Live surgery: highly educational or harmful?
| Autor: | Thierry Piechaud, John W. Davis, E.N. Liatsikos, Clément-Claude Abbou, Alberto Breda, Jens-Uwe Stolzenburg, Bülent Oktay, Vito Pansadoro, Juan Palou, Vincenzo Disanto, E. De Lorenzis, T. Erdogru, Xu Zhang, Richard Gaston, Inderbir S. Gill, P. Emiliozzi, Humberto Villavicencio, Bernardo Rocco, Giancarlo Albo, Yaojun Sun, Angelica Grasso |
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| Přispěvatelé: | Uludağ Üniversitesi/Tıp Fakültesi/Üroloji Anabilim Dalı., Oktay, Bülent |
| Rok vydání: | 2017 |
| Předmět: |
Male
Nephrology Complications medicine.medical_treatment 030232 urology & nephrology Robotic surgical procedure Nephrectomy Severity of Illness Index Cohort Studies Postoperative Complications 0302 clinical medicine Robotic Surgical Procedures Urologic surgery Medicine Urology & nephrology Morbidity index Laparoscopy Live case demonstration medicine.diagnostic_test Prostatectomy Retrospective study 030220 oncology & carcinogenesis Urologic Surgical Procedures Female Cohort analysis Human medicine.medical_specialty Surgical complications Urology Outcomes Lymph node dissection Cystectomy Education 03 medical and health sciences Patient safety Internal medicine Training Humans Grade IIIa Retrospective Studies Surgical education Live-surgery broadcast Mentoring Lymph Node Excision Laparoscopic cystectomy business.industry Postoperative complication Surgery Laparoscopic Cholecystectomy Incision business |
| Zdroj: | WORLD JOURNAL OF UROLOGY r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pau Universidad Europea (UEM) |
| ISSN: | 1433-8726 0724-4983 |
| DOI: | 10.1007/s00345-017-2118-1 |
| Popis: | Çalışmada 21 yazar bulunmaktadır. Bu yazarlardan sadece Bursa Uludağ Üniversitesi mensuplarının girişleri yapılmıştır. Live surgery (LS) is considered a useful teaching opportunity. The benefits must be balanced with patient safety concerns. To evaluate the rate of complications of a series of urologic LS performed by experts during the Congress Challenge in Laparoscopy and Robotics (CILR). We present a large, multi-institution, multi-surgeon database that derives from 12 CILR events, from 2004 to 2015 with a total of 224 cases. Radical prostatectomy (RP) was the most common procedure and a selection of complex cases was noted. The primary measure was postoperative complications and use of a Postoperative Morbidity Index (PMI) to allow quantitative weighing of postoperative complications. From 12 events, the number of cases increased from 11 in 2004 to 27 in 2015 and a total of 27 surgeons. Of 224 cases (164 laparoscopic and 60 robotic), there were 26 (11.6%) complications: 5 grade I, 5 grade II, 3 grade IIIa, 12 grade IIIb and 1 grade V, the latter from laparoscopic cystectomy. Analysis of PMI was 23 times higher from cystectomy compared to RP. In the setting of live surgery, the overall rate of complications is low considering the complexity of surgeries. The PMI is not higher in more complex procedures, whereas RP seems very safe. |
| Databáze: | OpenAIRE |
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