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Fluoroscopic-Assisted, EUS-Guided Trans-Sigmoidal Pancreas Biopsy in a Patient with Surgically Altered Anatomy.

Am J Gastroenterol

November 2017

Division of Gastroenterology, Department of Internal Medicine, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea.

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Background And Study Aims: The endoscopic-laparoscopic interdisciplinary training entity (ELITE) is one of the first training models for the training of natural orifice transluminal endoscopic surgery (NOTES) and conventional laparoscopic and endoscopic skills. The current study was designed to assess whether the effect of surgical simulation with an ex vivo training unit is relevant to surgical practice in the operating room and who, in particular, might benefit from this training.

Patients And Methods: A group of 30 participants (gastroenterologists, laparoscopists, and novices) performed a standardized NOTES cholecystectomy via a trans-sigmoidal approach.

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Introduction: The effect of the choice of access upon endoscope control during a navigational task is explored within a simulator model.

Materials And Methods: The study was conducted within the endoscopic-laparoscopic interdisciplinary training entity (ELITE) model (Minimally Invasive Therapy and Intervention Research Group [MITI], Technische Universität, Germany)--a validated natural orifice translumenal endoscopic surgery (NOTES) simulator. Seventeen subjects, 15 with no endoscopic experience, navigated the endoscope from predefined trans-sigmoidal and transgastric access points to the appendix and the gallbladder.

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Background And Study Aims: The ELITE (endoscopic-laparoscopic interdisciplinary training entity) trainer is a new ex vivo model designed to train conventional laparoscopic and endoscopic skills and to perform hybrid interventions. The aim of the present study was to assess its usefulness for natural orifice transluminal endoscopic surgery (NOTES) procedures.

Materials And Methods: A group of 30 participants (eight gastroenterologists, 22 surgeons) ranging from novices to experts completed the following tasks.

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