Abstract
Surgeons in Japan have recently become more familiar with cadaver surgical training (CST). Extended pelvic lymph node dissection (PLND) considering the vesicohypogastric fascia and ureterohypogastric nerve fascia is gradually being performed not only in urology, but also in gynecology and gastroenterology. We performed CST using a 76-year-old female cadaver who was fixed by the Thiel method, with the aim of confirming the differences in the extent of PLND performed by certified laparoscopic specialists in urology, gastroenterology and gynecology. Even in the common surgeries, there are still several areas where anatomical structures are poorly understood. In recent years, with the spread of robotic surgery, the techniques related to PLND in these three departments have gradually become similar. Through this CST program, we were able to understand the differences in procedures and the extent of PLND in these three departments. By continuing these CSTs, we hope that a standardized PLND procedure will be performed not only within the same department, but also between different departments, and that high-quality PLND will be safely performed.
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Acknowledgements
The authors sincerely thank those who donated their bodies to science so that anatomical research could be performed. Results from such research can potentially increase mankind’s overall knowledge, which will help improve patient care. Therefore, these donors and their families deserve our highest gratitude.
Funding
This work was made possible by support from the 1st CST Education and Training Grant by the Japanese Society of Endourology and Robotics.
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The authors declare that they have no conflict of interest.
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This research protocol was approved by the institutional review board of Tottori University Faculty of Medicine (21F004). Informed consent was obtained from the donor (before her death) and her family.
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Morizane, S., Honda, M., Kihara, K. et al. Laparoscopic pelvic lymph node dissection in cadaver surgical training from the combined perspectives of urologists, gastroenterologists and gynecologists improves overall knowledge and technique: initial experience of multidisciplinary cadaver surgical training at a single institution in Japan. Anat Sci Int 97, 303–306 (2022). https://doi.org/10.1007/s12565-022-00655-w
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DOI: https://doi.org/10.1007/s12565-022-00655-w