The role of laparoscopic experience on the learning curve of HoLEP surgery: A questionnaire-based study

被引:3
作者
Gazel, Eymen [1 ]
Kaya, Engin [2 ]
Yalcin, Serdar [2 ]
Tokas, Theodoros [3 ]
Yilmaz, Sercan [2 ]
Aybal, Halil Cagri [4 ]
Aydogan, Tahsin Batuhan [5 ]
Tunc, Lutfi [6 ]
机构
[1] Acibadem Univ, Dept Urol, Ankara Hosp, Ankara, Turkey
[2] Gulhane Training & Res Hosp, Dept Urol, Ankara, Turkey
[3] Gen Hosp Hall IT, Dept Urol & Androl, Hall In Tirol, Austria
[4] Ankara Oncol Training & Res Hosp, Dept Urol, Ankara, Turkey
[5] Kahramanmaras Goksun State Hosp, Dept Urol, Kahramanmaras, Turkey
[6] Gazi Univ, Dept Urol, Sch Med, Ankara, Turkey
来源
TURKISH JOURNAL OF UROLOGY | 2020年 / 46卷 / 02期
关键词
Benign prostate hyperplasia; experience; HoLEP; laparoscopy; learning curve; HOLMIUM LASER ENUCLEATION; TRANSURETHRAL RESECTION; PROSTATE; OUTCOMES; COMPLICATIONS; METAANALYSIS; TAUGHT;
D O I
10.5152/tud.2019.19102
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
Objective: Holmium laser enucleation of the prostate (HoLEP) is an established method for treating benign prostatic obstruction. Nonetheless, its steep learning curve limits its wide distribution. The purpose of the present study was to demonstrate the impact of laparoscopic experience on HoLEP learning curve by evaluating the association between learning curves of surgeons performing both laparoscopy and HOLEP surgery. Material and methods: A questionnaire was prepared to identify surgeon's experience on laparoscopy and HoLEP, as well as their learning curves. This questionnaire was then distributed via e-mail to 110 urologists who are actively involved in endourology/laparoscopy. Results: Of the 110 urologists, 80 (72.7%) responded and completed the questionnaire. Of the 80 surgeons, 47 (58.8%) reported that they had completed the HoLEP learning curve with <20 cases. Moreover, 33 (41.2%) reported that they were able to complete the learning curve by performing >20 cases. Completion of the HoLEP learning curve in <20 cases was reached at 1.3%, 13.8%, and 43.8% by beginner, moderate skilled, and experienced laparoscopists, respectively (p<0.001). Conclusion: Laparoscopic experience appears to be beneficial for surgeons while learning HoLEP. Highly experienced laparoscopic surgeons have a shorterHOLEP learning curve.
引用
收藏
页码:129 / +
页数:6
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