Learning curve in a western training center of the circumferential en bloc esophageal endoscopic submucosal dissection in an in vivo animal model
Por:
Tanimoto M.A., Torres-Villalobos G., Fujita R., Santillan-Doherty P., Albores-Saavedra J., Chable-Montero F., Martin-Del-Campo L.A., Vasquez L., Bravo-Reyna C., Villanueva O., Villalobos J.J., Uribe M., Valdovinos M.A.
Publicada:
1 ene 2011
Categoría:
Radiology, Nuclear Medicine and Imaging
Resumen:
Aim. Evaluate the feasibility to overcome the learning curve in a western training center of the en bloc circumferential esophageal (ECE-) ESD in an in vivo animal model. Methods. ECE-ESD was performed on ten canine models under general anesthesia on artificial lesions at the esophagus marked with coagulation points. After the ESD each canine model was euthanized and surgical resection of the esophagus and stomach was carried out according to "the Principles of Humane Experimental Technique, Russel and Burch." The specimen was fixed with needles on cork submerged in formalin with the esophagus and stomach then delivered to the pathology department to be analyzed. Results. ECE-ESD was completed without complications in the last 3/10 animal models. Mean duration for the procedures was 192 ± 35 minutes (range 140-235 minutes). All the procedures were done at the animal lab surgery room with cardio pulmonary monitoring and artificial ventilation by staff surgery members and a staff member of the Gastroenterology department trained during 1999-2001 at the Fujigaoka hospital of the Showa U. in Yokohama, Japan, length (range 15-18mm) and 51 ± 6.99 width (range 40-60mm). Conclusion. ECE-ESD training is feasible in canine models for postgraduate endoscopy fellows. Copyright © 2011 Miguel A. Tanimoto et al.
Filiaciones:
Tanimoto M.A.:
Gastroenterology Department, World Gastroenterology Organisation Training Center, Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubiran, Vasco de Quiroga No. 15, Deleg. Tlalpan, 14000 Mex. City, DF, Mexico
Torres-Villalobos G.:
Surgery and Experimental Surgery Department, Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubiran, Vasco de Quiroga No. 15, Deleg. Tlalpan, 14000 Mex. City, DF, Mexico
Fujita R.:
Shinmidori Hospital Yokohama, Yokohama 226-0025, Japan
Santillan-Doherty P.:
Surgery and Experimental Surgery Department, Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubiran, Vasco de Quiroga No. 15, Deleg. Tlalpan, 14000 Mex. City, DF, Mexico
Albores-Saavedra J.:
Pathology Department, Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubiran, Vasco de Quiroga No. 15, Deleg. Tlalpan, 14000 Mex. City, DF, Mexico
Chable-Montero F.:
Pathology Department, Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubiran, Vasco de Quiroga No. 15, Deleg. Tlalpan, 14000 Mex. City, DF, Mexico
Martin-Del-Campo L.A.:
Surgery and Experimental Surgery Department, Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubiran, Vasco de Quiroga No. 15, Deleg. Tlalpan, 14000 Mex. City, DF, Mexico
Vasquez L.:
Surgery and Experimental Surgery Department, Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubiran, Vasco de Quiroga No. 15, Deleg. Tlalpan, 14000 Mex. City, DF, Mexico
Bravo-Reyna C.:
Experimental Surgery Department, Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubiran, Mexico City, Mexico
Villanueva O.:
Animal Lab. and Experimental Research Department, Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubiran, Vasco de Quiroga No. 15, Deleg. Tlalpan, 14000 Mex. City, DF, Mexico
Villalobos J.J.:
Gastroenterology Department, World Gastroenterology Organisation Training Center, Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubiran, Vasco de Quiroga No. 15, Deleg. Tlalpan, 14000 Mex. City, DF, Mexico
Uribe M.:
Gastroenterology Department, World Gastroenterology Organisation Training Center, Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubiran, Vasco de Quiroga No. 15, Deleg. Tlalpan, 14000 Mex. City, DF, Mexico
Valdovinos M.A.:
Gastroenterology Department, World Gastroenterology Organisation Training Center, Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubiran, Vasco de Quiroga No. 15, Deleg. Tlalpan, 14000 Mex. City, DF, Mexico
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