Education and research using experimental pigs in a medical school

Medium-sized animals such as miniature pigs are considered to be important for education and training in medical schools to master the skills required in surgical treatment. Much still remains to be done to establish total management for animal experiments using pigs. Improvement of the effective utilization of pigs is also required from the economical and ethical points of view. We have been providing a support system at a facility for experimental animals in a medical school for 3 years, and herein we introduce our personal experiments as an instructional lecture. Before starting surgical training using live pigs, sufficient education concerning animal ethics and dry laboratory training was completed. Four kinds of miniature pigs have been used as experimental animals; porcine rearing pens have been improved and a postoperative care system has been implemented. Moreover, staff at the center offer a preoperative service of anesthesia for surgical education, training, and research. Chronic experiments have increased to represent 35% and 48% of experiments using pigs in 2003 and 2004, respectively. Experimental pigs have undergone secondary use after being killed to reduce the number of animals used in experiments. Sharing and reuse have allowed effective use of miniature pig tissues and cells for research, and have reduced the number of animals used. We recommend that researchers consider use of our total systems because they can improve the quality of medical education and research and facilitate effective use of tissues and cells by sharing and reuse among different departments.

[1]  M. Gagner,et al.  Subcutaneous endoscopic fasciotomy in a porcine model of abdominal compartment syndrome: a feasibility study. , 2004, Journal of laparoendoscopic & advanced surgical techniques. Part A.

[2]  M. Sturek,et al.  Porcine model of diabetic dyslipidemia: insulin and feed algorithms for mimicking diabetes mellitus in humans. , 2003, Comparative medicine.

[3]  Kwang-Wook Park,et al.  Production of α-1,3-Galactosyltransferase Knockout Pigs by Nuclear Transfer Cloning , 2002, Science.

[4]  Z. Yin,et al.  Auxiliary en-bloc liver-small bowel transplantation with partial pancreas preservation in pigs. , 2004, World journal of gastroenterology.

[5]  F. Jamar,et al.  Early biological and immune response to semi‐identical liver or kidney allograft in miniature swine , 2005, Transplant international : official journal of the European Society for Organ Transplantation.

[6]  P. Dionigi,et al.  Uretero-neocystostomy in a swine model of kidney transplantation: a new technique. , 2005, The Journal of surgical research.

[7]  Masaharu Takahashi,et al.  Molecular investigation of hepatitis E virus infection in domestic and miniature pigs used for medical experiments * , 2004, Xenotransplantation.

[8]  R. Clayman,et al.  Acucise endopyelotomy in a porcine model: procedure standardization and analysis of safety and immediate efficacy. , 2004, International braz j urol : official journal of the Brazilian Society of Urology.

[9]  T Kurihara-Bergstrom,et al.  Characterization of the Yucatan miniature pig skin and small intestine for pharmaceutical applications. , 1986, Laboratory animal science.

[10]  H Vuilleumier,et al.  Implementation of robotic laparoscopic cholecystectomy in a university hospital. , 2003, Swiss medical weekly.

[11]  J. Campo-Trapero,et al.  Evaluation of minipigs as an animal model for alveolar distraction. , 2005, Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics.

[12]  L. Yamamoto,et al.  Teaching suturing in a workshop setting: a comparison of several models. , 2004, Hawaii medical journal.

[13]  D. Berg,et al.  Teaching and evaluation of surgical skills in dermatology: results of a survey. , 2004, Archives of dermatology.

[14]  P. McMenamin,et al.  The anatomy of complications workshop: an educational strategy to improve the training and performance of fellows in gynecologic oncology. , 2004, Gynecologic oncology.

[15]  Hong-wei Zhang,et al.  Establishment of a new pig model for auxiliary partial orthotopic liver transplantation. , 2002, World journal of gastroenterology.

[16]  Terry M. Peters,et al.  Validation of dynamic heart models obtained using non-linear registration for virtual reality training, planning, and guidance of minimally invasive cardiac surgeries , 2004, Medical Image Anal..

[17]  R. Hodgson A response to ‘Emergency cricothyrotomy: a randomised crossover trial comparing the wire‐guided and catheter‐over‐needle techniques’, Fikkers BG, van Vugt S, van der Hoeven JG, van den Hoogen FJA, Marres HAM, Anaesthesia 2004; 59: 1008–11 , 2005, Anaesthesia.

[18]  Michael D Klein,et al.  Totally minimally invasive robot-assisted unstented pyeloplasty using the Zeus Microwrist Surgical System: an animal study. , 2005, Journal of pediatric surgery.

[19]  G. Buess,et al.  Laparoscopic sutured anastomosis of the bowel , 2003, Surgical Endoscopy And Other Interventional Techniques.

[20]  F. Sampaio,et al.  Pig kidney: anatomical relationships between the intrarenal arteries and the kidney collecting system. Applied study for urological research and surgical training. , 2004, The Journal of urology.

[21]  K. Thiele,et al.  The use of live three-dimensional Doppler echocardiography in the measurement of cardiac output: an in vivo animal study. , 2005, Journal of the American College of Cardiology.

[22]  D. Cooper,et al.  Clinical xenotransplantion—how close are we? , 2003, The Lancet.

[23]  A. Belldegrun,et al.  The effects of intentional cryoablation and radio frequency ablation of renal tissue involving the collecting system in a porcine model. , 2005, The Journal of urology.

[24]  Adrian Lobontiu,et al.  Laparoscopic computer‐assisted pyeloplasty: the results of experimental surgery in pigs , 2003, BJU international.

