van der Wiel S E, Küttner Magalhães R, Rocha Gonçalves Carla Rolanda, Dinis-Ribeiro M, Bruno M J, Koch A D
Department of Gastroenterology and Hepatology, Erasmus MC - University Medical Center Rotterdam, 's Gravendijkwal 230, 3015 CE Rotterdam, The Netherlands.
Department of Gastroenterology, Santo António Hospital, Porto Hospital Center, Largo Prof. Abel Salazar, 4099-001 Porto, Portugal.
Best Pract Res Clin Gastroenterol. 2016 Jun;30(3):375-87. doi: 10.1016/j.bpg.2016.04.004. Epub 2016 May 11.
Simulator-based gastrointestinal endoscopy training has gained acceptance over the last decades and has been extensively studied. Several types of simulators have been validated and it has been demonstrated that the use of simulators in the early training setting accelerates the learning curve in acquiring basic skills. Current GI endoscopy simulators lack the degree of realism that would be necessary to provide training to achieve full competency or to be applicable in certification. Virtual Reality and mechanical simulators are commonly used in basic flexible endoscopy training, whereas ex vivo and in vivo models are used in training the most advanced endoscopic procedures. Validated models for the training of more routine therapeutic interventions like polypectomy, EMR, stenting and haemostasis are lacking or scarce and developments in these areas should be encouraged.
在过去几十年里，基于模拟器的胃肠内镜培训已获得认可并得到广泛研究。多种类型的模拟器已得到验证，并且已经证明在早期培训阶段使用模拟器可加速获取基本技能的学习曲线。当前的胃肠内镜模拟器缺乏提供培训以达到完全胜任或适用于认证所需的逼真度。虚拟现实和机械模拟器常用于基础柔性内镜培训，而离体和在体模型则用于最先进内镜手术的培训。用于诸如息肉切除术、内镜黏膜切除术、支架置入术和止血等更常规治疗干预培训的经过验证的模型缺乏或稀少，应鼓励在这些领域取得进展。
