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Learning curve for endoscopic ultrasound-guided fine-needle aspiration ă (EUS-FNA) of pancreatic lesions in a novel ex-vivo simulation model

Author

Listed:
  • J. M. Gonzalez
  • J. Cohen

    (CHU Tenon [AP-HP] - AP-HP - Assistance publique - Hôpitaux de Paris (AP-HP) - SU - Sorbonne Université)

  • M. A. Gromski
  • K. Saito

    (Kao Group)

  • A. Loundou

    (SPMC - Santé Publique et maladies Chroniques : Qualité de vie Concepts, Usages et Limites, Déterminants - AMU - Aix Marseille Université - APHM - Assistance Publique - Hôpitaux de Marseille)

  • K. Matthes

Abstract

Background: Endoscopic ultrasound-guided fine-needle aspiration ă (EUS-FNA) is essential in the management of digestive cancers. However, ă teaching and learning this technique remain challenging due to the lack ă of cost-effective models. ă Material and methods: This was a prospective experimental study using a ă complete porcine upper gastrointestinal ex-vivo organ package, placed in ă an Erlangen Active Simulator for Interventional Endoscopy (EASIE-R), and ă prepared with one cyst and two solid masses (2cm). Five fellows ă inexperienced in EUS-FNA were enrolled, performing 10 procedures on each ă lesion, alternatively. The total time, number of attempts for success, ă of needle view losses, and of scope handling were recorded, associated ă with an independent skills rating by procedure. We compared the first 15 ă procedures with the last 15 for each fellow. ă Results: The fellows successfully performed all procedures in 2 to 40 ă minutes, requiring 1 to 6 attempts. All (5/5) improved their total time ă taken (P

Suggested Citation

  • J. M. Gonzalez & J. Cohen & M. A. Gromski & K. Saito & A. Loundou & K. Matthes, 2016. "Learning curve for endoscopic ultrasound-guided fine-needle aspiration ă (EUS-FNA) of pancreatic lesions in a novel ex-vivo simulation model," Post-Print hal-01482377, HAL.
    • Handle: RePEc:hal:journl:hal-01482377
    DOI: 10.1055/s-0042-118176
    as

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