The role of laparoscopic experience on the learning curve of HoLEP surgery: A questionnaire-based study
The role of laparoscopic experience on the learning curve of HoLEP surgery: A questionnaire-based study
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Tarih
2020-01-01
Yazarlar
Gazel, Eymen
Kaya, Engin
Yalcin, Serdar
Tokas, Theodoros
Yilmaz, Sercan
Aybal, Halil Cagri
Aydogan, Tahsin Batuhan
Tunc, Lutfi
Süreli Yayın başlığı
Süreli Yayın ISSN
Cilt Başlığı
Yayınevi
AVES
Dergi Adı
TURKISH JOURNAL OF UROLOGY
Özet
Objective: Holmium laser enucleation of the prostate (HoLEP) is an established method for treating benign prostatic obstruction. Nonetheless, its steep learning curve limits its wide distribution. The purpose of the present study was to demonstrate the impact of laparoscopic experience on HoLEP learning curve by evaluating the association between learning curves of surgeons performing both laparoscopy and HOLEP surgery. Material and methods: A questionnaire was prepared to identify surgeon's experience on laparoscopy and HoLEP, as well as their learning curves. This questionnaire was then distributed via e-mail to 110 urologists who are actively involved in endourology/laparoscopy. Results: Of the 110 urologists, 80 (72.7\%) responded and completed the questionnaire. Of the 80 surgeons, 47 (58.8\%) reported that they had completed the HoLEP learning curve with <20 cases. Moreover, 33 (41.2\%) reported that they were able to complete the learning curve by performing >20 cases. Completion of the HoLEP learning curve in <20 cases was reached at 1.3\%, 13.8\%, and 43.8\% by beginner, moderate skilled, and experienced laparoscopists, respectively (p<0.001). Conclusion: Laparoscopic experience appears to be beneficial for surgeons while learning HoLEP. Highly experienced laparoscopic surgeons have a shorterHOLEP learning curve.
Açıklama
Anahtar kelimeler
Benign prostate hyperplasia, experience, HoLEP, laparoscopy, learning curve