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Evaluation of the learning curve for transurethral plasmakinetic enucleation and resection of prostate using a mentor-based approach

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单位: [1]Department of Urology, Beijing Friendship Hospital, Capital Medical University, Beijing, China
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关键词: Prostate Transurethral Resection of Prostate

摘要:
Objective: To analyze the mentor-based learning curve of one single surgeon with transurethral plasmakinetic enucleation and resection of prostate (PKERP) prospectively. Materials and Methods: Ninety consecutive PKERP operations performed by one resident under the supervision of an experienced endourologist were studied. Operations were analyzed in cohorts of 10 cases to determine when a plateau was reached for the variables such as operation efficiency, enucleation efficiency and frequency of mentor advice (FMA). Patient demographic variables, perioperative data, complications and 12-month follow-up data were analyzed and compared with the results of a senior urologist. Results: The mean operative efficiency and enucleation efficiency increased from a mean of 0.49+/-0.09g/min and 1.11+/-0.28g/min for the first 10 procedures to a mean of 0.63+/-0.08g/min and 1.62+/-0.36g/min for case numbers 31-40 (p=0.003 and p=0.002). The mean value of FMA decreased from a mean of 6.7+/-1.5 for the first 10 procedures to a mean of 2.8+/-1.2 for case numbers 31-40 (p<0.01). The senior urologist had a mean operative efficiency and enucleation efficiency equivalent to those of the senior resident after 40 cases. There was significant improvement in 3, 6 and 12 month's parameter compared with preoperative values (p<0.001). onclusions: PKERP can be performed safely and efficiently even during the initial learning curve of the surgeon when closely mentored. Further well-designed trials with several surgeons are needed to confirm the results.

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出版当年[2016]版:
大类 | 4 区 医学
小类 | 4 区 泌尿学与肾脏学
最新[2025]版:
大类 | 3 区 医学
小类 | 3 区 泌尿学与肾脏学
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出版当年[2015]版:
Q4 UROLOGY & NEPHROLOGY
最新[2023]版:
Q1 UROLOGY & NEPHROLOGY

影响因子: 最新[2023版] 最新五年平均[2021-2025] 出版当年[2015版] 出版当年五年平均[2011-2015] 出版前一年[2014版] 出版后一年[2016版]

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第一作者单位: [1]Department of Urology, Beijing Friendship Hospital, Capital Medical University, Beijing, China
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通讯机构: [1]Department of Urology, Beijing Friendship Hospital, Capital Medical University, Beijing, China [*1]No 95 YongAn Road, XiCheng District, Beijing, China, 100050
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