新型透视镜可转向抓取器用于动态引,减少了切割时间和技术需求,与剪贴和线条引方法相比,在初学者内镜师的内镜下粘膜切割:一种ex vivo随机研究
Abhishek Agnihotri1, Divya Chalikonda2, Daniel Scanlon2
1Division of Gastroenterology, Bayhealth Medical Center, Dover, Delaware, USA.
iGIE : innovation, investigation and insights
|February 6, 2026
概括
一种新型可引导的抓手臂 (SGA) 显著减少了新手内镜师的内镜下粘膜剖析 (ESD) 时间,而不是剪贴和线 (CL) 方法. 在这个ex vivo研究中,SGA还减少了不良事件和技术工作量.
科学领域:
- 胃肠病学 胃肠病学
- 手术创新 在外科创新.
- 医疗器械技术 医疗器械技术
背景情况:
- 由于缺乏有效的组织引装置,内镜下粘膜解剖 (ESD) 往往会延长.
- 目前的方法,如剪贴和线 (CL) 可能是低效的,增加程序风险.
研究的目的:
- 为了评估一款全新的透视可转向抓手臂 (SGA) 在ESD中的动态引效果.
- 为了比较SGA的性能与传统的CL引方法在一个ex vivo设置.
主要方法:
- 一个前性,随机的ex vivo研究使用猪胃模型与初学者内镜学家.
- 在SGA和CL引力方法之间对剖析时间,不良事件 (肌肉损伤,穿孔) 和技术工作量 (NASA-TLX) 的比较.
主要成果:
- 平均剖析时间与SGA (5.07分钟) 与CL (20.07分钟) 相比显著缩短 (P < .001).
- 没有观察到SGA的不良事件,而CL导致肌肉损伤和穿孔.
- 与CL (81.5) (P <.001) 相比,SGA (36.1) 的平均NASA-TLX得分显著较低.
结论:
- 该SGA促进了更快的ESD剖析时间,并减少了初学者内镜师在ex vivo环境中的技术工作量.
- 作为提高ESD效率和改善该程序的学习曲线的工具,SGA显示出前景.
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