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.
基金:
Beijing Municipal Administration of Hospitals Clinical Medicine Development of Special Funding Support [ZYLX201604]
第一作者单位:[1]Department of Urology, Beijing Friendship Hospital, Capital Medical University, Beijing, China
通讯作者:
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
推荐引用方式(GB/T 7714):
Feng Lang,Song Jian,Zhang Daoxin,et al.Evaluation of the learning curve for transurethral plasmakinetic enucleation and resection of prostate using a mentor-based approach[J].INTERNATIONAL BRAZ J UROL.2017,43(2):245-255.doi:10.1590/S1677-5538.IBJU.2016.0237.
APA:
Feng, Lang,Song, Jian,Zhang, Daoxin&Tian, Ye.(2017).Evaluation of the learning curve for transurethral plasmakinetic enucleation and resection of prostate using a mentor-based approach.INTERNATIONAL BRAZ J UROL,43,(2)
MLA:
Feng, Lang,et al."Evaluation of the learning curve for transurethral plasmakinetic enucleation and resection of prostate using a mentor-based approach".INTERNATIONAL BRAZ J UROL 43..2(2017):245-255