The impact of training on service provision in laparoscopic radical prostatectomy
| Autor: | Christopher G. Eden, Mischel G. Neill, Charles Chabert, David A. Merrilees |
|---|---|
| Rok vydání: | 2009 |
| Předmět: |
Male
Biochemical recurrence Laparoscopic surgery medicine.medical_specialty Time Factors Laparoscopic radical prostatectomy Urology medicine.medical_treatment medicine Humans Aged Prostatectomy business.industry Prostatic Neoplasms Perioperative Middle Aged Surgery Dissection Exact test Treatment Outcome Education Medical Continuing Laparoscopy Clinical Competence business Body mass index |
| Zdroj: | BJU International. 103:1231-1235 |
| ISSN: | 1464-410X 1464-4096 |
| DOI: | 10.1111/j.1464-410x.2008.08262.x |
| Popis: | OBJECTIVE To address concerns about the impact of training on patient outcomes during the ‘learning curve’ for laparoscopic radical prostatectomy (LRP), we compare the results of our patients undergoing LRP with and without trainees performing a substantial proportion of the cases. PATIENTS AND METHODS In all, 771 consecutive cases of LRP were performed or supervised by one surgeon during a 7.5-year period, of which 114 (15%) were training cases. A five-port transperitoneal technique was used in the first 111 patients and an extraperitoneal approach in the remaining 660. Patient, operative and oncological outcome variables were compared using an independent samples t-test if continuous or with Fisher’s exact test for rates. RESULTS There were no differences in preoperative patient or cancer characteristics with the exception of body mass index (BMI) which was lower in the training cases (medians 25 and 26 kg/m2, P = 0.02) and patient age which was higher (medians 64 and 62 years, P |
| Databáze: | OpenAIRE |
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