Aim Global HPB surgery aims to provide safe, timely, accessible surgical care and to address the healthcare disparities emphasising equity & sustainability in care delivery for the Hepato-Pancreatico-Biliary (HPB) disease on a global scale, which can be achieved through comprehensive simulation-based surgical training in resource-limited settings. The aim is to develop a low-cost Laparoscopic Cholecystectomy Simulation (LaChSi) model and automated Progress Tracking System (APS) and to ensure a realistic and accurate representation of the laparoscopic cholecystectomy (LC) procedure. Method A silicon model replica of the biliary tree fabricated with wires traversing the biliary tree. These wires are connected to a printed circuit board (PCB) at the model's base, linked to a microcontroller and a computer which will track the skills progress of the trainee. Any erroneous manipulation or damage to the bile duct triggers identification, resulting in a negative score for the surgeon and highlights on the computer screen. This facilitates the evaluation of trainee surgeon skills while concurrently enhancing their surgical skills. Results The successful adaptation and validation of the APS for laparoscopic appendicectomy models have demonstrated its effectiveness and the suitability of its application for LC. The development of these low-cost LaChSi models will aid in enriching the global HPB workforce, in resource-limited settings. Conclusions There is an unmet need for the development of a Low-Cost simulation model in LMICs and these models can provide a safe and standardised method for HPB simulation training before operating on real patients addressing the core value of Global HPB surgery.
No takes yet. Share an insight, caveat, or question.
Karki et al. (2024) studied this question.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: