Assessing the Learning Curve of Holmium Laser Enucleation of Prostate (HoLEP). A Systematic Review

被引:110
作者
Kampantais, Spyridon [1 ]
Dimopoulos, Panagiotis
Tasleem, Ali
Acher, Peter
Gordon, Karen
Young, Anthony
机构
[1] Southend Univ Hosp, Dept Urol, 130 Glendale Gardens, Southend On Sea SS92BA, England
关键词
HOLEP; EXPERIENCE; COMPLICATIONS; INCONTINENCE; EFFICACY; OUTCOMES; ADENOMA; TAUGHT; TIME;
D O I
10.1016/j.urology.2018.06.012
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
We systematically assessed the learning curve of Holmium laser enucleation of the prostate using the available literature to identify, as our primary outcome, the average number of cases required to reach competency. A computerized search of PubMed and Scopus for articles published from inception through to January 2018 was performed including 24 studies with a total of 5173 patients. Even though different outcome measures require varying case-loads to reach a plateau, Holmium laser enucleation of prostate has an acceptable learning curve with a proposed figure approximating 25-50 cases, with a structured mentorship programme aiding for faster progress. (C) 2018 Elsevier Inc.
引用
收藏
页码:9 / 22
页数:14
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