Laparoscopic radical prostatectomy training for residents: Hospital Universitario La Paz model.

Autor:	Gregorio SA; Department of Urology, Hospital Universitario La Paz, Madrid, Spain., Rivas JG; Department of Urology, Hospital Universitario La Paz, Madrid, Spain., Molina SS; Department of Urology, Hospital Universitario La Paz, Madrid, Spain., Gómez AT; Department of Urology, Hospital Universitario La Paz, Madrid, Spain., Ledo JC; Department of Urology, Hospital Universitario La Paz, Madrid, Spain., Sebastián JD; Department of Biostatistics, Hospital Universitario La Paz, Madrid, Spain., Barthel JJ; Department of Urology, Hospital Universitario La Paz, Madrid, Spain.
Jazyk:	angličtina
Zdroj:	Central European journal of urology [Cent European J Urol] 2014; Vol. 67 (3), pp. 247-52. Date of Electronic Publication: 2014 Aug 18.
DOI:	10.5173/ceju.2014.03.art7
Abstrakt:	Introduction: In the last decade, we have seen the advance of laparoscopic surgery in urology.All laparoscopic procedures in our department are performed by staff members and are assisted by a single resident, ensuring resident training in laparoscopic surgery. The aim of this study is to evaluate the results of the Hospital La Paz training program for residents in the field of laparoscopic surgery. Material and Methods: We have done a retrospective review of LRP performed by the residents in our department. We also evaluated different variables . Descriptive statistical analysis was done and the results were compared with the descriptive analysis of the initial series of our department. Results: We reviewed 82 patients, with an average age of 61.6 years. Most cases were pT1c at diagnosis. Average surgical time was 288 minutes, with a transfusion rate of 9.7% and a intra and postoperative complication rates of 1.2% and 7.3%. The mean hospital stay was 3.3 days. Histological results of this series are: 76.8% of pT2 and 23.2% of pT3. The biochemical relapse rate is 15.8%. Global surgical margin rate is 20.7%. The global continence rate is 52.4%. Conclusions: The outcomes of LRP performed by residents are similar to the ones reported in the initial series of our department. The fact that 84.6% of the residents formed in this period actually belong to different laparoscopic units supports the success of La Paz Hospital training model.
Databáze:	MEDLINE
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