Abstract
Although the training of liver transplant procedure is highly important to young transplant surgeons, it is too hard to secure the learning opportunity, especially in the countries like Japan whose organ transplants from deceased-donors are relatively rare. In such a situation, the surgical training in large animals such as pigs seems to be helpful in improving their skills. Consequently, under the assist by the Ministry of Education, Culture, Sports, Science and Technology (MEXT) in Japan, we established a simulation work of whole liver transplantation using laboratory pigs in the context of interinstitutional frame called the Six National University Consortium in Liver Transplant Professionals Training (SNUC-LT) Program. For this purpose, in this procedure, to guarantee stable circulatory dynamics during the anhepatic phase of pigs, we created a porto-caval-jugular shunt which is followed by addressing liver dysfunction, portal hypertension and intestinal congestion. Here, we describe the precise practical procedure. We believe that our procedure enables young transplant surgeons to gain surgical skills efficiently and effectively in addition to making a model animal in an experimental field.
CONSIDERATIONS IN THE AREA STANDARD APPLIED BY MINISTRY OF EDUCATION AND ACTUALITIES OF FACILITIES SCALE IN NATIONAL UNIVERSITIES : A study on facility planning for national university campus
