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EndoTODAY ³»½Ã°æ ±³½Ç


[Colonoscopy BOXIM] - ðû

2020-9-20. Á¦1ȸ Col-boxim open class °­ÀÇ. ´ëÀå³»½Ã°æ »ðÀÔ¹ý.


1. Box simulator¸¦ ÀÌ¿ëÇÑ ´ëÀå³»½Ã°æ »ðÀÔ¼ú ÈÆ·Ã ÇÁ·Î±×·¥

Kyoto Kagaku simulator

Koken model simulator


2. Introductory videos

YouTube - Straight colon model and anatomic colon model

YouTube - Basic movement 1 (Olympus)

YouTube - Basic movement 2 (Olympus)

YouTube - Exercise 1. Right turn shortening (Olympus)

YouTube - Exercise 2. Avoid sigmoid loop formation with the help of abdominal compression (Olympus)

YouTube - Exercise 3. Passing the sigmoid without loop formation and without abdominal compression (Olympus)

YouTube - Exercise 4. Shortening of the transverse colon (Olympus)


3. Break with video

YouTube - Forbidden movements(Olympus)


4. Tips

Sigmoid loop°¡ ±æ¸é ¾î·Á¿î ´ëÀåÀÔ´Ï´Ù. ¿¬½ÀÀº anterior resectionÀ» ÇÑ °Íó·³ S colonÀÌ °ÅÀÇ ¾ø´Â ÇüÅ·Π½ÃÀÛÇÏ¿© Á¡Â÷ S colonÀ» ±æ°ÔÇϸ鼭 ÈÆ·ÃÇÕ´Ï´Ù. Koken modelÀº A colon°ú D colonÀÌ retroperitoneal space¿¡ È®½ÇÈ÷ °íÁ¤µÇ¾î À־ ³­À̵µ°¡ Áß°£ Á¤µµÀÔ´Ï´Ù.

1) Basic model (Kyoto Kagaku, short sigmoid)

2) Intermediate model (Koken simulator) - Ascending colon°ú descending colonÀÌ È®½ÇÇÏ°Ô retroperitoneal area¿¡ fixedµÈ ¸ðÇü

3) Advanced model (Kyoto Kagaku, long sigmoid)

4) Technical tips

À§³»½Ã°æ°ú ¸¶Âù°¡Áö·Î 30cm¸¦ Àâ°í ½ÃÀÛÇÕ´Ï´Ù.

À§³»½Ã°æÀÇ torque rotation°ú ºñ½ÁÇÑ boots controlÀ» ÀÌ¿ëÇÒ ¼öµµ ÀÖÀ¸³ª ½±Áö ¾ÊÀº °æ¿ì°¡ ¸¹½À´Ï´Ù. ÀÌ ¶§¿¡´Â ÁÂÃø ¼Õ¸ñ flection/extensionÀ» ÅëÇÏ¿© ³»½Ã°æ ÃàÀ» twisting ÇÕ´Ï´Ù. ¿À¸¥¼ÕÀ» ÅëÇÑ Ãà ȸÀü°ú ¿Þ¼ÕÀ» ÀÌ¿ëÇÑ Ãà ȸÀüÀº Ç×»ó µ¿½Ã¿¡ ÀϾ¾ß ÇÕ´Ï´Ù.

¹ÐÁö ¾Ê°í fold¸¦ Á¦³¢´Â ´À³¦À» ÇØ ÁÖ¼¼¿ä. ³Ê¹« ´Þ·Á°¡¸é ¾ÈµË´Ï´Ù. Fold¸¦ ³Ñ¾î°¡¸é jigglingÀ» ÇÏ°í ³Ñ¾î°£ fold¸¦ ´­·¯ÁÖ´Â ´À³¦À¸·Î ÁøÇàÇϽʽÿÀ.

Right turn shorteningÀ» À§Çؼ­´Â ÀÏ´Ü °É°í ³­ ÈÄ ´ç°ÜÁֽñ⠹ٶø´Ï´Ù. ´ç±â¸é¼­ ¾à°£ÀÇ suctionÀ» ÇØ ÁÖ´Â °ÍÀÌ ÁÁ½À´Ï´Ù. Çѹø¿¡ ¾¦~~~ ´ç±âÁö ¸»°í »óȲÀ» º¸¸é¼­ Á¶±Ý¾¿ Á¶±Ý¾¿ ´ç±â½Ã±â ¹Ù¶ø´Ï´Ù.

