评估一个单个操作员的口腔内镜肌切除术的学习曲线
Michael Bejjani1, Farimah Fayyaz1, Divya Rayapati1
1Division of Gastroenterology and Hepatology, Johns Hopkins Hospital, Baltimore, Maryland, USA.
iGIE : innovation, investigation and insights
|February 6, 2026
概括
口腔内镜肌切除术与骨复合 (POEM-F) 是一种新的手术. 定义POEM-F的学习曲线 (LC) 表明熟练程度在17个案例中达到,掌握在19个案例中.
科学领域:
- 胃肠病学和内镜检查
- 手术创新 在外科创新.
- 医学培训 医学培训 医学培训
背景情况:
- 口腔内镜肌切除术与骨复合 (POEM-F) 是一种新的内镜手术,旨在预防POEM后的胃食道逆流病 (GERD).
- 了解POEM-F的学习曲线 (LC) 对于开发有效的培训计划和确保质量保证至关重要.
研究的目的:
- 定义用基底复合 (POEM-F) 进行口腔内镜肌切除术的学习曲线 (LC).
- 建立对执行POEM-F.的熟练度和掌握度的基准.
主要方法:
- 在一个单一的第三级转诊中心对接受POEM-F的患者进行前性维护数据集的回顾性分析.
- 使用累积和 (CUSUM) 分析和顺序时间块分析来评估LC.
- 主要结果是实现熟练和掌握所需的病例数.
主要成果:
- 31名患者接受了POEM-F,技术 (96.8%) 和临床 (100%) 成功率高.
- 术后平均Eckardt分数显著下降,表明症状有所改善.
- CUSUM的分析表明,需要17个案例才能熟练掌握,需要19个案例才能熟练掌握基底复合组件.
结论:
- 对POEM-F的学习曲线表明,大约需要17个程序来达到熟练程度,19个程序来达到掌握.
- 这些发现为POEM-F的外科培训和质量评估提供了宝贵的见解.
- 建议进行更多内镜师参与的进一步研究,以验证这些结果.
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