Effectiveness of a novel ex vivo training model for gastric endoscopic submucosal dissection training: a prospective observational study conducted at a single center in Japan.

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Tác giả: Ai Fujimoto, Aya Hojo, Tsuyoshi Ishii, Takahisa Matsuda, Akira Nogami, Nobuyuki Sato, Ryo Shimizu, Takahito Toba

Ngôn ngữ: eng

Ký hiệu phân loại: 201.727 International affairs formerly 291.1787

Thông tin xuất bản: Korea (South) : Clinical endoscopy , 2025

Mô tả vật lý:

Bộ sưu tập: NCBI

ID: 251775

BACKGROUND/AIMS: The efficacy of endoscopic submucosal dissection (ESD) for early-stage gastric cancer is well established. However, its acquisition is challenging owing to its complexity. In Japan, G-Master is a novel ex vivo gastric ESD training model. The effectiveness of training using G-Master is unknown. This study evaluated the efficacy of gastric ESD training using the G-Master to evaluate trainees' learning curves and performance. METHODS: Four trainees completed 30 ESD training sessions using the G-Master, and procedure time, resection area, resection completion, en-bloc resection requirement, and perforation occurrence were measured. Resection speed was the primary endpoint, and learning curves were evaluated using the Cumulative Sum (CUSUM) method. RESULTS: All trainees completed the resection and en-bloc resection of the lesion without any intraoperative perforations. The learning curves covered three phases: initial growth, plateau, and late growth. The transition from phase 1 to phase 2 required a median of 10 sessions. Each trainee completed 30 training sessions in approximately 4 months. CONCLUSIONS: Gastric ESD training using the G-Master is a simple, fast, and effective method for pre-ESD training in clinical practice. It is recommended that at least 10 training sessions be conducted.
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