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Related Experiment Video

Updated: Jul 30, 2025

Author Spotlight: Demonstrating Systematic Endobronchial Ultrasound to New Endoscopists
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A novel step-by-step training program for transanal endoscopic surgery.

Călin Popa1,2, Diana Schlanger3,4, Virgiliu Mihail Prunoiu5,6

  • 1"Iuliu Haţieganu" University of Medicine and Pharmacy, Cluj-Napoca, Romania. Street Emil Isac no 13, Cluj-Napoca, 400023, Romania.

BMC Medical Education
|May 11, 2023
PubMed
Summary

This study developed and validated a transanal endoscopic surgery training platform and program. The simulation effectively improved surgical skills for all participants, regardless of experience.

Keywords:
Minimally invasive surgerySurgical educationTraining programTransanal surgery

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Area of Science:

  • Surgical Education
  • Minimally Invasive Surgery
  • Medical Simulation

Background:

  • Transanal endoscopic surgery requires specialized skills.
  • A need exists for effective, standardized training methods.

Purpose of the Study:

  • To develop and validate a simulation-based training platform for transanal endoscopic surgery.
  • To assess the efficacy of a step-by-step training program for basic surgical skills.

Main Methods:

  • A two-part study: platform/exercise design and prospective validation.
  • Included synthetic and biological materials for realistic training.
  • Assessed performance by completion time and execution quality.

Main Results:

  • Developed training platforms (5, 7.5, 10 cm) usable with TEO and TAMIS.
  • Forty participants (residents, specialists) showed significant performance improvement.
  • More experienced surgeons completed exercises faster; biological material exercises were challenging for junior residents.

Conclusions:

  • The simulation-based program effectively recreates transanal endoscopic surgery conditions.
  • The step-by-step program develops essential basic skills.
  • All participants demonstrated progress, irrespective of prior surgical experience.