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首页> 外文期刊>Endoscopy International Open >A novel mechanical simulator for cannulation and sphincterotomy after Billroth II or Roux-en-Y reconstruction
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A novel mechanical simulator for cannulation and sphincterotomy after Billroth II or Roux-en-Y reconstruction

机译：Billroth II或Roux-en-Y重建后用于插管和括约肌切开术的新型机械模拟器

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Introduction: In patients with Billroth II (B II) or Roux-en-Y anatomy, endoscopic retrograde cholangiopancreatography (ERCP) is demanding. Here, we describe a novel simulator with simulated fluoroscopy for cannulation and sphincterotomy training in such situations. Methods: A custom-made simulation system was built based upon a common chassis of a series of previously described ERCP simulators. The papilla is made out of organic material and can be cut by high frequency current. The advancement of guidewires and other instruments within transparent mock bile ducts can be viewed in the window of the simulator without the need for fluoroscopy. The ERCP B II/Roux-en-Y simulation system was first evaluated during an ERCP course. Results: There were no technical problems related to the novel simulator during the course. After sphincterotomy, the organic papillae could easily be exchanged within a few seconds. Overall, the novel B II/Roux-en-Y simulator achieved favorable results by trainees and expert endoscopists in all categories assessed. Conclusions: The new B II/Roux-en-Y mechanical simulator is simple and practicable. A first evaluation during an ERCP course showed promising results.
机译：简介：对于Billroth II（B II）或Roux-en-Y解剖结构的患者，要求进行内窥镜逆行胰胆管造影（ERCP）。在这里，我们描述了一种新型的模拟荧光透视模拟器，用于在这种情况下进行插管和括约肌切开训练。方法：基于一系列先前描述的ERCP仿真器的通用机架构建了定制的仿真系统。乳头由有机材料制成，可以被高频电流切断。可以在模拟器的窗口中查看透明模拟胆管内导丝和其他器械的进展，而无需进行透视检查。 ERCP B II / Roux-en-Y模拟系统是在ERCP课程中首先进行评估的。结果：在学习过程中，没有与新型模拟器相关的技术问题。括约肌切开术后，有机乳头可在几秒钟内轻松更换。总体而言，新颖的B II / Roux-en-Y模拟器在所有评估的学员和内窥镜专家中均取得了不错的成绩。结论：新型的B II / Roux-en-Y机械模拟器简单实用。 ERCP课程中的首次评估显示出可喜的结果。

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