AI Article Synopsis
- The study developed the G-Master, a non-animal training model designed to enhance the skills of inexperienced endoscopic submucosal dissection (ESD) trainees.
- Data from 75 gastric ESD cases showed that trainees who used the G-Master had significantly faster procedural speeds compared to those who did not.
- Although the difference in perforation rates was not statistically significant, trainees using the G-Master demonstrated lower perforation rates and required less assistance from expert operators.
Article Abstract
Background: Endoscopic submucosal dissection (ESD) requires high endoscopic technical skills, and trainees should develop effective training methods. In collaboration with KOTOBUKI Medical, we developed the G-Master, which is a non-animal training model that can simulate various parts of gastric ESD. We aimed to clarify the usefulness of the G-Master for inexperienced ESD trainees.
Methods: We collected data from the first 5 gastric ESD cases conducted by 15 inexperienced ESD trainees at 5 participating centers between 2018 and 2022. The participants were divided into two groups: the G-Master training and non-G-Master training groups. Outcome measurements, such as procedural speed, perforation rate, self-completion rate, and en bloc resection rate, were compared between the two groups retrospectively.
Results: A total of 75 gastric ESD cases were included in this study. The G-Master training group included 25 cases performed by 5 trainees, whereas the non-G-Master training group included 50 cases performed by 10 trainees. The median procedural speed for all cases was significantly faster in the G-Master training group than in the non-G-Master training group. Moreover, the procedural speed was linearly improved from the initial to the last cases in the lower location in the G-Master training group compared with the non-G-Master training group. In addition, although there was no significant difference, the G-Master training group showed lower rates of perforation and a lesser need to transition to expert operators than the non-G-Master training group.
Conclusion: The G-Master could improve the ESD skills of inexperienced ESD trainees.
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| http://dx.doi.org/10.1007/s00464-024-10838-3 | DOI Listing |
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