Pilot testing of a novel surgical simulator for endoscopic zenker's diverticulotomy

Wiebracht, Nathan D.; Giliberto, John Paul; Myer, Charles M.; Casper, Keith; Johnson, Kaalan

doi:10.1002/lary.26129

Cited by 7 publications

(8 citation statements)

References 22 publications

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“…As most domestic pigs possess pharyngeal diverticulae resembling human ZD, porcine models may be a useful tool in training and assessment. Also in development is a surgical simulator which demonstrates content and construct validity in allowing trainees to acquire skills within a controlled environment to develop competence in ZD therapy …”

Section: Discussionmentioning

confidence: 99%

“…Also in development is a surgical simulator which demonstrates content and construct validity in allowing trainees to acquire skills within a controlled environment to develop competence in ZD therapy. 79 Currently, there is a notable lack of clinical guidelines or auditable performance metrics in the endoscopic management of ZD. Establishing these are fundamental to the process of quality assurance, which has seen significant strides in the quality and outcomes of diagnostic and therapeutic endoscopic modalities in the last two decades.…”

Section: Safetymentioning

confidence: 99%

See 1 more Smart Citation

New and emerging techniques for endoscopic treatment of Zenker's diverticulum: State‐of‐the‐art review

Ishaq

Sultan

Siau

et al. 2018

Digestive Endoscopy

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Zenker's diverticulum (ZD), or pharyngeal pouch, is an anatomical defect characterized by herniation of the posterior pharyngeal wall through Killian's dehiscence, and may result in dysphagia and regurgitation. Multiple therapeutic modalities including surgery, rigid and flexible endoscopy have been developed to manage ZD. Although surgical management with open and endoscopically assisted techniques have historically been the mainstay of ZD treatment, minimally invasive flexible endoscopic techniques, carried out under conscious sedation, are increasingly favored. Over the last two decades, the advent of new accessories and techniques have changed the landscape of endotherapy for ZD, with the current armamentarium including, but not limited to, endoscopic stapling, CO laser, argon plasma coagulation, needle knife, bipolar forceps, hook knife, clutch cutter, stag beetle knife, and submucosal tunneling endoscopic septum division. We hereby review the latest evidence to support the endoscopic management of ZD.

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Section: Discussionmentioning

confidence: 99%

Section: Safetymentioning

confidence: 99%

New and emerging techniques for endoscopic treatment of Zenker's diverticulum: State‐of‐the‐art review

Ishaq

Sultan

Siau

et al. 2018

Digestive Endoscopy

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“…The development panel was composed of expert pediatric otolaryngologists from three institutions who perform ELCR regularly in their practices. Similar to other OSATS used in otolaryngology, this included both task‐specific and global operative performance sections 9,10 . The task‐specific portion was developed by polling the expert panel and dividing the operative procedure of endoscopic endolaryngeal suturing into compartmentalized steps required to successfully complete the procedure.…”

Section: Methodsmentioning

confidence: 99%

A Validated 3D Printed Laryngeal Suturing Simulator for Endoscopic Laryngeal Cleft Repair

et al. 2022

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Objectives Endoscopic laryngeal cleft repair (ELCR) with endolaryngeal suturing is an advanced surgical skill. This study objective was to assess the validity of 3‐dimensionally (3D) printed laryngeal suturing simulator for ELCR. Study Design Development and validation of a simulator for ELCR. Methods An ELCR model was developed using 3D printed and readily available materials. Participants were surveyed before and after a simulation session using five‐point Likert scale questions. Performance data was assessed using blinded expert video review and rated using a novel objective structured assessment of technical skills (OSATS) for endoscopic laryngeal suturing. Results Twenty‐one participants ranging from residents to attendings completed the simulation session. Survey respondents reported on a five‐point Likert scale that the model was “easy to use” and “quite realistic” (both mean of 4). Confidence improved significantly in 86% of participants (p < 0.01). Overall OSATS scores (out of a total of 55) showed a median improvement in technical skills of 11.7 points (p = 0.004). OSATS demonstrated good intra‐rater (κ = 0.689 and 0.677) and moderate inter‐rater (κ = 0.573) reliability. Completion times improved from the first to the last suture by a median time of 512 to 350 s (decrease of 202 s, p = 0.002). Participants with no prior ELCR experience improved more than those with in vivo experience. Conclusion This study demonstrates the validity of a simulator utilizing 3D printed larynges for ELCR. A novel OSATS for endoscopic laryngeal suturing was successfully implemented. Confidence, technical skills, and completion times improved with the use of the model across a variety of participants. Laryngoscope, 133:785–791, 2023

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“…Como la mayoría de los cerdos domésticos poseen divertículos faríngeos que se asemejan a los humanos 23 , los modelos porcinos pueden ser una herramienta útil en el entrenamiento y la evaluación. También está en desarrollo un simulador quirúrgico que demuestra el contenido y la validez de constructo al permitir que los residentes adquieran las habilidades dentro de un entorno controlado para desarrollar competencia en la terapia del divertículo de Zenker 24 .…”

Section: Técnica Quirúrgicaunclassified

Divertículo de Zenker. Manejo endoscópico contra técnica abierta. ¿Cuál es mejor? Experiencia en el Hospital General de México Dr. Eduardo Liceaga

Godínez-Vidal

Hurtado-López

Basurto-Kuba

et al. 2019

CIRU

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Pilot testing of a novel surgical simulator for endoscopic zenker's diverticulotomy

Abstract: NA Laryngoscope, 127:592-596, 2017.

Cited by 7 publications

References 22 publications

New and emerging techniques for endoscopic treatment of Zenker's diverticulum: State‐of‐the‐art review

New and emerging techniques for endoscopic treatment of Zenker's diverticulum: State‐of‐the‐art review

A Validated 3D Printed Laryngeal Suturing Simulator for Endoscopic Laryngeal Cleft Repair

Divertículo de Zenker. Manejo endoscópico contra técnica abierta. ¿Cuál es mejor? Experiencia en el Hospital General de México Dr. Eduardo Liceaga

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