Analyzing learning curve for supine percutaneous nephrolithotomy in urology resident training programme: comparative analysis.

Autor: Arıkan Y; Departmant of Urology, İzmir Tepecik Training and Research Hospital, İzmir, Türkiye. dryusufarikan@gmail.com., Danacioğlu YO; Departmant of Urology, Bakırkoy Dr. Sadi Konuk Tepecik Training and Research Hospital, İstanbul, Türkiye., Özlü DN; Departmant of Urology, Bitlis State Hospital, Bitlis, Türkiye., Koraş Ö; Departmant of Urology, İzmir Tepecik Training and Research Hospital, İzmir, Türkiye., Emir B; Faculty of Medicine, Department of Biostatistics, İzmir Katip Celebi University, İzmir, Türkiye., Keskin MZ; Departmant of Urology, İzmir Tepecik Training and Research Hospital, İzmir, Türkiye.
Jazyk: angličtina
Zdroj: Urolithiasis [Urolithiasis] 2024 Sep 09; Vol. 52 (1), pp. 129. Date of Electronic Publication: 2024 Sep 09.
DOI: 10.1007/s00240-024-01624-w
Abstrakt: Introduction: This article attempts to provide a comprehensive review of the learning objectives and importance of the supine percutaneous nephrolithotomy (PCNL) technique.
Material Method: We retrospectively reviewed the cases of Supine PCNL between January 2018 and January 2024. We divided the groups into 3: residents between 2 and 3 years (Group 1), residents between 4 and 5 years (Group 2), and endourologist (Group 3). The 2-3-year resident started to perform PCNL for the first time, while the 4-5-year resident started to perform Supine PCNL for the first time while previously performing prone PCNL.
Results: Access, fluoroscopy, and operation time were higher in Group 1, shorter in Group 2, and shortest in Group 3 (p < 0.001). Postoperative length of stay and the need for additional treatment were found to be shorter (p < 0.001), and the stone-free rate (SFR) increased (p < 0.001) from Group 1 to Group 3. The highest complication rates were observed in Group 1 (p = 0.002). SFR rate increased as the number of cases increased in Group 1 patients. Success was stable after 46-60 cases in terms of SFR. In Group 2, the SFR rate was stable after 31-45.
Cases: The most complications were observed in Group 1 and the least in Group 3.
Conclusion: In 2-3-year residents, access time and fluoroscopy time decrease with experience. In 4-5-year residents, due to their expertise in prone PCNL, the operation time and fluoroscopy time decrease with the number of cases performed. SFR is higher after 46-60 cases for 2-3-year residents and 31-45 cases for 4-5-year residents.
(© 2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.)
Databáze: MEDLINE
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