[25]  M. Brendel,et al.  Successful Pancreas Preservation by a Perfluorocarbon-Based One-Layer Method For Subsequent Pig Islet Isolation , 2005, Transplantation.

[26]  E G Hahn,et al.  The compact Erlangen Active Simulator for Interventional Endoscopy: a prospective comparison in structured team‐training courses on ‘endoscopic hemostasis’ for doctors and nurses to the ‘Endo‐Trainer’ model , 2004, Scandinavian journal of gastroenterology.

[27]  H. Marres,et al.  Emergency cricothyrotomy: a randomised crossover trial comparing the wire‐guided and catheter‐over‐needle techniques , 2004, Anaesthesia.

[28]  Y. Uen Comparative laparoscopic evaluation of the PROLENE Polypropylene Hernia System vs. the PerFix Plug repair in a porcine groin hernia repair model. , 2004, Journal of laparoendoscopic & advanced surgical techniques. Part A.

[29]  Mark Sadoski,et al.  Comparing the effects of physical practice and mental imagery rehearsal on learning basic surgical skills by medical students. , 2004, American journal of obstetrics and gynecology.

[30]  Noah S Schenkman,et al.  Multiservice laparoscopic surgical training using the daVinci surgical system. , 2004, American journal of surgery.

[31]  G. Korbutt,et al.  Reversal of diabetes in pancreatectomized pigs after transplantation of neonatal porcine islets. , 2005, Diabetes.

[32]  H. Karamanoukian,et al.  A porcine beating heart model for robotic coronary artery surgery. , 2003, The heart surgery forum.

[33]  G. Muir,et al.  Acquiring surgical skills: a comparative study of open versus laparoscopic surgery. , 2004, European urology.

[34]  R. Lavker,et al.  Hairless micropig skin. A novel model for studies of cutaneous biology. , 1991, The American journal of pathology.

[35]  L. Ellegaard,et al.  The Göttingen minipig in pharmacology and toxicology. , 1997, Pharmacology & toxicology.

[36]  Teaching subfascial perforator veins surgery: survey on a 2‐day hands‐on course , 2004, ANZ journal of surgery.

[37]  E. Pribitkin,et al.  Nerve Monitoring and Stimulation During Endoscopic Neck Surgery in the Pig , 2005, The Laryngoscope.

[38]  H. Lippert,et al.  Comparison of the ovine and porcine animal models for biocompatibility testing of vascular prostheses. , 2005, The Journal of surgical research.

[39]  R. Lavker,et al.  The atrophogenic effect of crude coal tar on human epidermis , 1981, The British journal of dermatology.

[40]  Illuminated artificial orbit for the training of vitreoretinal surgery in vitro , 2004, Eye.

[41]  P. White,et al.  Bronchoscopy training: is simulated surgery effective? , 2002, Clinical otolaryngology and allied sciences.

[42]  Julia A. Taylor,et al.  Gender, exercise training, and eNOS expression in porcine skeletal muscle arteries. , 2003, Journal of applied physiology.

[43]  Takashi Ohtsuka,et al.  Radiofrequency ablation of pulmonary tumors and normal lung tissue in swine and rabbits. , 2005, Chest.

[44]  R. Reznick,et al.  Toward reliable operative assessment: the reliability and feasibility of videotaped assessment of laparoscopic technical skills , 2004, Surgical Endoscopy.

[45]  Jost B Jonas,et al.  Computer-assisted training system for pars plana vitrectomy. , 2002, Acta ophthalmologica Scandinavica.

[46]  Blake Hannaford,et al.  The Blue DRAGON--a system for monitoring the kinematics and the dynamics of endoscopic tools in minimally invasive surgery for objective laparoscopic skill assessment. , 2002, Studies in health technology and informatics.

[47]  D. Oleynikov,et al.  Miniature robots can assist in Laparoscopic cholecystectomy , 2005, Surgical Endoscopy And Other Interventional Techniques.

[48]  P. P. D. S. Earp Percutaneous renal surgery: new model for learning and training , 2003 .

[49]  T. Nishizawa,et al.  Swine hepatitis E virus strains in Japan form four phylogenetic clusters comparable with those of Japanese isolates of human hepatitis E virus. , 2003, The Journal of general virology.

[50]  L. Bustad Pigs in the laboratory. , 1966, Scientific American.

[51]  L. Noronha,et al.  Use of small intestine submucosa as ureteral allograft in pigs. , 2004, International braz j urol : official journal of the Brazilian Society of Urology.

[52]  Ingo Klein,et al.  Microsurgical training course for clinicians and scientists at a German University hospital: A 10‐year experience , 2003, Microsurgery.

[53]  H. Metelmann,et al.  Das Landschwein als Modell für Ausbildung, wissenschaftliche Untersuchungen und Entwicklung neuer arthroskopischer Operationsmethoden am Kiefergelenk , 2003, Mund-, Kiefer- und Gesichtschirurgie.

[54]  K. Endo,et al.  Training protocol for feline renal transplantation, using rat vascular anastomosis , 2006, Microsurgery.

[55]  H. Tanaka,et al.  Evaluation of intraoperative infusion solution using a complete anhepatic model in baby pigs. , 2005, Transplantation proceedings.

[56]  Thomas A. Eggleston,et al.  Comparison of two porcine (Sus scrofa domestica) skin models for in vivo near-infrared laser exposure. , 2000, Comparative medicine.