安全和有效的程序和培训系统,用于内镜下粘膜剖析
Yu Kamitani1,2, Kouichi Nonaka1, Yoshitsugu Misumi1
1Department of Digestive Endoscopy, Tokyo Women's Medical University Hospital, 8-1 Kawada-cho, Shinjuku-ku, Tokyo 162-8666, Japan.
Journal of clinical medicine
|June 10, 2023
概括
内镜下粘膜切割 (ESD) 是一个标准的程序. 新的培训方法和治疗技术提高了ESD的安全性和效率,在日本的一家医院实现了零穿孔.
科学领域:
- 胃肠病学 胃肠病学
- 内視鏡外科手術 內視鏡外科手術
背景情况:
- 内镜下粘膜剖析 (ESD) 越来越多地成为医院的标准.
- 在ESD中存在穿孔和出血的风险.
- 持续开发更安全,更有效的ESD技术至关重要.
研究的目的:
- 审查治疗程序和培训方法,以提高ESD的安全性和效率.
- 描述在日本一所大学医院实施的特定的ESD培训系统.
主要方法:
- 审查关于ESD治疗程序和培训的现有文献.
- 在新成立的消化内镜科中实施的培训系统的描述.
- 分析ESD结果,包括穿孔率,在部门的建立阶段.
主要成果:
- 实施的ESD培训系统有助于逐步增加ESD程序.
- 在该部门成立期间,所有ESD程序 (包括由实习生执行的程序) 的穿孔率为零.
- 该审查强调了ESD安全性和效率方面的进展.
结论:
- 描述的培训系统和治疗方法在提高ESD安全性和效率方面是有效的.
- 通过适当的培训和程序,即使是实习生,也可以成功实施ESD.
- 这个模型可以为其他机构的EDD计划的开发提供信息.
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