Endoscopic retrograde cholangiopancreatography training using a silicone simulator fabricated using a 3D printing technique (with videos)

Abstract Endoscopic retrograde cholangiopancreatography (ERCP) training remains challenging. This study used 3D printing techniques to develop and optimize a portable ERCP training simulator and to implement basic and advanced practical techniques. Subsequently, we aimed to determine whether endosco...

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Main Authors: Suk Pyo Shin, Kyong Joo Lee, Min Je Sung, Jong Chan Kim, Guk Bae Kim, Moo Yeop Kim, Sung Yong Han, Sung Ill Jang, Mamoru Takenaka, Chang-Il Kwon
Format: Article
Language:English
Published: Nature Portfolio 2025-01-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-025-86755-9
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author Suk Pyo Shin
Kyong Joo Lee
Min Je Sung
Jong Chan Kim
Guk Bae Kim
Moo Yeop Kim
Sung Yong Han
Sung Ill Jang
Mamoru Takenaka
Chang-Il Kwon
author_facet Suk Pyo Shin
Kyong Joo Lee
Min Je Sung
Jong Chan Kim
Guk Bae Kim
Moo Yeop Kim
Sung Yong Han
Sung Ill Jang
Mamoru Takenaka
Chang-Il Kwon
author_sort Suk Pyo Shin
collection DOAJ
description Abstract Endoscopic retrograde cholangiopancreatography (ERCP) training remains challenging. This study used 3D printing techniques to develop and optimize a portable ERCP training simulator and to implement basic and advanced practical techniques. Subsequently, we aimed to determine whether endoscopy trainees acquired proficiency in ERCP techniques and assess any improvements in their skill levels from using this model. An ERCP training model was generated using 3D printing techniques, including five distinct interchangeable and transparent ampullar–common bile duct (CBD) modules. A prospective study using this model was conducted with ten trainees. The technical success rate and examination times for duodenoscope insertion and biliary cannulation were evaluated. In addition, the successful plastic-stent insertion rate and trainee satisfaction were measured. The success rates for duodenoscopy, cannulation, and plastic stent insertion were 94, 100, and 92%, respectively. The mean satisfaction scores for duodenoscope insertion, cannulation, and plastic stent insertion were 4.4, 4.7, and 4.6 on a 5-point scale, respectively. Five attempts decreased the insertion time (R = − 0.591, P < 0.001) and cannulation time (R = − 0.424, P = 0.002). This ERCP-training silicon model is durable, simulates ERCP techniques easily, and helps trainees improve their ERCP techniques.
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spelling doaj-art-5c505793a5e1477b9bf4931466d8a3c52025-01-26T12:31:39ZengNature PortfolioScientific Reports2045-23222025-01-011511810.1038/s41598-025-86755-9Endoscopic retrograde cholangiopancreatography training using a silicone simulator fabricated using a 3D printing technique (with videos)Suk Pyo Shin0Kyong Joo Lee1Min Je Sung2Jong Chan Kim3Guk Bae Kim4Moo Yeop Kim5Sung Yong Han6Sung Ill Jang7Mamoru Takenaka8Chang-Il Kwon9Digestive Disease Center, CHA Bundang Medical Center, CHA University School of Medicine, CHA UniversityDivision of Gastroenterology, Department of Internal Medicine, Hallym University Dongtan Sacred Heart Hospital, Hallym University College of MedicineDigestive Disease Center, CHA Bundang Medical Center, CHA University School of Medicine, CHA UniversityAnymedi IncAnymedi IncDigestive Disease Center, CHA Bundang Medical Center, CHA University School of Medicine, CHA UniversityDepartment of Internal Medicine, Biomedical Research Institute, Pusan National University Hospital, Pusan National University School of MedicineDepartment of Internal Medicine, Gangnam Severance Hospital, Yonsei University College of MedicineDepartment of Gastroenterology and Hepatology, Faculty of Medicine, Kindai UniversityDigestive Disease Center, CHA Bundang Medical Center, CHA University School of Medicine, CHA UniversityAbstract Endoscopic retrograde cholangiopancreatography (ERCP) training remains challenging. This study used 3D printing techniques to develop and optimize a portable ERCP training simulator and to implement basic and advanced practical techniques. Subsequently, we aimed to determine whether endoscopy trainees acquired proficiency in ERCP techniques and assess any improvements in their skill levels from using this model. An ERCP training model was generated using 3D printing techniques, including five distinct interchangeable and transparent ampullar–common bile duct (CBD) modules. A prospective study using this model was conducted with ten trainees. The technical success rate and examination times for duodenoscope insertion and biliary cannulation were evaluated. In addition, the successful plastic-stent insertion rate and trainee satisfaction were measured. The success rates for duodenoscopy, cannulation, and plastic stent insertion were 94, 100, and 92%, respectively. The mean satisfaction scores for duodenoscope insertion, cannulation, and plastic stent insertion were 4.4, 4.7, and 4.6 on a 5-point scale, respectively. Five attempts decreased the insertion time (R = − 0.591, P < 0.001) and cannulation time (R = − 0.424, P = 0.002). This ERCP-training silicon model is durable, simulates ERCP techniques easily, and helps trainees improve their ERCP techniques.https://doi.org/10.1038/s41598-025-86755-9Endoscopic retrograde cholangiopancreatographyThree-dimensionalPrintingTraining model
spellingShingle Suk Pyo Shin
Kyong Joo Lee
Min Je Sung
Jong Chan Kim
Guk Bae Kim
Moo Yeop Kim
Sung Yong Han
Sung Ill Jang
Mamoru Takenaka
Chang-Il Kwon
Endoscopic retrograde cholangiopancreatography training using a silicone simulator fabricated using a 3D printing technique (with videos)
Scientific Reports
Endoscopic retrograde cholangiopancreatography
Three-dimensional
Printing
Training model
title Endoscopic retrograde cholangiopancreatography training using a silicone simulator fabricated using a 3D printing technique (with videos)
title_full Endoscopic retrograde cholangiopancreatography training using a silicone simulator fabricated using a 3D printing technique (with videos)
title_fullStr Endoscopic retrograde cholangiopancreatography training using a silicone simulator fabricated using a 3D printing technique (with videos)
title_full_unstemmed Endoscopic retrograde cholangiopancreatography training using a silicone simulator fabricated using a 3D printing technique (with videos)
title_short Endoscopic retrograde cholangiopancreatography training using a silicone simulator fabricated using a 3D printing technique (with videos)
title_sort endoscopic retrograde cholangiopancreatography training using a silicone simulator fabricated using a 3d printing technique with videos
topic Endoscopic retrograde cholangiopancreatography
Three-dimensional
Printing
Training model
url https://doi.org/10.1038/s41598-025-86755-9
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