ÀüÇô twistingÀ» ÇÏÁö ¾ÊÀ¸¸é¼­ »©¸é ±×³É ºüÁú »ÓÀÔ´Ï´Ù. Pull backÀº Ç×»ó rotation°ú ÇÔ²² ÁøÇàµÇ¾î¾ß ÇÕ´Ï´Ù.

ÀÏ´Ü ¹Ð¾î³Ö°í right turn shorteningÀ¸·Î Ǭ´Ù´Â Àü·«º¸´Ù´Â Á¶±Ý¾¿ Á¶±Ý¾¿ ¹Ð´çÀ» ¹Ýº¹Çϸ鼭 fold¸¦ ¸¸µéÁö ¾ÊÀ¸¸é¼­ °Ë»çÇÏ´Ù´Â Àü·«ÀÌ ÁÁ½À´Ï´Ù.


5. Archives

[2017-8-27] KSGE ³»½Ã°æ¼¼¹Ì³ª

2017-8-27. ³»½Ã°æÇÐȸ ¼¼¹Ì³ª ´ëÀå³»½Ã°æ»ðÀÔ¹ý simulator hands-on¿¡¼­´Â Kyoto Kogaku »ç modelÀÌ »ç¿ëµÇ¾ú½À´Ï´Ù. ¼³¸í µ¿¿µ»óÀ» Âü°íÇϽñ⠹ٶø´Ï´Ù. »ï¼º¼­¿ïº´¿ø¿¡¼­´Â ¾Æ·¡¿Í °°ÀÌ Kogen »ç modelÀ» »ç¿ëÇÏ°í ÀÖ½À´Ï´Ù. ¿À´Ã Á¦°¡ °üÂûÇÑ ¹Ù Kogen Á¦Ç°¿¡ ºñÇÏ¿© Kogaku Á¦Ç°Àº colonÀÌ Á¶±Ý ´õ ±æ°í loop°¡ Á» ´õ acute agulationÀ» Çü¼ºÇÏ´Â °æÇâÀÌ ÀÖ¾ú½À´Ï´Ù. Á÷Á¢ÀûÀÎ ºñ±³´Â ¾î·Æ½À´Ï´Ù¸¸, Kogen Á¦Ç°¿¡ ºñÇÏ¿© Kogaku Á¦Ç°ÀÌ Á¶±Ý ´õ ¾î·Á¿ï °Í °°¾Ò½À´Ï´Ù. Kogen Á¦Ç°À¸·Î ¸ÕÀú ¿¬½ÀÇÑ ÈÄ Kogaku Á¦Ç°À¸·Î ¿¬½ÀÇÏ¸é ´õ ÁÁ°Ú´Ù´Â »ý°¢À̾ú½À´Ï´Ù.

[2018³â 3¿ù 17ÀÏ] »ï¼º¼­¿ïº´¿ø ³»½Ã°æ½Ç ȸÀÇ½Ç ¹× ȸº¹½Ç

Åä¿äÀÏ ¿ÀÀü¿¡ ¼ÒÈ­±âºÐ°ú ³»°ú Àü°øÀÇ 4³âÂ÷ , ¼ÒÈ­±â³»°ú ÀÓ»ó°­»ç, ±×¸®°í ¸î ºÐÀÇ ¿Ü°ú ÀÓ»ó°­»ç ¼±»ý´ÔµéÀ» ¸ð½Ã°í ´ëÀå³»½Ã°æ »ðÀÔ¹ý ¿öÅ©¼óÀ» ÁøÇàÇÏ¿´½À´Ï´Ù. Àú¿Í ±èÅÂÁØ ±³¼ö´ÔÀÇ introductory lecture ÈÄ box simulator¸¦ ÀÌ¿ëÇÑ hands-on trainingÀÌ ÀÖ¾ú½À´Ï´Ù.

[2019³â 6¿ù 22ÀÏ]

À§³»½Ã°æ BOXIM (box simulator) trainingÀÌ Àß ÁøÇàµÇ°í ÀÖÀ¸¹Ç·Î ÀÌÁ¦´Â ´ëÀå³»½Ã°æ BOXIM workshopÀ» setupÇϱâ À§ÇÏ¿© ³ë·ÂÇÏ°í ÀÖ½À´Ï´Ù. Áö±Ý±îÁö º´¿ø ³»½Ã°æ½Ç ȸº¹½Ç¿¡¼­ ÁøÇàÇÏ¿´´ø ´ëÀå³»½Ã°æ BOXIM workshopÀ» ¿ÃÇØ´Â ÀÏ¿ø¿ª »ï¼º¼­¿ïº´¿ø ÀÓ»ó½Ã¹Ä·¹À̼Ǽ¾ÅÍ·Î ÀÚ¸®¸¦ ¿Å°Ü ÁøÇàÇÏ¿´½À´Ï´Ù (2019³â 6¿ù 22ÀÏ).

