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Laparoscopic pyeloplasty proficiency during a residency program after adoption of a standardized simulation training program is maintained during the COVID pandemic despite reduced surgery volume
Gorgen, Antonio Rebello Horta; Abreu, Fernando Jahn da Silva; Paludo, Artur de Oliveira; Menegolla, Mauricio Picolo; Oliveira, Renan Timóteo de; Tavares, Patric Machado; Rosito, Tiago Elias.
Afiliação
  • Gorgen, Antonio Rebello Horta; Hospital de Clínicas de Porto Alegre. Serviço de Urologia de Urologia. Porto Alegre. BR
  • Abreu, Fernando Jahn da Silva; Hospital de Clínicas de Porto Alegre. Serviço de Urologia de Urologia. Porto Alegre. BR
  • Paludo, Artur de Oliveira; Hospital de Clínicas de Porto Alegre. Serviço de Urologia de Urologia. Porto Alegre. BR
  • Menegolla, Mauricio Picolo; Hospital de Clínicas de Porto Alegre. Serviço de Cirurgia Geral. Porto Alegre. BR
  • Oliveira, Renan Timóteo de; Hospital de Clínicas de Porto Alegre. Serviço de Urologia de Urologia. Porto Alegre. BR
  • Tavares, Patric Machado; Hospital de Clínicas de Porto Alegre. Serviço de Urologia de Urologia. Porto Alegre. BR
  • Rosito, Tiago Elias; Hospital de Clínicas de Porto Alegre. Serviço de Urologia de Urologia. Porto Alegre. BR
Int. braz. j. urol ; 49(4): 462-468, July-Aug. 2023. tab
Article em En | LILACS-Express | LILACS | ID: biblio-1506399
Biblioteca responsável: BR1.1
ABSTRACT
ABSTRACT

Purpose:

To evaluate the effect of the standardized laparoscopic simulation training program in pyeloplasty, following its implementation and during the COVID-19 pandemic. Material and

Methods:

A retrospective chart review was performed at Hospital de Clínicas de Porto Alegre, a tertiary referral center in south Brazil, in which 151 patients underwent laparoscopic pyeloplasty performed by residents between 2006-2021. They were divided into three groups before and after adoption of a standardized laparoscopic simulation training program and during the COVID-19 pandemic. The main outcome was a combined negative outcome of conversion to open surgery, major postoperative complications (Clavien-Dindo III or higher) or unsuccessful procedure, defined as need for redo pyeloplasty.

Results:

There was a significant reduction in the combined negative outcome (21.1% vs 6.3%), surgical time (mean 200.0 min vs 177.4 min) and length of stay (median 5 days vs 3 days) after the adoption of simulation training program. These results were maintained during the COVID-19 pandemic (combined negative outcome of 6.3%, mean surgical time of 160.1 min and median length of stay of 3 days) despite a reduction in 55.4% of the surgical volume.

Conclusion:

A structured laparoscopic simulation program can improve outcomes of laparoscopic pyeloplasty during the learning curve.
Palavras-chave

Texto completo: 1 Coleções: 01-internacional Base de dados: LILACS Aspecto: Implementation_research Idioma: En Revista: Int. braz. j. urol Assunto da revista: UROLOGIA Ano de publicação: 2023 Tipo de documento: Article País de afiliação: Brasil

Texto completo: 1 Coleções: 01-internacional Base de dados: LILACS Aspecto: Implementation_research Idioma: En Revista: Int. braz. j. urol Assunto da revista: UROLOGIA Ano de publicação: 2023 Tipo de documento: Article País de afiliação: Brasil
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