Assistant skill in gastric endoscopic submucosal dissection using a clutch cutter.

Assistant Clutch cutter Endoscopic submucosal dissection Porcine training model Skill level

Journal

World journal of gastrointestinal surgery
ISSN: 1948-9366
Titre abrégé: World J Gastrointest Surg
Pays: United States
ID NLM: 101532473

Informations de publication

Date de publication:
27 Feb 2021
Historique:
received: 17 10 2020
revised: 13 12 2020
accepted: 23 12 2020
entrez: 1 3 2021
pubmed: 2 3 2021
medline: 2 3 2021
Statut: ppublish

Résumé

A clutch cutter is a scissor-type knife used in endoscopic submucosal dissection (ESD) for gastrointestinal tract tumors. The assistant during the ESD using a clutch cutter (ESD-C) needs to rotate the device and grasp the target tissue appropriately; therefore, the assistant's skill may affect the technical outcomes of ESD-C. To determine how assistant skill level affected the technical outcomes of gastric ESD-C using an In this pilot study, mock lesions of 15-30 mm in diameter were created in the middle or lower third of the porcine stomach. A total of 32 ESD-C procedures were performed by 16 trainees. Each trainee operator performed two ESD-C procedures; one ESD-C was assisted by an expert (ESD-C-E), and the other was assisted by a non-expert (ESD-C-NE). The total procedure time of the ESD was set as the primary outcome, and The median total procedure time of the ESD-C-E was significantly shorter than that of the ESD-C-NE (12.9 min Assistance by an expert is an important factor when trainees perform ESD-C procedures.

Sections du résumé

BACKGROUND BACKGROUND
A clutch cutter is a scissor-type knife used in endoscopic submucosal dissection (ESD) for gastrointestinal tract tumors. The assistant during the ESD using a clutch cutter (ESD-C) needs to rotate the device and grasp the target tissue appropriately; therefore, the assistant's skill may affect the technical outcomes of ESD-C.
AIM OBJECTIVE
To determine how assistant skill level affected the technical outcomes of gastric ESD-C using an
METHODS METHODS
In this pilot study, mock lesions of 15-30 mm in diameter were created in the middle or lower third of the porcine stomach. A total of 32 ESD-C procedures were performed by 16 trainees. Each trainee operator performed two ESD-C procedures; one ESD-C was assisted by an expert (ESD-C-E), and the other was assisted by a non-expert (ESD-C-NE). The total procedure time of the ESD was set as the primary outcome, and
RESULTS RESULTS
The median total procedure time of the ESD-C-E was significantly shorter than that of the ESD-C-NE (12.9 min
CONCLUSION CONCLUSIONS
Assistance by an expert is an important factor when trainees perform ESD-C procedures.

Identifiants

pubmed: 33643532
doi: 10.4240/wjgs.v13.i2.116
pmc: PMC7898188
doi:

Types de publication

Journal Article

Langues

eng

Pagination

116-126

Informations de copyright

©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved.

Déclaration de conflit d'intérêts

Conflict-of-interest statement: Seiichiro Sakisaka, Shuichi Abe, Masafumi Wada, Naru Tomoeda, Yusuke Kitagawa, Kei Nishioka, Yosuke Minoda, Shinichi Tsuruta, Hirotada Akiho, Toshiki Horii, Ryoji Ichijima, and Yoshihiro Ogawa have no conflicts of interest or financial ties to disclose. Mitsuru Esaki, Sho Suzuki, and Takuji Gotoda received lecture fees from Fujifilm Medical (Tokyo, Japan). Eikichi Ihara belongs to the endowed course supported by the companies mentioned, including Ono Pharmaceutical Co., Ltd., Miyarisan Pharmaceutical Co. Ltd., Sanwa Kagaku Kenkyusho Co., Ltd., Otsuka Pharmaceutical Factory, Inc., Fujifilm Medical Co., Ltd., Termo Corporation, Fancl Corporation, and Ohga Pharmacy. Eikichi Ihara received a lecture fee from Takeda Pharmaceutical Co. Ltd. Hands-on seminars were supported by Boston Scientific (Tokyo, Japan). Harvested porcine models, hyaluronic acid solution (MucoUp; Boston Scientific, Tokyo, Japan), and injection needles (SureLIFTERTM, Boston, Tokyo, Japan) were received from Boston Scientific. Clutch Cutter was received from Fujifilm Medical (Tokyo, Japan).

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Auteurs

Mitsuru Esaki (M)

Department of Medicine and Bioregulatory Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka 812-8582, Japan.

Toshiki Horii (T)

Division of Gastroenterology and Hepatology, Department of Medicine, Nihon University School of Medicine, Tokyo 101-8309, Japan.

Ryoji Ichijima (R)

Division of Gastroenterology and Hepatology, Department of Medicine, Nihon University School of Medicine, Tokyo 101-8309, Japan.

Masafumi Wada (M)

Department of Medicine and Bioregulatory Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka 812-8582, Japan.

Seiichiro Sakisaka (S)

Department of Gastroenterology, Kitakyushu Municipal Medical Center, Kitakyushu 802-0077, Fukuoka, Japan.

Shuichi Abe (S)

Department of Gastroenterology, Hara-Sanshin Hospital, Fukuoka 812-0033, Japan.

Naru Tomoeda (N)

Department of Gastroenterology, Clinical Research Institute, National Hospital Organization Kyushu Medical Center, Fukuoka 810-0065, Japan.

Yusuke Kitagawa (Y)

Department of Internal Medicine, Saiseikai Fukuoka General Hospital, Fukuoka 810-0001, Japan.

Kei Nishioka (K)

Department of Medicine and Bioregulatory Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka 812-8582, Japan.

Yosuke Minoda (Y)

Department of Medicine and Bioregulatory Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka 812-8582, Japan.

Shinichi Tsuruta (S)

Department of Anatomic Pathology, Kyushu University, Fukuoka 812-8582, Japan.

Sho Suzuki (S)

Division of Gastroenterology and Hepatology, Department of Medicine, Nihon University School of Medicine, Tokyo 101-8309, Japan.

Hirotada Akiho (H)

Department of Gastroenterology, Kitakyushu Municipal Medical Center, Kitakyushu 802-0077, Fukuoka, Japan.

Eikichi Ihara (E)

Department of Medicine and Bioregulatory Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka 812-8582, Japan.

Yoshihiro Ogawa (Y)

Department of Medicine and Bioregulatory Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka 812-8582, Japan.

Takuji Gotoda (T)

Division of Gastroenterology and Hepatology, Department of Medicine, Nihon University School of Medicine, Tokyo 101-8309, Japan.

Classifications MeSH