How should be the education before the urological laparoscopic surgery?

Abstract

AimIn our study we aimed to evaluate the efficiency and the safety of the first laparoscopic surgical procedures of a surgeon, completed under the observation of surgeons with laparoscopic experience, following experience with training boxes and animals.MethodAfter the laparoscopic education of the single surgeon (A.A.) in this study, the data of 21 laparo-scopic surgical procedures he performed between May 2015 and Sep 2016 were taken retrospectively from the files and computer databases and evalu-ated.ResultsA total of 21 laparoscopic surgeries were performed by the surgeon on 13 women and 8 men. The mean age was 53±18 years and the mean body mass index (BMI) was 27.9±3.67 kg/m2. The average length of operation was 157.76±51.14 minutes, the average periods of urethral cathe-ter and drainage catheter removal were 18.1±7.2 hours and 42.1±14.7 hours, respectively. The overall complication percentage was 4.76%. Except in one case, it was not necessary to move the patient to open surgery or to perform blood transfusion.ConclusionWe concluded that appropriate patient selec-tion and a training that begins with basic theorical education, work dry train-ing box in the laboratory, work with test animals, and finally performance of laparoscopic surgeries under the observation of experienced surgeons, will accelerate the education process, greatly reduce complications, and increase the self-confidence of the surgeon.

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