Laparoscopic skill laboratory in urological surgery: tools and methods for resident training
Int. braz. j. urol
;
37(1): 108-112, Jan.-Feb. 2011. ilus
Article
in English
| LILACS
| ID: lil-581544
ABSTRACT
PURPOSE:
Laparoscopy has certainly brought considerable benefits to patients, but laparoscopic surgery requires a set of skills different from open surgery, and learning in the operating room may increase surgical time, and even may be harmful to patients. Several training programs have been developed to decrease these potential prejudices.PURPOSES:
to describe the laparoscopic training program for urological residents of the "Hospital das Clinicas" of the Sao Paulo Medical School, to report urological procedures that are feasible in dry and wet labs, and to perform a critical analysis of the cost-benefit relation of advanced laparoscopic skills laboratory. MATERIALS ANDMETHODS:
The laparoscopic skill lab has two virtual simulators, three manual simulators, and four laparoscopic sets for study with a porcine model. The urology residents during their first year attend classes in the virtual and manual simulator and helps the senior urological resident in activities carried out with the laparoscopic sets. During the second year, the urological resident has six periods per week, each period lasting four hours, to perform laparoscopic procedures with a porcine model.Results:
In a training program of ten weeks, one urological resident performs an average of 120 urological procedures. The most common procedures are total nephrectomy (30 percent), bladder suture (30 percent), partial nephrectomy (10 percent), pyeloplasty (10 percent), ureteral replacement or transuretero anastomosis (10 percent), and others like adrenalectomy, prostatectomy, and retroperitoneoscopy. These procedures are much quicker and caused less morbidity.CONCLUSION:
Laparoscopic skills laboratory is a good method for achieving technical ability.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Urologic Surgical Procedures
/
Urology
/
Clinical Competence
/
Laparoscopy
/
Internship and Residency
Type of study:
Practice guideline
/
Prognostic study
Limits:
Humans
Country/Region as subject:
South America
/
Brazil
Language:
English
Journal:
Int. braz. j. urol
Journal subject:
Urology
Year:
2011
Type:
Article
Affiliation country:
Brazil
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