Abstract
Oleksii Potapov1*, Miguel Angel Sanchez Hurtado2, Idoia Díaz Güemes2, Francisco Miguel Sánchez Margallo2, Marco V Marino3 and Andrzej L Komorowski4 Author Affiliations 1Department of Minimally Invasive Surgery, Center for Innovative Medical Technologies of the National Academy of Sciences of Ukraine, Kiev, Ukraine 2Laparoscopy Department, Minimally Invasive Surgery Center Jesús Usón, Cáceres, Spain 3Department of General and Oncologic Surgery, Università degli Studi di Palermo, Palermo, Italy 4Chair of General Surgery, College of Medicine, University of Rzeszów, Rzeszów, Poland Received: September 08, 2021 | Published: September 17, 2021 Corresponding author: Oleksii Potapov, Center for Innovative Medical Technologies of the National Academy of Sciences of Ukraine Voznesenskii uzviz 22, Kiev, Ukraine DOI: 10.26717/BJSTR.2021.38.006213
Highlights
Iatrogenic injury to major vessels with the ensuing bleeding is a rare but potentially life-threatening complication during laparoscopic major HPB surgery
In-vivo pig and sheep model can be used for training in major bleeding control during HPB surgery
It is highly appreciated by trainees. It seems that stress level during advanced exercises is higher in experienced surgeons than in beginners
Summary
Iatrogenic injury to major vessels with the ensuing bleeding is a rare but potentially life-threatening complication during laparoscopic major HPB surgery. Contrary to traditional approach suggesting immediate conversion to open surgery it is suggested nowadays that this kind of injury and bleeding should be approached laparoscopically [2]. The majority of training modalities in laparoscopy concentrate on purely technical knowledge not considering psychological burden of a major intraoperative disaster. While obtaining and maintaining technical skills is clearly important [8] the possibility of testing these skills in a stressful environment imitating operating room disaster could be the way to prepare surgeons to adequately react to the unexpected [9]. In this study we have tried to create an environment as similar to real life laparoscopic disaster as possible and observe trainees’ reactions and their ability to use technical skills to control the situation
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