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An economic training tool for teaching VATS: Sheep carcus
Shaiwal Khandelwal, Ali Zamir Khan.
Medanta The Medicity, GURGAON, India.

OBJECTIVE: We describe the sheep carcus to be used as a model to provide surgeons hands on training to learn VATS
METHODS: We have used the chest of sheep carcus to teach surgeons to teach VATS. The trainees included both general and cardiothoracic surgeons. The basic VATS procedures included pleural biopsies, drainage of multiloculated pleural effusions, wedge lung resection, pericardial window, bullectomy/pleurectomy. The advanced VATS procedures included esophagectomy and lobectomies. We also taught pulmonary physicians to do local anesthesia thoracoscopy.
RESULTS: This animal model was very well accepted by the surgeons and physicians. About 20% of our trainees have started performing basic VATS procedures following attending our courses.
CONCLUSIONS: The sheep carcus replicates the human chest and proved to be an excellant tool to teach surgeons about the principles of VATS. However the surgeon should be competent with open thoracic surgery before attempting doing any VATS procedure.

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