Feasibility of Duodenal Endoscopic Submucosal Dissection Training Using Thiel-Embalmed Cadavers

Area of Science:

• Gastroenterology
• Surgical Education
• Anatomical Preservation

Background:

• Duodenal endoscopic submucosal dissection (ESD) presents significant technical challenges and risks.
• Effective training models are crucial for improving duodenal ESD outcomes.

Purpose of the Study:

• To evaluate the feasibility and educational value of duodenal ESD training using Thiel-embalmed cadavers.
• To assess the realism and technical difficulty of simulated duodenal ESD in a cadaver model.

Main Methods:

• Four Thiel-embalmed cadavers underwent simulated upper gastrointestinal endoscopy and duodenal ESD on seven lesions.
• Seven endoscopists (three experts, four trainees) participated and provided feedback via questionnaires.

Main Results:

• Thiel-embalmed cadavers successfully simulated upper gastrointestinal endoscopy and duodenal ESD.
• High scores for procedural realism and educational value were reported by participants.
• Perforations occurred in two lesions, reflecting clinical challenges in thin duodenal submucosa.

Conclusions:

• Thiel-embalmed cadaver surgical training (CST) is a feasible and realistic model for duodenal ESD.
• CST demonstrates potential for acquiring duodenal ESD skills, despite psychological stress.
• Further validation with objective outcome measures is recommended for this training method.