±èÅÂÁØ ±³¼ö´ÔÀÇ ¸ÚÁø °­ÀÇ¿Í demonstrationÀÌ ÀÖ¾ú½À´Ï´Ù. Àú´Â KSGE ³»½Ã°æ¼¼¹Ì³ª¿¡¼­ ÀÖ¾ú´ø ºÎ»êÀÇ´ë ¹éµ¿ÈÆ ±³¼ö´ÔÀÇ °¨µ¿ÀûÀÎ °­ÀÇ(¸µÅ©)¸¦ ¼Ò°³Çß½À´Ï´Ù. ¹éµ¿ÈÆ ±³¼ö´ÔÀº ´ëÀå³»½Ã°æ »ðÀÔÀÇ ÆÐÅÏÈ­¸¦ ÁÖÀåÇϼ̴µ¥ ¸Å¿ì Áß¿äÇÑ °³³äÀ̶ó°í »ý°¢ÇÕ´Ï´Ù.


[2020-4-7] ´ëÀå³»½Ã°æ workshop (¿ø³»)

2ÁÖ¿¡ °ÉÃÄ 4¹øÀÇ ´ëÀå³»½Ã°æ workshopÀ» º» º´¿ø fellow ¼±»ý´ÔµéÀ» ´ë»óÀ¸·Î ÁøÇàÇÏ¿´½À´Ï´Ù. Kokyo kagaku simulator µÎ ´ë¿Í Koken simulator ÇÑ ´ë¸¦ ÀÌ¿ëÇÏ¿´½À´Ï´Ù. ±³À°¹æ¹ýÀ» °³¹ßÇÏ¿´½À´Ï´Ù.


[2020-4-28] ´ëÀå³»½Ã°æ simulator õ°ø

ÃʽÉÀÚ ´ë»ó ´ëÀå³»½Ã°æ simulator ÈÆ·ÃÀ» ÇÏ¿´´Âµ¥ ¸î °³ÀÇ Ãµ°øÀÌ ¹ß»ýÇÏ¿´½À´Ï´Ù.

Áß¾ÓÀÇ ÀÛÀº ¹°¹æ¿ï

ª°Ô linearÇÏ°Ô Âõ¾îÁ³½À´Ï´Ù.

Simulator¿¡¼­ õ°øÀÌ ¹ß»ýÇؼ­ ´ÙÇàÀÔ´Ï´Ù. ȯÀÚ¿¡¼­ ¹ß»ýÇÏÁö ¾Ê¾Æ¼­... À̹ø simulator ÈÆ·ÃÀ» ÅëÇÏ¿© ¸î ºÐÀÇ È¯ÀÚ¿¡¼­ õ°øÀÌ ¿¹¹æµÈ °ÍÀ¸·Î »ý°¢ÇÕ´Ï´Ù. ¿ª½Ã simulator ÈÆ·ÃÀº ²À ÇÊ¿äÇÕ´Ï´Ù.

¿øÀÎ ºÐ¼®À» ÇØ º¸¾Ò½À´Ï´Ù. ÈÆ·Ã¿ë ³»½Ã°æÀÇ °ø±â ÁÖÀÔÀÌ ¿øÈ°Ä¡ ¾Ê¾Æ¼­ ½Ã¾ß°¡ È®º¸µÇÁö ¾ÊÀº »óÅ¿¡¼­ ¹«¸®ÇÏ¿© ¹Ð¾ú±â ¶§¹®ÀÏ °ÍÀ¸·Î ÃßÁ¤µÇ¾ú½À´Ï´Ù. ¹®Á¦ÀÇ ÈÆ·Ã¿ë ´ëÀå³»½Ã°æÀ» ¹Ù·Î Æó±âóºÐ ÇÏ¿´½À´Ï´Ù.


