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

Prog Urol. 2021 Sep;31(10):618-626. doi: 10.1016/j.purol.2021.01.008. Epub 2021 Jun 20.

Abstract

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.

Keywords: Ethical issue; Internes; Live porcine model; Modèle vivant porcin; Residents; Simulation chirurgicale; Surgical simulation; Urologists-in-training; Urologues en formation; Éthique.

MeSH terms

  • Animals
  • Clinical Competence
  • Computer Simulation
  • Humans
  • Internship and Residency*
  • Laparoscopy*
  • Swine
  • Urologists