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. 2014;67(3):247-52.
doi: 10.5173/ceju.2014.03.art7. Epub 2014 Aug 18.

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

Sergio Alonso Y Gregorio  1 , Juan Gómez Rivas  1 , Susana Sánchez Molina  1 , Angel Tabernero Gómez  1 , Jesús Cisneros Ledo  1 , Jesús Díez Sebastián  2 , Jesús Javier de la Peña Barthel  1
Affiliations

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

Sergio Alonso Y Gregorio et al. Cent European J Urol. 2014.

Abstract

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.

Keywords: laparoscopy; model; radical prostatectomy; resident; training.

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Figures

Figure 1
Figure 1
Surgical time of initial series. Surgeon 6 and 7 correspond to the first residents in the laparoscopy program.
See this image and copyright information in PMC

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