Training program using a traction device improves trainees’ learning curve of colorectal endoscopic submucosal dissection
Background Colorectal endoscopic submucosal dissection (ESD) requires advanced endoscopic skill. For safer and more reliable ESD implementation, various traction devices have been developed in recent years. The purpose of this research was to evaluate whether an ESD training program using a traction...
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| Veröffentlicht in: | Surgical endoscopy 2022-06, Vol.36 (6), p.4462-4469 |
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| creator | Mitsuyoshi, Yuki Ide, Daisuke Ohya, Tomohiko Richard Ishihoka, Mitsuaki Yasue, Chihiro Chino, Akiko Igarashi, Masahiro Nakashima, Akio Saito, Shoichi Fujisaki, Junko Saruta, Masayuki |
| description | Background
Colorectal endoscopic submucosal dissection (ESD) requires advanced endoscopic skill. For safer and more reliable ESD implementation, various traction devices have been developed in recent years. The purpose of this research was to evaluate whether an ESD training program using a traction device (TD) would contribute to the improvement of trainees’ skill acquisition.
Methods
The differences in treatment outcomes and learning curves by the training program were compared before and after the introduction of TD (control group: January 2014 to March 2016; TD group: April 2016 to June 2018).
Results
A total of 316 patients were included in the analysis (TD group: 202 cases; control group: 114 cases). The number of cases required to achieve proficiency in ESD techniques was 10 in the TD group and 21 in the control group. Compared to the control group, the TD group had a significant advantage in ESD self-completion rate (73.8% vs. 58.8%), dissection speed (19.5 mm
2
/min vs. 15.9 mm
2
/min), en bloc resection rate (100% vs. 90%), and R0 resection rate (96% vs. 83%).
Conclusions
The rate of colorectal ESD self-completion by trainees improved immediately after the start of the training program using a traction device compared to the conventional method, and the dissection speed tended to increase linearly with ESD experience. We believe that ESD training using a traction device will help ESD techniques to be performed safely and reliably among trainees. |
| doi_str_mv | 10.1007/s00464-021-08799-y |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2586995776</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2586995776</sourcerecordid><originalsourceid>FETCH-LOGICAL-c441t-fa1a0b7fb12bf77b75f306153a70ed1c3a16138524a69a4419d51e9e0a22ce2b3</originalsourceid><addsrcrecordid>eNp9kU1uFDEQhS1ERCaBC7BAltiwaeJ_j5co4k-KlE2yttzu6pGj7vbg6h5pxIZr5HqcBM9MAIkFK6tc33tl1yPkNWfvOWP2ChlTRjVM8IatrXPN_hlZcSVFIwRfPycr5iRrhHXqnFwgPrDKO65fkHOpLFNcsxX5fldCmtK0oduSNyWMdMFDFehcQpxTnmgHuxSBprESO8BDI00A-PPHIx0glKM6LmUHNPc05iEXiHMYKExdxpi3KVJc2nGJGettlxDh6PySnPVhQHj1dF6S-08f766_NDe3n79ef7hpolJ8bvrAA2tt33LR9ta2VveSGa5lsAw6HmXghsu1FioYF6rEdZqDAxaEiCBaeUnenXzrB74tgLMfE0YYhjBBXtALvTbOaWtNRd_-gz7kpUz1dV4Yw4XV0rhKiRMVS0Ys0PttSWMoe8-ZP0TjT9H4Go0_RuP3VfTmybruAro_kt9ZVECeAKytaQPl7-z_2P4CEKmdRA</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2661275369</pqid></control><display><type>article</type><title>Training program using a traction device improves trainees’ learning curve of colorectal endoscopic submucosal dissection</title><source>MEDLINE</source><source>SpringerLink Journals - AutoHoldings</source><creator>Mitsuyoshi, Yuki ; Ide, Daisuke ; Ohya, Tomohiko Richard ; Ishihoka, Mitsuaki ; Yasue, Chihiro ; Chino, Akiko ; Igarashi, Masahiro ; Nakashima, Akio ; Saito, Shoichi ; Fujisaki, Junko ; Saruta, Masayuki</creator><creatorcontrib>Mitsuyoshi, Yuki ; Ide, Daisuke ; Ohya, Tomohiko Richard ; Ishihoka, Mitsuaki ; Yasue, Chihiro ; Chino, Akiko ; Igarashi, Masahiro ; Nakashima, Akio ; Saito, Shoichi ; Fujisaki, Junko ; Saruta, Masayuki</creatorcontrib><description>Background
Colorectal endoscopic submucosal dissection (ESD) requires advanced endoscopic skill. For safer and more reliable ESD implementation, various traction devices have been developed in recent years. The purpose of this research was to evaluate whether an ESD training program using a traction device (TD) would contribute to the improvement of trainees’ skill acquisition.
