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Article Dans Une Revue Progrès en Urologie Année : 2021

Residents and patients benefit from surgical simulation on a live porcine model, could we consider it as ethical?

F. Dengu
  • Fonction : Auteur
E. de Mazancourt
C. Michiels
T. Grevez
  • Fonction : Auteur
J.-Y. Deschamps
  • Fonction : Auteur

Résumé

Introduction: The objective was to evaluate, by self-questionnaire, the feeling of participants in surgical training sessions on a live porcine model.Methods: A computerized questionnaire (GoogleForm ©) was sent to the members of the French Association of Urologists-in-Training (AFUF) (fellows and residents). Only questionnaires from Urologists-in-training who had participated in surgical training sessions were included. The sessions consisted of performing surgeries such as laparoscopic nephrectomies or laparoscopic cystectomies.Results: Overall, 198 met the inclusion criteria. A total of 36.4% (72/198) of the participants were fellows and 63.6% (126/198) were residents. According to the participants, the main interest of sessions was to be able to train for emergency situations. A total of 79.8% (158/198) of the participants wanted surgical simulation to become compulsory. To their opinion, the main advantage of surgical simulation on a live porcine model was: technical progress in 87.4% (173/198) of cases. A total of 13.1% (26/198) of the participants found it was unethical to perform the first technical procedures on live animal models. A total of 65.7% (130/198) of the participants considered that there is currently no system of substitution.Conclusion: For the participants, surgical training on a live porcine model allows technical progress while training for serious emergency situations. Surgeons and patients could benefit from this risk-free mock surgical scenario.Level of evidence: 3.
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hal-04292008 , version 1 (22-07-2024)

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T. Prudhomme, X. Matillon, F. Dengu, E. de Mazancourt, U. Pinar, et al.. Residents and patients benefit from surgical simulation on a live porcine model, could we consider it as ethical?. Progrès en Urologie, 2021, 31 (10), pp.618-626. ⟨10.1016/j.purol.2021.01.008⟩. ⟨hal-04292008⟩
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