摘要
胆胰疾病是临床常见病,以腹腔镜、十二指肠镜为基础的软硬镜联合内镜外科微诊疗技术是目前的主要诊疗手段。由于学科的交叉融合,越来越多的外科医师开始从事经内镜逆行胰胆管造影术(endoscopic retrograde cholangiopancreatography,ERCP)的临床工作。因外科医师大多缺乏内镜操作基础,以传统消化内镜医师“先直视镜后侧视镜”的培训方式难以满足外科ERCP医师的培养需求,而国内尚未建立完善的外科ERCP规范化培训模式。为更好地规范外科ERCP培训模式和促进技术快速发展,中华医学会消化内镜学分会内镜外科学组、中国医师协会内镜医师分会及中国医师协会胰腺病专业委员会组织国内从事ERCP的专家,基于最新的循证医学证据,并结合国内各外科内镜中心的培训经验,最终形成共识意见,对外科ERCP的培训对象与资质、培训方案、培训周期、质控标准、考核标准5个方面的内容进一步明确,并针对外科ERCP的培训体系提出推荐意见,以期为我国外科ERCP规范化培训模式的建立提供重要依据。
Pancreatic and biliary tract diseases are a group of common disorders.Laparoscopy combined with duodenoscopy are the mainstream for the diagnosis and treatment of these diseases.More and more surgeons perform endoscopic retrograde cholangiopancreatography(ERCP)procedure due to the integration of disciplines.Traditional ERCP training method of"direct-viewing endoscope firstly then side-viewing endoscope"for gastroenterologist is not suitable for training in surgeons since most of surgeons are lack of endoscopy experience.Currently,there is no standardized surgical ERCP training mode in China.In order to standardize the surgical ERCP training and promote the spread development of technology,Endoscopic Surgery Group,Chinese Society of Digestive Endoscopology,Chinese Endoscopist Association and Pancreatology Committee of Chinese Medical Doctor Association established an expert consensus on surgical ERCP training in China.This consensus was developed by the top ERCP experts based on the latest evidence-based medicine and surgical endoscopic experience all over the world.It included five parts for the surgical ERCP training:trainees and qualifications of training institutions,training protocol,training period,criteria of quality control,and assessment criteria,and made recommendations for the surgical ERCP training to provide important reference to establish a standardized training mode for surgical ERCP in China.
作者
中华医学会消化内镜学分会内镜外科学组
中国医师协会内镜医师分会
中国医师协会胰腺病专业委员会
孟文勃
岳平
李汛
Endoscopic Surgery Group,Chinese Society of Digestive Endoscopology;Chinese Endoscopist Association;Pancreatology Committee of Chinese Medical Doctor Association;Li Xun(不详;Department of General Surgery,The First Hospital of Lanzhou University,Lanzhou 730030,China)
出处
《中华消化内镜杂志》
CSCD
2022年第6期421-429,共9页
Chinese Journal of Digestive Endoscopy
关键词
胰胆管造影术
内窥镜逆行
教学
培训
内镜外科
Cholangiopancreatography,endoscopic retrograde
Teaching
Training
Endoscopic surgery