Methods
The differences in treatment outcomes and learning curves by the training program were compared before and after the introduction of TD (control group: January 2014 to March 2016; TD group: April 2016 to June 2018).
Results
A total of 316 patients were included in the analysis (TD group: 202 cases; control group: 114 cases). The number of cases required to achieve proficiency in ESD techniques was 10 in the TD group and 21 in the control group. Compared to the control group, the TD group had a significant advantage in ESD self-completion rate (73.8% vs. 58.8%), dissection speed (19.5 mm
2
/min vs. 15.9 mm
2
/min), en bloc resection rate (100% vs. 90%), and R0 resection rate (96% vs. 83%).
Conclusions
The rate of colorectal ESD self-completion by trainees improved immediately after the start of the training program using a traction device compared to the conventional method, and the dissection speed tended to increase linearly with ESD experience. We believe that ESD training using a traction device will help ESD techniques to be performed safely and reliably among trainees.</description><identifier>ISSN: 0930-2794</identifier><identifier>EISSN: 1432-2218</identifier><identifier>DOI: 10.1007/s00464-021-08799-y</identifier><identifier>PMID: 34704150</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Abdominal Surgery ; Colonoscopy ; Colorectal cancer ; Colorectal Neoplasms - surgery ; Dissection ; Dissection - methods ; Endoscopic Mucosal Resection - methods ; Endoscopy ; Gastroenterology ; Gynecology ; Hepatology ; Humans ; Internal medicine ; Learning Curve ; Medical research ; Medicine ; Medicine & Public Health ; Proctology ; Surgery ; Traction ; Training ; Treatment Outcome</subject><ispartof>Surgical endoscopy, 2022-06, Vol.36 (6), p.4462-4469</ispartof><rights>The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2021</rights><rights>2021. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.</rights><rights>The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2021.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c441t-fa1a0b7fb12bf77b75f306153a70ed1c3a16138524a69a4419d51e9e0a22ce2b3</citedby><cites>FETCH-LOGICAL-c441t-fa1a0b7fb12bf77b75f306153a70ed1c3a16138524a69a4419d51e9e0a22ce2b3</cites><orcidid>0000-0003-2167-9852</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00464-021-08799-y$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00464-021-08799-y$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34704150$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mitsuyoshi, Yuki</creatorcontrib><creatorcontrib>Ide, Daisuke</creatorcontrib><creatorcontrib>Ohya, Tomohiko Richard</creatorcontrib><creatorcontrib>Ishihoka, Mitsuaki</creatorcontrib><creatorcontrib>Yasue, Chihiro</creatorcontrib><creatorcontrib>Chino, Akiko</creatorcontrib><creatorcontrib>Igarashi, Masahiro</creatorcontrib><creatorcontrib>Nakashima, Akio</creatorcontrib><creatorcontrib>Saito, Shoichi</creatorcontrib><creatorcontrib>Fujisaki, Junko</creatorcontrib><creatorcontrib>Saruta, Masayuki</creatorcontrib><title>Training program using a traction device improves trainees’ learning curve of colorectal endoscopic submucosal dissection</title><title>Surgical endoscopy</title><addtitle>Surg Endosc</addtitle><addtitle>Surg Endosc</addtitle><description>Background
Colorectal endoscopic submucosal dissection (ESD) requires advanced endoscopic skill. For safer and more reliable ESD implementation, various traction devices have been developed in recent years. The purpose of this research was to evaluate whether an ESD training program using a traction device (TD) would contribute to the improvement of trainees’ skill acquisition.
