Yıl: 2020 Cilt: 46 Sayı: 2 Sayfa Aralığı: 129 - 133 Metin Dili: İngilizce DOI: 10.5152/tud.2019.19102 İndeks Tarihi: 04-11-2020

The role of laparoscopic experience on the learning curve of HoLEP surgery: A questionnaire-based study

Öz:
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 evalu-ating 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 shorter HoLEP learning curve.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Gilling PJ, Kennett K, Das AK,Thompson D, Fraundorfer MR. Holmium laser enucleation of the prostate (HoLEP) combined with transurethral tissue morcellation: an update on the early clini-cal experience. J Endourol 1998;12:457-9. [CrossRef]
  • 2. Ahyai SA, Chun FK, Lehrich K, Dahlem R, Zacharias MS, Fisch MM, et al. Transurethral holmium laser enucleation versus trans-urethral resection of the prostate and simple open prostatectomy--which procedure is faster? J Urol 2012;187:1608-13. [CrossRef]
  • 3. Cornu JN, Ahyai S, Bachmann A, De La Rosetta, Gilling P, Gratzke C, et al. A Systematic Review and Meta-analysis of Functional Out-comes and Complications Following Transurethral Procedures for Lower Urinary Tract Symptoms Resulting from Benign Prostatic Obstruction: An Update. Eur Urol 2015;67:1066-96. [CrossRef]
  • 4. Gilling PJ, Wilson LC, King CJ, Westenberg AM, Frampton CM, Fraundorfer MR. Long-term results of a randomized trial compar-ing holmium laser enucleation of the prostate and transurethral resection of the prostate: results at 7 years. BJU Int 2012;109:408-11. [CrossRef]
  • 5. Gravas S, Bachmann A, Reich O, Roehrbohm CG, Gilling PJ, De La Rosette. Critical review of lasers in benign prostatic hyperpla-sia (BPH). BJU Int 2011;107:1030-43. [CrossRef]
  • 6. Brunckhorst O, Ahmed K, Nehikhare O, Marra G, Challacombe B, Ropert R. Evaluation of the Learning Curve for Holmium Laser Enucleation of the Prostate Using Multiple Outcome Measures. Urology 2015;86:824-9. [CrossRef]
  • 7. El-Hakim A, Elhilali MM. Holmium laser enucleation of the prostate can be taught: the first learning experience. BJU Int 2002;90:863-9. [CrossRef]
  • 8. Stolzenburg JU, Truss MC, Rabenalt R, Do MT, Schwalenberg T, Katsakiori P, et al. Training in Laparoscopy. EAU-EBU Update Series 2007;5:53-62. [CrossRef]
  • 9. Subramonian K, Muir G. The ‘learning curve’ in surgery: what is it, how do we measure it and can we influence it? BJU Int 2004;93:1173-4. [CrossRef]
  • 10. Ramsay CR, Grant AM, Wallace SA, Garthwaite PH, Monk AF, Russell IT. Assessment of the learning curve in health tech-nologies. A systematic review. Int J Technol Assess Health Care 2000;16:1095-108. [CrossRef]
  • 11. Hopper AN, Jamison MH, Lewis WG. Learning curves in surgical practice. Postgraduate Med J 2007;83:777-9. [CrossRef]
  • 12. Shah HN, Mahajan AP, Sodha HS, Hegde S, Mohile PD, Bansal MB. Prospective evaluation of the learning curve for holmium laser enucleation of the prostate. J Urol 2007;177:1468-74. [CrossRef]
  • 13. Placer J, Gelabert-Mas A, Vallmanya F, Manresa JM, Menendez V, Cortadellas R, et al.Holmium laser enucleation of prostate: out-come and complications of self-taught learning curve. Urology 2009;73:1042-8. [CrossRef]
  • 14. Seki N, Mochida O, Kinukawa N, Sagiyama K, Naito S. Hol-mium laser enucleation for prostatic adenoma: analysis of learning curve over the course of 70 consecutive cases. J Urol 2003;170:1847-50. [CrossRef]
  • 15. Kampantais S, Dimopoulos P, Tasleem A, Acher P, Gordon K, Young A. Assessing the Learning Curve of Holmium Laser Enu-cleation of Prostate (HoLEP). A Systematic Review. Urology 2018;120:9-22. [CrossRef]
  • 16. Humphreys MR, Miller NL, Handa SE, Terry C, Munch LC, Lin-geman JE. Holmium laser enucleation of the prostate--outcomes independent of prostate size? J Urol 2008;180:2431-5. [CrossRef]
  • 17. Baron M, Nouhaud FX, Delcourt C, Grise P, Pfister C, Cornu JN, et al. HoLEP learning curve: Toward a standardised formation and a team strategy. Prog Urol 2016;26:492-9. [CrossRef]
  • 18. Ficarra V, Novara G, Rosen RC, Artibani W, Carroll PR, Costello A, et al. Systematic review and meta-analysis of studies reporting urinary continence recovery after robot-assisted radical prostatec-tomy. Eur Urol 2012;62:405-17. [CrossRef]
  • 19. Menon M, Tewari A. Robotic radical prostatectomy and the Vatti-kuti Urology Institute technique: an interim analysis of results and technical points. Urology 2003;61(4 Suppl 1):15-20. [CrossRef]
