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Related Concept Videos

Endoscopic Procedures V: ERCP01:26

Endoscopic Procedures V: ERCP

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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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Related Experiment Video

Updated: Jun 7, 2025

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Advancing excellence: a national peer-coaching program for advanced laparoscopic HPB techniques.

Alice Zhu1, Marisa Louridas2, Sean P Cleary3

  • 1Division of General Surgery, University of Toronto, Toronto, Canada.

HPB : the Official Journal of the International Hepato Pancreato Biliary Association
|November 20, 2024
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Summary

A national surgical coaching program for hepatopancreaticobiliary (HPB) surgeons significantly improved laparoscopic skills and comfort. The program demonstrated practicality for lasting clinical practice change despite implementation barriers.

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Area of Science:

  • Surgical education and training
  • Minimally invasive surgery
  • Hepatopancreaticobiliary (HPB) surgery

Background:

  • Surgical coaching enhances surgeon knowledge, skills, and professional development.
  • Advanced laparoscopic techniques are crucial for HPB surgery.
  • Continuous professional development is vital for practicing surgeons.

Purpose of the Study:

  • To implement a national coaching program for Canadian HPB surgeons focused on advanced laparoscopic techniques.
  • To assess the adoption and impact of the coaching program.
  • To evaluate surgeon perceptions, barriers, and experiences with surgical coaching.

Main Methods:

  • Mid-to-late career HPB surgeons participated in peer surgical coaching for advanced laparoscopic skills.
  • The program involved didactic sessions, simulation labs, and real-time operating room coaching.
  • Lead surgeons from participating centers were interviewed post-program.

Main Results:

  • Surgeons reported increased self-perceived comfort in laparoscopic HPB surgeries (34.9%).
  • Significant increases were observed in laparoscopic liver (24.2%) and pancreas (56.7%) resections.
  • Barriers to implementation included surgeon and societal factors, requiring mutual respect and collaboration to overcome.

Conclusions:

  • A nationwide surgical coaching program is practical and effective for implementing change in HPB surgery.
  • The program facilitated substantial and long-term changes in clinical practice.
  • Sustained change requires team collaboration and long-term coach relationships.