在结直肠内镜下粘膜解剖中以战略为重点的培训的有效性:一项回顾性观察性研究
Hideyuki Chiba1, Ken Ohata2, Keiichi Ashikari3
1Department of Gastroenterology, Omori Red Cross Hospital, 4-30-1 Chuo, Ota-ku, Tokyo, 143-8527, Japan. h-chiba@omori.jrc.or.jp.
Digestive diseases and sciences
|April 25, 2024
概括
这项研究表明,以战略为中心的内镜下层剖析 (ESD) 培训方法有助于学员实现高成功率. 大肠直肠ESD的熟练程度在大约50个病例后显著增长,适应病变的难度.
科学领域:
- 胃肠病学 胃肠病学
- 最少侵入性的手术
- 医学教育 医学教育
背景情况:
- 结肠直肠内镜下粘膜切割 (ESD) 是一种先进的微创技术,具有全球训练变异.
- 结直肠ESD的技术挑战需要优化培训策略.
- 术前策略,包括重力引,对于成功的ESD手术至关重要.
研究的目的:
- 分析结直肠内镜下层剖析 (ESD) 培训的学习曲线.
- 评估以战略为重点的培训方法对学员熟练程度的影响.
- 确定影响ESD学习过程中技术困难的因素.
主要方法:
- 对881例结直肠ESD病例进行了回顾性分析.
- 培训涉及六名实习生,他们在监督下接受了以战略为重点的指导.
- 实习生根据ESD经验 (0-200个案例) 被分为几个阶段.
主要成果:
- 实现了高块 (99.8%) 和治愈切除 (94.7%) 的比率.
- 大约在50个案例中观察到~90%的自我完成率,这表明快速获得技能.
- 挑战包括病变形态 (LST-NG) 和纤维化,特别是在早期培训阶段.
结论:
- 专注于战略的ESD培训带来了持续的成功结果.
- 培训方法有效地解决了各个技能阶段的不同难度水平.
- 实习生在结肠直肠ESD方面的熟练程度在前200个病例中取得显著进展.
更多相关视频
08:26Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction
Published on: March 24, 2023
458
15:49Flexible Colonoscopy in Mice to Evaluate the Severity of Colitis and Colorectal Tumors Using a Validated Endoscopic Scoring System
Published on: October 16, 2013
31.8K
相关概念视频
Endoscopic Procedures II: Colonoscopy
90
The colon, or large intestine, is the final segment of the digestive system. Its primary functions include absorbing water and vitamins produced by gut bacteria and transforming waste from liquid to solid to form stool. In adults, the large intestine is approximately 5 feet long and consists of four main sections:
90
Endoscopic Procedures I: Esophagogastroduodenoscopy
109
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.
During an EGD, the endoscope can be used to:
During an EGD, the endoscope can be used to:
109
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
78
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
78