Methods
The differences in treatment outcomes and learning curves by the training program were compared before and after the introduction of TD (control group: January 2014 to March 2016; TD group: April 2016 to June 2018).
Results
A total of 316 patients were included in the analysis (TD group: 202 cases; control group: 114 cases). The number of cases required to achieve proficiency in ESD techniques was 10 in the TD group and 21 in the control group. Compared to the control group, the TD group had a significant advantage in ESD self-completion rate (73.8% vs. 58.8%), dissection speed (19.5 mm
2
/min vs. 15.9 mm
2
/min), en bloc resection rate (100% vs. 90%), and R0 resection rate (96% vs. 83%).
Conclusions
The rate of colorectal ESD self-completion by trainees improved immediately after the start of the training program using a traction device compared to the conventional method, and the dissection speed tended to increase linearly with ESD experience. We believe that ESD training using a traction device will help ESD techniques to be performed safely and reliably among trainees.</description><subject>Abdominal Surgery</subject><subject>Colonoscopy</subject><subject>Colorectal cancer</subject><subject>Colorectal Neoplasms - surgery</subject><subject>Dissection</subject><subject>Dissection - methods</subject><subject>Endoscopic Mucosal Resection - methods</subject><subject>Endoscopy</subject><subject>Gastroenterology</subject><subject>Gynecology</subject><subject>Hepatology</subject><subject>Humans</subject><subject>Internal medicine</subject><subject>Learning Curve</subject><subject>Medical research</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Proctology</subject><subject>Surgery</subject><subject>Traction</subject><subject>Training</subject><subject>Treatment Outcome</subject><issn>0930-2794</issn><issn>1432-2218</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp9kU1uFDEQhS1ERCaBC7BAltiwaeJ_j5co4k-KlE2yttzu6pGj7vbg6h5pxIZr5HqcBM9MAIkFK6tc33tl1yPkNWfvOWP2ChlTRjVM8IatrXPN_hlZcSVFIwRfPycr5iRrhHXqnFwgPrDKO65fkHOpLFNcsxX5fldCmtK0oduSNyWMdMFDFehcQpxTnmgHuxSBprESO8BDI00A-PPHIx0glKM6LmUHNPc05iEXiHMYKExdxpi3KVJc2nGJGettlxDh6PySnPVhQHj1dF6S-08f766_NDe3n79ef7hpolJ8bvrAA2tt33LR9ta2VveSGa5lsAw6HmXghsu1FioYF6rEdZqDAxaEiCBaeUnenXzrB74tgLMfE0YYhjBBXtALvTbOaWtNRd_-gz7kpUz1dV4Yw4XV0rhKiRMVS0Ys0PttSWMoe8-ZP0TjT9H4Go0_RuP3VfTmybruAro_kt9ZVECeAKytaQPl7-z_2P4CEKmdRA</recordid><startdate>20220601</startdate><enddate>20220601</enddate><creator>Mitsuyoshi, Yuki</creator><creator>Ide, Daisuke</creator><creator>Ohya, Tomohiko Richard</creator><creator>Ishihoka, Mitsuaki</creator><creator>Yasue, Chihiro</creator><creator>Chino, Akiko</creator><creator>Igarashi, Masahiro</creator><creator>Nakashima, Akio</creator><creator>Saito, Shoichi</creator><creator>Fujisaki, Junko</creator><creator>Saruta, Masayuki</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-2167-9852</orcidid></search><sort><creationdate>20220601</creationdate><title>Training program using a traction device improves trainees’ learning curve of colorectal endoscopic submucosal dissection</title><author>Mitsuyoshi, Yuki ; Ide, Daisuke ; Ohya, Tomohiko Richard ; Ishihoka, Mitsuaki ; Yasue, Chihiro ; Chino, Akiko ; Igarashi, Masahiro ; Nakashima, Akio ; Saito, Shoichi ; Fujisaki, Junko ; Saruta, Masayuki</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c441t-fa1a0b7fb12bf77b75f306153a70ed1c3a16138524a69a4419d51e9e0a22ce2b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Abdominal Surgery</topic><topic>Colonoscopy</topic><topic>Colorectal cancer</topic><topic>Colorectal Neoplasms - surgery</topic><topic>Dissection</topic><topic>Dissection - methods</topic><topic>Endoscopic Mucosal Resection - methods</topic><topic>Endoscopy</topic><topic>Gastroenterology</topic><topic>Gynecology</topic><topic>Hepatology</topic><topic>Humans</topic><topic>Internal medicine</topic><topic>Learning Curve</topic><topic>Medical