在西部中心的未受过指导的培训途径中,以获得食管胃内镜下粘膜解剖能力
Andreas V Hadjinicolaou1, Apostolos Pappas1, Vijay Sujendran2
1Early Cancer Institute, Department of Oncology, University of Cambridge, Cambridge, United Kingdom; Department of Gastroenterology, Cambridge University Hospitals NHS Foundation Trust, Cambridge, United Kingdom.
Gastrointestinal endoscopy
|October 28, 2023
概括
经验丰富的内镜医生可以使用无监督培训模型在内镜下层剖析 (ESD) 中获得能力. 这种涉及ex vivo和in vivo实践的方法证明了掌握复杂的胃肠道程序的可行性.
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
- 医学教育 医学教育
背景情况:
- 内镜下粘膜剖析 (ESD) 需要广泛的培训,因为它的学习曲线.
- 开发高效和可访问的培训模型对于ESD技术的广泛采用至关重要.
研究的目的:
- 评估经验丰富的内镜师进行ESD的无监督培训计划的有效性.
- 确定这种培训模式是否可以带来对食管胃ESD的能力.
主要方法:
- 实施了逐步的培训方法,包括观察,ex vivo猪模型培训和in vivo人类上部肠道病例.
- 绩效通过块切除率,R0切除,不良事件和操作时间来评估.
主要成果:
- 实现了高分块 (93.0%) 和R0切除 (80.7%) 的高率.
- 运行时间显示出学习曲线,特别是食道ESD,观察到显著改善.
- 不良事件发生率没有明确详细说明,但考虑到成功率,暗示在可接受的参数范围内.
结论:
- 对于具有先前治疗性内镜经验的内镜医生来说,食管胃ESD的未受过指导的培训是可行的方法.
- 该模型有助于实现必要的ESD程序能力标准.
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