金沢大学肝胆膵移植外科 Department of Hepato-Biliary-Pancreatic Surgery, Kanazawa University
雑誌名
移植
雑誌名(英)
日本移植学会雑誌 : Japanese journal of transplantation
巻
55
号
4
ページ
371 - 377
発行年
2020
ISSN
0578-7947
NCID
AN00014749
DOI
10.11386/jst.55.4_371
出版者
日本移植学会 The Japan Society for Transplantation
抄録
Few liver transplantations (LTs) are performed annually in Kanazawa University, a facility in which three young surgeons participated in a training program for liver transplant surgeons, the Six National University Consortium in Liver Transplant Professionals Training Program (SNUC-LT). Each trainee underwent training for 3 years, during which they visited academic medical centers where many LTs are performed. This increased their experience of LT and enabled them to study various surgical procedures performed by skilled liver transplant surgeons. However, because their visits to these centers were brief, they did not gain adequate experience in the ongoing postoperative management of the recipients. As to simulation training, the trainees harvested liver grafts and performed vascular anastomoses for LT using swine models. As a result, in clinical practice, two of the trainees were considered qualified to safely perform recipient operations except for hepatic artery anastomosis and biliary tract reconstruction, and entire donor operations. However, their operation times were long and they did not achieve learning curves. In conclusion, SNUC-LT is a useful program for supporting development of liver transplant surgeons in a facility in which few LTs are performed.
肝移植件数が少ない施設における肝移植外科医養成プログラム（SNUC-LT）の有用性と課題
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ME-PR-NAKANUMA-S-55_371.pdf
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