research</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Proctology</topic><topic>Surgery</topic><topic>Traction</topic><topic>Training</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mitsuyoshi, Yuki</creatorcontrib><creatorcontrib>Ide, Daisuke</creatorcontrib><creatorcontrib>Ohya, Tomohiko Richard</creatorcontrib><creatorcontrib>Ishihoka, Mitsuaki</creatorcontrib><creatorcontrib>Yasue, Chihiro</creatorcontrib><creatorcontrib>Chino, Akiko</creatorcontrib><creatorcontrib>Igarashi, Masahiro</creatorcontrib><creatorcontrib>Nakashima, Akio</creatorcontrib><creatorcontrib>Saito, Shoichi</creatorcontrib><creatorcontrib>Fujisaki, Junko</creatorcontrib><creatorcontrib>Saruta, Masayuki</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Surgical endoscopy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mitsuyoshi, Yuki</au><au>Ide, Daisuke</au><au>Ohya, Tomohiko Richard</au><au>Ishihoka, Mitsuaki</au><au>Yasue, Chihiro</au><au>Chino, Akiko</au><au>Igarashi, Masahiro</au><au>Nakashima, Akio</au><au>Saito, Shoichi</au><au>Fujisaki, Junko</au><au>Saruta, Masayuki</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Training program using a traction device improves trainees’ learning curve of colorectal endoscopic submucosal dissection</atitle><jtitle>Surgical endoscopy</jtitle><stitle>Surg Endosc</stitle><addtitle>Surg Endosc</addtitle><date>2022-06-01</date><risdate>2022</risdate><volume>36</volume><issue>6</issue><spage>4462</spage><epage>4469</epage><pages>4462-4469</pages><issn>0930-2794</issn><eissn>1432-2218</eissn><abstract>Background
Colorectal endoscopic submucosal dissection (ESD) requires advanced endoscopic skill. For safer and more reliable ESD implementation, various traction devices have been developed in recent years. The purpose of this research was to evaluate whether an ESD training program using a traction device (TD) would contribute to the improvement of trainees’ skill acquisition.
Methods
The differences in treatment outcomes and learning curves by the training program were compared before and after the introduction of TD (control group: January 2014 to March 2016; TD group: April 2016 to June 2018).
Results
A total of 316 patients were included in the analysis (TD group: 202 cases; control group: 114 cases). The number of cases required to achieve proficiency in ESD techniques was 10 in the TD group and 21 in the control group. Compared to the control group, the TD group had a significant advantage in ESD self-completion rate (73.8% vs. 58.8%), dissection speed (19.5 mm
2
/min vs. 15.9 mm
2
/min), en bloc resection rate (100% vs. 90%), and R0 resection rate (96% vs. 83%).
Conclusions
The rate of colorectal ESD self-completion by trainees improved immediately after the start of the training program using a traction device compared to the conventional method, and the dissection speed tended to increase linearly with ESD experience. We believe that ESD training using a traction device will help ESD techniques to be performed safely and reliably among trainees.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>34704150</pmid><doi>10.1007/s00464-021-08799-y</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0003-2167-9852</orcidid></addata></record> |
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| ispartof | Surgical endoscopy, 2022-06, Vol.36 (6), p.4462-4469 |
| issn | 0930-2794 1432-2218 |
| language | eng |
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| source | MEDLINE; SpringerLink Journals - AutoHoldings |
| subjects | Abdominal Surgery Colonoscopy Colorectal cancer Colorectal Neoplasms - surgery Dissection Dissection - methods Endoscopic Mucosal Resection - methods Endoscopy Gastroenterology Gynecology Hepatology Humans Internal medicine Learning Curve Medical research Medicine Medicine & Public Health Proctology Surgery Traction Training Treatment Outcome |
| title | Training program using a traction device improves trainees’ learning curve of colorectal endoscopic submucosal dissection |
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