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Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
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An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
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The Role of Indocyanine Green Fluorescence in Complex Laparoscopic Cholecystectomy Navigation
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The Role of Indocyanine Green Fluorescence in Complex Laparoscopic Cholecystectomy Navigation

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Cholangioscopy under direct visualization: skill progress during a dedicated Image-Guided Surgery Course.

M E Gimenez1,2,3, A K Uribe Rivera4, J Montanelli4

  • 1Institute of Image-Guided Surgery, IHU-Strasbourg, 1, Place de l'Hôpital, 67000, Strasbourg, France. marianoegimenez@gmail.com.

Surgical Endoscopy
|September 1, 2023
PubMed
Summary
This summary is machine-generated.

This study shows that a new cholangioscopy training program significantly improves surgical skills for bile duct exploration and stone removal. Participants demonstrated rapid skill acquisition and retention over two days, highlighting the program

Keywords:
Biliary tract direct visualizationLaparoscopic cholangioscopyPercutaneous cholangioscopySkill acquisitionTraining program

Related Experiment Videos

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Area of Science:

  • Medical training and simulation
  • Gastroenterology and Hepatology
  • Surgical Education

Background:

  • Cholangioscopy is crucial for diagnosing and treating biliary tract diseases like cancer and choledocholithiasis.
  • Surgeons underutilize cholangioscopy due to a need for specialized training in laparoscopic and percutaneous techniques.
  • Effective training programs are vital for mastering new bile duct clearance methods.

Purpose of the Study:

  • To assess skill acquisition and retention in cholangioscopy.
  • To evaluate a novel training program utilizing a disposable cholangioscope and a biliary tract model.

Main Methods:

  • Prospective study involving 17 physicians (surgeons and interventional radiologists) trained on a biliary tract model with simulated common bile duct stones.
  • Participants visualized critical structures and performed stone retrieval using a Dormia basket.
  • Skill assessment included task completion time over two days and post-training Likert scale questionnaires.

Main Results:

  • All participants successfully completed the cholangioscopic bile duct exploration and stone retrieval task.
  • A significant reduction in mean task completion time was observed from day 1 (172s) to day 2 (89s) (P < 0.0001).
  • High median ratings (5/5) were reported for the platform's usability, training effectiveness, and realistic simulation.

Conclusions:

  • The dedicated cholangioscopy training program effectively enabled bile duct exploration and stone retrieval.
  • Significant skill improvement was achieved within two days of training.
  • The training platform is user-friendly, simulates realistic scenarios, and accelerates proficiency gain for residents and fellows.