[2020-9-20] Á¦1ȸ Col-BOXIM hands-on training workshop (open class)

±× µ¿¾È ¿ø³»¿¡¼­¸¸ ÁøÇàÇÏ¿´´ø colonoscopy box simulator training hands-on workshopÀ» °ø°³Çà»ç·Î º¯°æÇÏ¿© ¿ø³»¿Ü ¿©·¯ ¼±»ý´ÔµéÀ» ¸ð½Ã°í open class¸¦ ¿­¾ú½À´Ï´Ù. 11¸í (¿Ü°ú 5¸í, °¡Á¤ÀÇÇаú 4¸í, ÁßȯÀÚÀÇÇаú 1¸í, ¼Ò¾Æ°ú 1¸í)ÀÌ Âü¼®ÇÏ¿© ¿­½ÉÈ÷ ¹è¿ì°í °¡¼Ì½À´Ï´Ù. (°á°ú º¸°í¼­ PDF)

Hands-on trainingÀº ÈÆ·ÃÇÒ ½Ã°£ÀÌ ÃæºÐÇØ¾ß ÇÕ´Ï´Ù. ¿ì¸®ÀÇ ¸ðÅä´Â 'ÃæºÐÇÑ ¿¬½À ½Ã°£'ÀÔ´Ï´Ù. ÁöÄѼ­ ´õ ¿¬½ÀÇϱâ Èûµé ¶§±îÁö, ¹è¿ì·¯ ¿À½Å ºÐµéÀÌ Á¦¹ß ±×¸¸ÇÏÀÚ°í ¸»ÇÒ ¶§±îÁö, ¸ðµÎ ÁöÃÄ ¾²·¯Áú ¶§±îÁö hands-onÀ» ÇÏ´Â °ÍÀÌ Á¦°¡ workshopÀ» ÁøÇàÇÏ´Â ¿øÄ¢ÀÔ´Ï´Ù. °­ÀÇ 1½Ã°£, ÈÆ·Ã 2½Ã°£À» Á¦°¡ ÁøÇàÇÏ¿´°í ÀÌÈķδ ȥÀÚ ¿¬½ÀÇÏ´Ù°¡ °¡°í ½ÍÀ» ¶§ °¡µµ·Ï self training ±âȸ¸¦ µå·È½À´Ï´Ù.

´ëÀå³»½Ã°æÀÌ Á¦ Àü°øºÐ¾ß°¡ ¾Æ´Ï¹Ç·Î ÀÚÁÖ hands-onÀ» ¿­±â ¾î·ÆÁö¸¸... (G-BOXIM°ú EndoGEL ESD¸¸À¸·Îµµ ¹Ù»Ý) ¼ö¿ä´Â ¸¹À¸´Ï ¾ÕÀ¸·Î Á¾Á¾ ½Ã°£À» ¸¶·ÃÇغ¸°Ú½À´Ï´Ù.


[2020-9-25] Col-BOXIM hands-on training workshop (open class) Âü¼®ÀÚ ¸í´ÜÀÔ´Ï´Ù. Mixed groupÀÔ´Ï´Ù. ¸ðµÎ¿¡°Ô ¹è¿ï ±âȸ¸¦ ÁÖ°íÀÚ ÇÕ´Ï´Ù.


[2024-10-28. ¾Öµ¶ÀÚ ÆíÁö]

¾È³çÇϼ¼¿ä ±³¼ö´Ô. Àß Áö³»½ÃÁö¿ä? ¾ó¸¶ Àü¿¡ ¿©·¯°¡Áö À̽´·Î ÀÎÇؼ­ endotoday °¡ Æó¼âµÇ¾ú´Ù°í Çؼ­ ¸¹ÀÌ ³î¶ú¾ú½À´Ï´Ù. ´ÙÇàÈ÷ Áö±ÝÀº ´Ù½Ã ¿©½Å °Í °°¾Æ¼­ ´ÙÇàÀÔ´Ï´Ù. ±³¼ö´Ô²²¼­ °¡¸£ÃÄÁֽŠÀ§³»½Ã°æ ¹æ¹ýÀ» ¹ÙÅÁÀ¸·Î ÀúÈñ º´¿ø ÀüÀÓÀÇ ¼±»ý´Ôµé¿¡°Ô À§³»½Ã°æÀ» ½±°Ô ÀÌÇؽÃÅ°°í °¡¸£Ä¡´Âµ¥¿¡ Á¤¸» Àß È°¿ëÇß½À´Ï´Ù. ¸Å¹ø °¨»çµå¸³´Ï´Ù.

