD A prospective study of a training program for bronchial sleeve resection using operable 3-dimensional modelsCentral MessagePerspective JTCVS Techniques 3D model surgical education bronchoplasty lung cancer |
| title | A prospective study of a training program for bronchial sleeve resection using operable 3-dimensional modelsCentral MessagePerspective |
| title_full | A prospective study of a training program for bronchial sleeve resection using operable 3-dimensional modelsCentral MessagePerspective |
| title_fullStr | A prospective study of a training program for bronchial sleeve resection using operable 3-dimensional modelsCentral MessagePerspective |
| title_full_unstemmed | A prospective study of a training program for bronchial sleeve resection using operable 3-dimensional modelsCentral MessagePerspective |
| title_short | A prospective study of a training program for bronchial sleeve resection using operable 3-dimensional modelsCentral MessagePerspective |
| title_sort | prospective study of a training program for bronchial sleeve resection using operable 3 dimensional modelscentral messageperspective |
| topic | 3D model surgical education bronchoplasty lung cancer |
| url | http://www.sciencedirect.com/science/article/pii/S2666250724002748 |
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