Survey Results Following the Establishment of Educational Program in Multi-Organ Procurement with Simulation using Large Animals.
Hiroyuki Furukawa1, Norihide Fukushima2, Takashi Kenmochi3, Yasushi Hoshikawa4, Naoto Matsuno1, Jyuntaro Ashikari5, Kan Nawata6, Haruo Yamauchi6, Toyofumi Chin9, Akihiro Aoyama9, Yasushi Matsuda7, Akihiko Soyama10, Minoru Ono6, Hiroto Egawa8.
1Department of Gastroenterological and Transplant Surgery, Asahikawa Medical University, Asahikawa, Japan; 2Division of Transplant Medicine, National Cerebral and Cardiovascular Center, Suita, Japan; 3Department of Organ Transplantation, Fujita Health University, Toyoake, Japan; 4Department of Thoratic Surgery, Fujita Health University, Toyoake, Japan; 5Japan Organ Transplant Network, Tokyo, Japan; 6Department of Cardiac Surgery, Tokyo Univeristy, Tokyo, Japan; 7Department of Thoratic Surgery, Tohoku University, Sendai, Japan; 8Institute of Gastroenterology, Tokyo Women's Medical Univeristy, Tokyo, Japan; 9Department of Thratic Surgery, Kyoto Univeristy, Kyoto, Japan; 10Department of Surgery, Nagasaki University, Nagasaki, Japan
Introduction: To maximize the organ utility, multi-organ retrieval of five organs including the heart, lung, liver, pancreas, and kidney, has become routine in most cases of organ procurement in Japan. Multi-organ procurement however is not an easy procedure, which requires special technique and training. Therefore, the educational program for multi-organ procurement for young transplant surgeons has been established since 2014. We report the survey results over the last 3 years.
Materials and Methods: From 2014 to 2016, 305 young surgeons participated in the one-day training program for organ procurement of five organs; the heart, lung, liver, pancreas, and kidney. This annual program is consisted of lectures and examination in the morning and on-site or video demonstration of multi-organ procurement and simulation by trainees using pigs in the afternoon. Survey was conducted after completion of the program. Seventy-nine of 99 trainees (80%) in 2014 (G1), 104 of 105 (99%) in 2015 (G2), and 102 of 102 (100%) in 2016 G3) responded to the survey. Results of survey for 3 years as well as the comparison among 3 years with chi-square analysis in regard with each question were reported.
Results: Survey showed that 56% of trainees was between 5 to 15 years after graduation. Ninety seven percent were male. The trainees were divided into 20% for heart, 21% for lung, 37% for liver, and 23% for pancreas. Eighty two percent attended first time, and 58% experienced an operator. Ninety seven percent thought that the program was useful, 88% obtained confidence for operation, and 94% learned cooperation with other teams. Although 77% in G1 thought duration for the simulation of operation was too short. this complaint decreased to 24% in G2 and 13% in G3 after making duration of the simulation longer (P=0.0001). At the same time, although 48% in G1 thought that extent of the operating room was too smal, the complaint decreased to 8% in G2, 5% in G3 (p=0.0001) after making the program into twice in a year. Ninety nine percent thought that this educational program was meaningful and should be continued at least once or twice a year (89%).
Conclusion: The novel educational program for multi-organ procurement from deceased donor was established in Japan, which seems to contribute to bring up young surgeons to perform the exact performance in multi-organ procurement