  • 20. Sejima T, Masago T, Morizane S, Hikita K, Kobayashi N, Yao A, et al. Robot-assisted radical prostatectomy: a case series of the first 100 patients--constitutional introduction and implementation on the basis of comprehensive department of minimal invasive sur-gery center. BMC Res Notes 2013;6:436. [CrossRef]
  • 21. Doumerc N, Yuen C, Savdie R, Rahman MB, Rasiah KK, Pe Beni-to R, et al . Should experienced open prostatic surgeons convert to robotic surgery? The real learning curve for one surgeon over 3 years. BJU Int 2010;106:378-84. [CrossRef]
  • 22. Good DW, Stewart GD, Laird A, Stolzenburg JU, Cahill D, Mc-Neill SA. A Critical Analysis of the Learning Curve and Postlearn-ing Curve Outcomes of Two Experience and Volume-Matched Surgeons for Laparoscopic and Robot-Assisted Radical Prostatec-tomy. J Endourol 2015;29:939-47. [CrossRef]
  • 23. Stolzenburg JU, Qazi HA, Holze S, Mende M, Nicolaus M, Franz T, et al. Evaluating the learning curve of experienced laparoscop-ic surgeons in robot-assisted radical prostatectomy. J Endourol 2013;27:80-5. [CrossRef]
APA GAZEL E, Kaya E, Yalcin S, yilmaz s, Tokas T, Aydogan T, Tunc L (2020). The role of laparoscopic experience on the learning curve of HoLEP surgery: A questionnaire-based study. , 129 - 133. 10.5152/tud.2019.19102
Chicago GAZEL EYMEN,Kaya Engin,Yalcin Serdar,yilmaz sercan,Tokas Theodoros,Aydogan Tahsin Batuhan,Tunc Lutfi The role of laparoscopic experience on the learning curve of HoLEP surgery: A questionnaire-based study. (2020): 129 - 133. 10.5152/tud.2019.19102
MLA GAZEL EYMEN,Kaya Engin,Yalcin Serdar,yilmaz sercan,Tokas Theodoros,Aydogan Tahsin Batuhan,Tunc Lutfi The role of laparoscopic experience on the learning curve of HoLEP surgery: A questionnaire-based study. , 2020, ss.129 - 133. 10.5152/tud.2019.19102
AMA GAZEL E,Kaya E,Yalcin S,yilmaz s,Tokas T,Aydogan T,Tunc L The role of laparoscopic experience on the learning curve of HoLEP surgery: A questionnaire-based study. . 2020; 129 - 133. 10.5152/tud.2019.19102
Vancouver GAZEL E,Kaya E,Yalcin S,yilmaz s,Tokas T,Aydogan T,Tunc L The role of laparoscopic experience on the learning curve of HoLEP surgery: A questionnaire-based study. . 2020; 129 - 133. 10.5152/tud.2019.19102
IEEE GAZEL E,Kaya E,Yalcin S,yilmaz s,Tokas T,Aydogan T,Tunc L "The role of laparoscopic experience on the learning curve of HoLEP surgery: A questionnaire-based study." , ss.129 - 133, 2020. 10.5152/tud.2019.19102
ISNAD GAZEL, EYMEN vd. "The role of laparoscopic experience on the learning curve of HoLEP surgery: A questionnaire-based study". (2020), 129-133. https://doi.org/10.5152/tud.2019.19102
APA GAZEL E, Kaya E, Yalcin S, yilmaz s, Tokas T, Aydogan T, Tunc L (2020). The role of laparoscopic experience on the learning curve of HoLEP surgery: A questionnaire-based study. Turkish Journal of Urology, 46(2), 129 - 133. 10.5152/tud.2019.19102
Chicago GAZEL EYMEN,Kaya Engin,Yalcin Serdar,yilmaz sercan,Tokas Theodoros,Aydogan Tahsin Batuhan,Tunc Lutfi The role of laparoscopic experience on the learning curve of HoLEP surgery: A questionnaire-based study. Turkish Journal of Urology 46, no.2 (2020): 129 - 133. 10.5152/tud.2019.19102
MLA GAZEL EYMEN,Kaya Engin,Yalcin Serdar,yilmaz sercan,Tokas Theodoros,Aydogan Tahsin Batuhan,Tunc Lutfi The role of laparoscopic experience on the learning curve of HoLEP surgery: A questionnaire-based study. Turkish Journal of Urology, vol.46, no.2, 2020, ss.129 - 133. 10.5152/tud.2019.19102
AMA GAZEL E,Kaya E,Yalcin S,yilmaz s,Tokas T,Aydogan T,Tunc L The role of laparoscopic experience on the learning curve of HoLEP surgery: A questionnaire-based study. Turkish Journal of Urology. 2020; 46(2): 129 - 133. 10.5152/tud.2019.19102
Vancouver GAZEL E,Kaya E,Yalcin S,yilmaz s,Tokas T,Aydogan T,Tunc L The role of laparoscopic experience on the learning curve of HoLEP surgery: A questionnaire-based study. Turkish Journal of Urology. 2020; 46(2): 129 - 133. 10.5152/tud.2019.19102
IEEE GAZEL E,Kaya E,Yalcin S,yilmaz s,Tokas T,Aydogan T,Tunc L "The role of laparoscopic experience on the learning curve of HoLEP surgery: A questionnaire-based study." Turkish Journal of Urology, 46, ss.129 - 133, 2020. 10.5152/tud.2019.19102
ISNAD GAZEL, EYMEN vd. "The role of laparoscopic experience on the learning curve of HoLEP surgery: A questionnaire-based study". Turkish Journal of Urology 46/2 (2020), 129-133. https://doi.org/10.5152/tud.2019.19102