Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2019 May 10;12(3):121-126.
doi: 10.1159/000489437.

Laparoscopic Training in Urology Residency Programs: A Systematic Review

Tiago Ribeiro de Oliveira  1   2 , Ben Van Cleynenbreugel  3 , Sérgio Pereira  1 , Pedro Oliveira  1 , Sandro Gaspar  1 , Nuno Domingues  2 , Tito Leitão  1 , Artur Palmas  2 , Tomé Lopes  1 , Hein Van Poppel  3
Affiliations
Review

Laparoscopic Training in Urology Residency Programs: A Systematic Review

Tiago Ribeiro de Oliveira et al. Curr Urol. .

Abstract

Background/aims: Laparoscopy is a widespread surgical approach for many urological conditions. Achieving prof-ciency in laparoscopic surgery requires considerable effort due to the steep learning curve. Several residency programs include standardized laparoscopic training periods in their curricula. Our aim was to systematically analyze the evidence on the current status of training in laparoscopy in different residency programs in urology.

Methods: We performed a systematic review of PubMed/Medline and the Cochrane library, in February 2018, according to the Preferred Reporting Items for the Systematic Review and Meta-Analyses Statement. Identified reports were reviewed according to the previously defined inclusion criteria. Eight publications, comprising a total of 985 urology residents, were selected for inclusion in this analysis.

Results: There was a wide variation between training programs in terms of exposure to laparoscopy. Most residents considered that training in lap-aroscopy was inadequate during residency and had a low degree of confidence in independently performing laparo-scopic procedures by the end of the residency. Only North American residents reported high degrees of confidence in the possibility of performing laparoscopic procedures in the uture, whereas the remaining residents, namely from European countries, reported considerably lower degrees of confidence.

Conclusion: There were considerable differences between national urology residency programs in terms of exposure to laparoscopy. Most residents would prefer higher exposure to laparoscopy throughout their residencies.

Keywords: Education; Laparoscopy; Residency urology.

PubMed Disclaimer

Figures

Fig. 1
Fig. 1
Flow diagram of evidence acquisition in a systematic review of laparoscopic training in urology residency programs.
See this image and copyright information in PMC

References

    1. Wein AJ, Kavoussi LR, Partin AW, Peters CA. ed 11. Elsevier; 2016. Campbell-Walsh Urology.
    1. Duchene DA, Rosso F, Clayman R, McDou-gall EM, Winfield HN. Current minimally invasive practice patterns among postgraduate urologists. J Endourol. 2011;25:1797–1804. - PubMed
    1. Aguilera Bazán A, Gómez Rivas J, Lin-ares-Espinós E, Alvarez-Maestro M, Martínez-Piñeiro L. Training program in urological laparoscopic surgery. Future perspective. Arch Esp Urol. 2018;71:85–88. - PubMed
    1. Lavi A, Tzemah S, Hussein A, Bishara I, Shcherbakov N, Zelichenko G, Mashiah A, Gross M, Cohen M. The urology residency program in Israel: results of a residents survey and insights for the future. Rambam Maimonides Med J. 2017;8:e0039. - PMC - PubMed
    1. Linden-Castro E, Pelayo-Nieto M, Ramírez-Galindo I, Guzmán-Hernández F, Catalán-Quinto G, Rodríguez-Covarrubias F, Morales-Covarrubias J, Cortez-Betancourt R. Urology training in Mexico: residents' perspective. Gac Med Mex. 2016;152:339–344. - PubMed