Advantages of Simulation Training in Endoscopic Submucosal Dissection (ESD)

| Roxanne Blanford

From a safety and efficacy standpoint, simulation training may empower the endoscopist to be able to learn the basic tenets of ESD in a safe, controlled and supervised setting before trying first in humans. 1

Endoscopic submucosal dissection (ESD) is a standard surgical technique that uses endoscopy to treat and/or remove noninvasive mucosal and gastrointestinal tumors, lesions and adenomas - - all of which are often precursors to cancer in the GI tract. Though widely recognized as a complex medical procedure, ESD is a highly beneficial and minimally invasive endoscopic technique. In fact, its high rate of success in en-bloc curative resection has compelled more Western endoscopists to adopt ESD as a viable procedural method.

Discover advanced training in endoscopy: CAE EndoVR with ESD Training Module

However, due to its flat learning curve (mastery of this advanced endoscopic procedure requires a lengthy education period and demands considerable experience for practitioners to develop proficiency), training on human subjects engenders varying degrees of patient risk. In light of this, simulation training in ESD may be the most advantageous approach to acquiring procedural competency, expanding implementation in clinical practice, and reducing the number of patient complications.  

ESD Training Through Simulation with CAE Healthcare

CAE Healthcare moves forward with innovation in healthcare simulation with the release of an endoscopic submucosal dissection module for its award-winning CAE EndoVR endoscopy simulator.

Specifically engineered to be the most advanced high-fidelity simulator of its kind for quality training in upper gastrointestinal tract procedures, the endoscopic submucosal dissection module empowers learners with key skills development.

These enhancements will help new and seasoned practitioners in endoscopy to practice through innovative, evidence-based training technology, including:

  • Virtual anatomy for immersive and enhanced visualization

  • Superior haptic feedback for realistic learning experiences

  • Quantitative metrics and assessment tools for all stages of training

CAE EndoVR, the first endoscopy simulator to have an advanced virtual reality ESD module, provides a safer practice environment for acquiring mastery in technically-challenging techniques.

The ESD module will additionally offer residents-in-training, gastroenterology learners, and endoscopy technicians the advantages of unlimited and risk-free training in marking, injection, cutting, and dissection.

Realistic exposure to scenarios in managing complications (bleeding, perforation, etc) is also a major benefit of this highly anticipated endoscopic simulator.  


Contact CAE Healthcare for updates on the availability of the ESD module. 


1 "Learning Curve of Endoscopic Submucosal Dissection (ESD) in an Established Experimental Setting"  Masayuki Kato, MD PhD, Yunho Jung, MD, Mark A Gromski, MD, Jongchan Lee, MD, Navaneel Biswas, MD, Chuttani Ram, MD, Kai Matthes, MD PhD. Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA

Kaltenbach T, Soetikno R, Kusano C, Gotoda T. Development of expertise in endoscopic mucosal resection and endoscopic submucosal dissection. Tech. Gastrointest. Endosc. 13(1), 100–104 (2011).

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