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Laparoscopic radical prostatectomy training for residents: Hospital Universitario La Paz model

INTRODUCTION: In the last decade, we have seen the advance of laparoscopic surgery in urology. All laparoscopic procedures in our department are performed by staff members and are assisted by a single resident, ensuring resident training in laparoscopic surgery. The aim of this study is to evaluate...

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Autores principales: Gregorio, Sergio Alonso y, Rivas, Juan Gómez, Molina, Susana Sánchez, Gómez, Angel Tabernero, Ledo, Jesús Cisneros, Sebastián, Jesús Díez, Barthel, Jesús Javier de la Peña
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Polish Urological Association 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4165673/
https://www.ncbi.nlm.nih.gov/pubmed/25247081
http://dx.doi.org/10.5173/ceju.2014.03.art7
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author Gregorio, Sergio Alonso y
Rivas, Juan Gómez
Molina, Susana Sánchez
Gómez, Angel Tabernero
Ledo, Jesús Cisneros
Sebastián, Jesús Díez
Barthel, Jesús Javier de la Peña
author_facet Gregorio, Sergio Alonso y
Rivas, Juan Gómez
Molina, Susana Sánchez
Gómez, Angel Tabernero
Ledo, Jesús Cisneros
Sebastián, Jesús Díez
Barthel, Jesús Javier de la Peña
author_sort Gregorio, Sergio Alonso y
collection PubMed
description INTRODUCTION: In the last decade, we have seen the advance of laparoscopic surgery in urology. All laparoscopic procedures in our department are performed by staff members and are assisted by a single resident, ensuring resident training in laparoscopic surgery. The aim of this study is to evaluate the results of the Hospital La Paz training program for residents in the field of laparoscopic surgery. MATERIAL AND METHODS: We have done a retrospective review of LRP performed by the residents in our department. We also evaluated different variables. Descriptive statistical analysis was done and the results were compared with the descriptive analysis of the initial series of our department. RESULTS: We reviewed 82 patients, with an average age of 61.6 years. Most cases were pT1c at diagnosis. Average surgical time was 288 minutes, with a transfusion rate of 9.7% and a intra and postoperative complication rates of 1.2% and 7.3%. The mean hospital stay was 3.3 days. Histological results of this series are: 76.8% of pT2 and 23.2% of pT3. The biochemical relapse rate is 15.8%. Global surgical margin rate is 20.7%. The global continence rate is 52.4%. CONCLUSIONS: The outcomes of LRP performed by residents are similar to the ones reported in the initial series of our department. The fact that 84.6% of the residents formed in this period actually belong to different laparoscopic units supports the success of La Paz Hospital training model.
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spelling pubmed-41656732014-09-22 Laparoscopic radical prostatectomy training for residents: Hospital Universitario La Paz model Gregorio, Sergio Alonso y Rivas, Juan Gómez Molina, Susana Sánchez Gómez, Angel Tabernero Ledo, Jesús Cisneros Sebastián, Jesús Díez Barthel, Jesús Javier de la Peña Cent European J Urol Original Paper INTRODUCTION: In the last decade, we have seen the advance of laparoscopic surgery in urology. All laparoscopic procedures in our department are performed by staff members and are assisted by a single resident, ensuring resident training in laparoscopic surgery. The aim of this study is to evaluate the results of the Hospital La Paz training program for residents in the field of laparoscopic surgery. MATERIAL AND METHODS: We have done a retrospective review of LRP performed by the residents in our department. We also evaluated different variables. Descriptive statistical analysis was done and the results were compared with the descriptive analysis of the initial series of our department. RESULTS: We reviewed 82 patients, with an average age of 61.6 years. Most cases were pT1c at diagnosis. Average surgical time was 288 minutes, with a transfusion rate of 9.7% and a intra and postoperative complication rates of 1.2% and 7.3%. The mean hospital stay was 3.3 days. Histological results of this series are: 76.8% of pT2 and 23.2% of pT3. The biochemical relapse rate is 15.8%. Global surgical margin rate is 20.7%. The global continence rate is 52.4%. CONCLUSIONS: The outcomes of LRP performed by residents are similar to the ones reported in the initial series of our department. The fact that 84.6% of the residents formed in this period actually belong to different laparoscopic units supports the success of La Paz Hospital training model. Polish Urological Association 2014-08-18 2014 /pmc/articles/PMC4165673/ /pubmed/25247081 http://dx.doi.org/10.5173/ceju.2014.03.art7 Text en Copyright by Polish Urological Association http://creativecommons.org/licenses/by-nc-nd/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution-Noncommercial 3.0 Unported License, permitting all non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Paper
Gregorio, Sergio Alonso y
Rivas, Juan Gómez
Molina, Susana Sánchez
Gómez, Angel Tabernero
Ledo, Jesús Cisneros
Sebastián, Jesús Díez
Barthel, Jesús Javier de la Peña
Laparoscopic radical prostatectomy training for residents: Hospital Universitario La Paz model
title Laparoscopic radical prostatectomy training for residents: Hospital Universitario La Paz model
title_full Laparoscopic radical prostatectomy training for residents: Hospital Universitario La Paz model
title_fullStr Laparoscopic radical prostatectomy training for residents: Hospital Universitario La Paz model
title_full_unstemmed Laparoscopic radical prostatectomy training for residents: Hospital Universitario La Paz model
title_short Laparoscopic radical prostatectomy training for residents: Hospital Universitario La Paz model
title_sort laparoscopic radical prostatectomy training for residents: hospital universitario la paz model
topic Original Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4165673/
https://www.ncbi.nlm.nih.gov/pubmed/25247081
http://dx.doi.org/10.5173/ceju.2014.03.art7
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