´Ù¸§ÀÌ ¾Æ´Ï¶ó, Á¦°¡ À۳⿡ APDW ¿¡ Âü¼®ÇßÀ» ¶§¿¡ Mikoto colonoscopy model À̶ó´Â model ·Î ´ëÀå³»½Ã°æ ¿¬½ÀÀ» Çغ¸¾Ò´Âµ¥ ¸ðµ¨ÀÇ ÀçÇöµµ°¡ ¾ÆÁÖ ³ô¾Æ¼­ ÀüÀÓÀǵé üÇèÇϱ⿡ Á¤¸» ÁÁÀº ¸ðµ¨À̶ó´Â »ý°¢ÀÌ µé¾ú¾ú½À´Ï´Ù. ±×·±µ¥ ÇØ´ç ¸ðµ¨ÀÌ »ó´çÈ÷ °í°¡ÀÏ °ÍÀ¸·Î »ý°¢µÇ°í... ¿Ã¸²Çª½º ÄÚ¸®¾Æ¿¡ ¹®ÀÇÇßÀ» ¶§¿¡´Â ÇØ´ç ¸ðµ¨À» º¸À¯ÇÏ°í ÀÖÁö ¾Ê´Ù°í Çß½À´Ï´Ù.

Ȥ½Ã ÈÄÁö³íÀ̳ª ´Ù¸¥ ȸ»çÁß¿¡¼­ ÀÌ ¸ðµ¨À» °¡Áö°í ÀÖ´Â Æ®·¹ÀÌ´× ·ëÀ» »ç¿ëÇÒ ¼ö ÀÖ´Â °÷ÀÌ ÀÖ´ÂÁö ¾Æ½Ç±î¿ä? ±âÁ¸ ´ëÀå³»½Ã°æ ½Ã¹Ä·¹ÀÌÅÍ ¸ðµ¨°ú´Â Â÷¿øÀÌ ´Ù¸¥ ¸ðµ¨À̾ú¾î¼­ Ȥ½Ã ±³¼ö´Ô²²¼­ ±¹³»¿¡ ÇØ´ç ½Ã¹Ä·¹ÀÌÅ͸¦ µµÀÔÇÑ ¼¾Å͸¦ ¾Æ½Ã´ÂÁö ¿©Â庸°íÀÚ ¸ÞÀÏÀ» µå·È½À´Ï´Ù.

[2024-10-28. ÀÌÁØÇà ´äº¯]

¾È³çÇϽʴϱî. ¸»¾¸ÇϽŠ¸ðµ¨Àº Áö³­ 9¿ù ³»½Ã°æÇÐȸ ±¹Á¦ÇÐȸ booth¿¡¼­µµ Àü½ÃµÇ¾ú°í Àúµµ test ÇØ º¸¾Ò´Âµ¥ ¸Å¿ì À¯¿ëÇß½À´Ï´Ù. YouTube¿¡¼­µµ ¼Ò°³µÇ°í ÀÖ½À´Ï´Ù. https://youtu.be/KTIlrTHE2V4

ÇÏ¿À³ª ¾ÆÁ÷ ±¹³» ¾îµð¿¡µµ ÀÌ ¸ðµ¨À» ±¸ÀÔÇÑ °÷ÀÌ ¾ø´Â °Í °°½À´Ï´Ù. ÀÌÁ¦´Â ¿Ã¸²Çª½º³ª ÈÄÁö³í°ú °°Àº ȸ»ç¿¡ ÀÇÁ¸ÇÒ °ÍÀÌ ¾Æ´Ï°í ³»½Ã°æÇÐȸ¿¡¼­ ÅõÀÚ¸¦ ÇÏ¿© ¸î °³ ±¸ÀÔÇÏ¿© ȸ¿øµéÀÌ »ç¿ëÇÒ ¼ö ÀÖµµ·Ï ÇØ¾ß ÇÏÁö ¾ÊÀ»±î »ý°¢µË´Ï´Ù.

[2024-11-29] ANATDEL »ç¿¡¼­ °³¹ßÇÑ ´ëÀå ¸ðÇüÀÔ´Ï´Ù.


[References]

1) EndoTODAY ´ëÀå³»½Ã°æ »ðÀÔ¹ý

2) ÀÌÁØÇàÀÇ ´ëÀå³»½Ã°æ »ðÀÔ¹ý °­ÀÇ

3) Preparation of the colon simulator - How to set up CM-15 colon phantom (Olympus)

YouTube

4) Koken »ç µ¿¿µ»ó YouTube

5) EndoTODAY ³»½Ã°æ hands-on training È°¼ºÈ­¸¦ À§ÇÏ¿©

© ÀÏ¿ø³»½Ã°æ±³½Ç ¹Ù¸¥³»½Ã°æ¿¬±¸¼Ò ÀÌÁØÇà. EndoTODAY Endoscopy Learning Center. Lee Jun Haeng. (since 1999-8-23)