{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T10:16:57Z","timestamp":1784888217866,"version":"3.55.0"},"reference-count":25,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2021,10,6]],"date-time":"2021-10-06T00:00:00Z","timestamp":1633478400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Asian J Endoscop Surgery"],"published-print":{"date-parts":[[2022,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>Structured training using cadaveric simulation is useful for trans\u2010anal surgery; however, no studies have examined the effectiveness of cadaveric training for advanced trans\u2010anal surgery including pelvic exenteration (PE).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Twelve colorectal surgeons attended a total of 10 cadaveric simulation training courses between 2016 and 2021 and completed a questionnaire at the end of the program. We divided 14 consecutive patients who underwent trans\u2010anal PE between 2015 and 2021 into two groups: pre\u2010training group and post\u2010training group, and compared the clinico\u2010pathological features between the groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The median length of clinical experience of the surgeons was 12\u2009years. There was high score agreement among the surgeons that the course was useful for recognition of anatomical and layer structure, training for trans\u2010anal total mesorectal excision and trans\u2010anal PE, and reducing complications specific to the trans\u2010anal approach. Compared with the pre\u2010training group, patients in the post\u2010training group had a higher rate of two\u2010team surgery (77.8% vs 0%, <jats:italic>P<\/jats:italic>\u00a0=\u00a0.021), and shorter time to specimen removal (273 vs 423\u2009min, <jats:italic>P<\/jats:italic>\u00a0=\u00a0.045).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Structured\u2010cadaveric training has potential use as a technical step\u2010up in advanced trans\u2010anal surgery that might contribute to better short\u2010term outcomes in the clinical setting.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ases.12998","type":"journal-article","created":{"date-parts":[[2021,10,9]],"date-time":"2021-10-09T01:29:22Z","timestamp":1633742962000},"page":"299-305","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Usefulness of structured\u2010cadaveric training for trans\u2010anal pelvic exenteration"],"prefix":"10.1111","volume":"15","author":[{"given":"Tetsuro","family":"Tominaga","sequence":"first","affiliation":[{"name":"Department of Surgical Oncology Nagasaki University Graduate School of Biomedical Science  Nagasaki Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takashi","family":"Nonaka","sequence":"additional","affiliation":[{"name":"Department of Surgical Oncology Nagasaki University Graduate School of Biomedical Science  Nagasaki Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akiko","family":"Fukuda","sequence":"additional","affiliation":[{"name":"Department of Surgical Oncology Nagasaki University Graduate School of Biomedical Science  Nagasaki Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masaaki","family":"Moriyama","sequence":"additional","affiliation":[{"name":"Department of Surgical Oncology Nagasaki University Graduate School of Biomedical Science  Nagasaki 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