Simulation and training for pediatric colorectal surgery and anorectal malformation: a scoping review
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Read the article on link.springer.com ↗Article · Jul 2024 · 1 min read
In brief
In brief
This scoping review examines simulation models for pediatric colorectal surgery training, analyzing 13 studies on inanimate models, 3D reconstructions, and training modules for anorectal malformation repair. The review highlights available models for posterior sagittal anorectoplasty and emphasizes the need for high-fidelity simulators to standardize surgical techniques and improve trainee proficiency in this specialized field.
- Inanimate simulation models for posterior sagittal anorectoplasty exist, with one model used across multiple training studies.
- 3D reconstructions enable personalized preoperative planning and improved understanding of complex anorectal malformation anatomy.
- Simulation-based training modules improve surgical dissection skills, technique standardization, and operative proficiency.
- Current models include inanimate trainers, animal cadavers, and 3D-printed/organoid constructs for pediatric colorectal procedures.
- High-fidelity simulation models and consensus surgical techniques are needed to advance training in pediatric colorectal surgery.
Written by the GCMD Library team from the article.
Abstract
Purpose
To study the published literature for various models used for simulation and training in the field of pediatric colorectal surgery.
Method
A PubMed search was conducted for studies of simulation models in anorectal malformation on 24 March 2024 with the search words ‘simulation pediatric colorectal surgery’ followed by another search on ‘simulation AND anorectal malformation’ that gave 22 and 14 results, respectively (total 36). After removing 4 duplicate publications, 12 were found relevant to simulation and training in colorectal diseases. One publication relevant to the topic was added from literature, thirteen articles were studied.
Results
Of these, 5; 1; 4; and 3 were on inanimate models; animate model; 3D reconstructions; and training, respectively. Simulation models are available for posterior sagittal anorectoplasty. The same inanimate model was used in five articles. The animate model was based on a chicken cadaver. 3D models have been made for personalized preoperative assessment and to understand the imaging in anorectal malformation. One 3D model was made by regeneration of organoid epithelium. Training modules were made to evaluate surgical dissection, standardize surgical techniques, and improve proficiency.
Conclusion
Simulation models are an important tool for teaching the steps of surgery and discussing the nuances of operative complications among mentors and peers. With advances in this field, the development of high-fidelity models, more training modules, and consensus on surgical techniques will benefit surgical training.