Training in percutaneous nephrolithotomy: The learning curve and options
نویسنده
چکیده
OBJECTIVE To review the current approach to training and the learning curve for percutaneous nephrolithotomy (PCNL), and to formulate a recommendation for structured PCNL training for the urologist in-training. METHODS Publications related to PCNL training, simulator training, surgical training and working-hour restrictions on surgical training were reviewed. RESULTS The key components for a successful PCNL training programme should include stages for acquiring basic knowledge related to the procedure, acquiring basic skill in various training models, and acquiring clinical experience under supervised clinical practice. Lastly, life-long continuous learning would be important to maintain the practising standard. CONCLUSION Despite being one of the main endoscopic procedures for managing stones, PCNL remains a difficult procedure with a long period of learning. Facing the challenge of working-hour restrictions on training, a more structured training programme, together with the use of models, would improve the learning curve for PCNL.
منابع مشابه
The learning curve in the training of percutaneous nephrolithotomy.
OBJECTIVES To investigate the learning curve in the training of percutaneous nephrolithotomy (PCNL). METHODS A total of 104 PCNL cases were included in this evaluation to define the learning curve of a surgeon with no previous experience at performing solo PCNL. Two parameters of expertise were reviewed, namely the operation and fluoroscopic screening times. The operation time was calculated ...
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The Learning Curve for Flank Percutaneous Nephrolithotomy for Kidney Calculi: A Single Surgeon's Experience
PURPOSE Percutaneous nephrolithotomy (PCNL) is conventionally conducted in the prone position. However, the prone position increases anesthesia-related morbidity and position changes lengthen the operation time. We report perioperative outcomes and the learning curve for flank PCNL on the basis of a single surgeon's experience. MATERIALS AND METHODS This study investigated 53 cases of flank P...
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We report a patient with pain, abdominal palpable mass and a history of previous open renal stone surgery. Imaging studies showed a right pelvic kidney with multiple calyceal stones. We describe the successful management through laparoscopic assisted percutaneous nephrolithotomy with ultrasonography (PCNL) in ectopic pelvic kidney, stressing that this method is a minimally invasive therapeutic...
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عنوان ژورنال:
دوره 12 شماره
صفحات -
تاریخ انتشار 2014