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Related Concept Videos

Endoscopic Procedures I: Esophagogastroduodenoscopy01:29

Endoscopic Procedures I: Esophagogastroduodenoscopy

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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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Endoscopic Procedures III: Video Capsule Endoscopy01:28

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Endoscopic Procedures V: ERCP01:26

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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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Endoscopy is a non-surgical medical technique used to examine a person's internal organs and vessels. This lesson will focus on two types of endoscopic studies: bronchoscopy and thoracoscopy.
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A Video-Based Procedure-Specific Competency Assessment Tool for Minimally Invasive Esophagectomy.

Mirte H M Ketel1, Bastiaan R Klarenbeek1, Yassin Eddahchouri1

  • 1Department of Surgery, Radboud University Medical Center, Nijmegen, the Netherlands.

JAMA Surgery
|December 27, 2023
PubMed
Summary
This summary is machine-generated.

A new competency assessment tool (CAT) for minimally invasive esophagectomy (MIE) was developed and validated. This MIE-CAT tool shows promise for assessing surgical performance in MIE procedures, aiding in training and research.

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Area of Science:

  • Surgical Education
  • Medical Device Development
  • Quality Improvement in Surgery

Background:

  • Minimally invasive esophagectomy (MIE) is a complex surgical procedure with a steep learning curve.
  • Suboptimal surgical performance in complex minimally invasive procedures is linked to poorer patient outcomes.

Purpose of the Study:

  • To develop and validate a procedure-specific competency assessment tool (CAT) for minimally invasive esophagectomy (MIE).

Main Methods:

  • An international quality improvement study developed and validated a MIE-CAT with 8 procedural phases and 4 quality components scored on a Likert scale.
  • 18 international MIE experts peer-reviewed 32 intraoperative MIE videos to assess feasibility, validity, and reliability.
  • MIE-CAT version 2 was refined to enhance interrater reliability.

Main Results:

  • Experts found the MIE-CAT feasible and easy to use, demonstrating good intrarater reliability (ICCs 0.807-0.898).
  • Interrater reliability was moderate (ICCs 0.536-0.705), with discrepancies mainly in lymphadenectomy phases.
  • Construct validity was supported by correlations between MIE-CAT scores and surgical experience, blood loss, operative time, and complication rates.

Conclusions:

  • The developed MIE-CAT is feasible and validated for assessing MIE surgical performance.
  • The MIE-CAT provides valuable insights for clinical practice, surgical training, and research in MIE.