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01-12-2008 | Topic Paper

Evaluation of complications in endoscopic extraperitoneal radical prostatectomy in a modular training programme: a multicentre experience

Authors: Roman Ganzer, Robert Rabenalt, Michael C. Truss, Stefanos Papadoukakis, Minh Do, Andreas Blana, Markus Straub, Stefan Denzinger, Wolf F. Wieland, Martin Burchardt, Thomas Herrmann, Jens-Uwe Stolzenburg

Published in: World Journal of Urology | Issue 6/2008

Abstract

Objectives

Structured mentor-based “modular surgical training (MST)” has proved to be an effective way to teach endoscopic extraperitoneal radical prostatectomy (EERPE) safely to residents, even those without previous experience in laparoscopic surgery. We report on complications in early patient series from two centres where EERPE was established by MST held at the same teaching centre.

Methods

Three trainees from two departments underwent MST at the same teaching centre. Thereafter, they were supervised by their mentor at their hospital. Peri-operative and post-operative complications of the first 245 (centre 1) and 288 (centre 2) cases were analysed retrospectively by the revised Clavien classification and compared to a large series (n = 1300) from the teaching centre. P < 0.05 were considered significant.

Results

In total, 427 (80.1%) patients were without complications at the training centres. Intra-operative complications occurred in 8 (1.6%) patients. Among 98 (18.3%) patients with post-operative complications, 41 (7.7%) and 7 (1.3%) patients with Clavien grade I and II complications required no or pharmacological treatment, respectively. Totally, 40 (7.5%) patients required surgical intervention (Clavien grade III). Grade IV and V complications were observed in 9 (1.7%) and 1 (0.2%) cases, respectively. A comparison of complications from the training centres and the teaching centre revealed no statistically significant difference.

Conclusions

Novice laparoscopic surgeons can safely learn EERPE by a structured, mentor based, modular surgical training programme without putting patients at risk. The complication rates in early patient series are low and comparable to those of the teaching centre.

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Title: Evaluation of complications in endoscopic extraperitoneal radical prostatectomy in a modular training programme: a multicentre experience
Authors: Roman Ganzer
Robert Rabenalt
Michael C. Truss
Stefanos Papadoukakis
Minh Do
Andreas Blana
Markus Straub
Stefan Denzinger
Wolf F. Wieland
Martin Burchardt
Thomas Herrmann
Jens-Uwe Stolzenburg
Publication date: 01-12-2008
Publisher: Springer-Verlag
Published in: World Journal of Urology / Issue 6/2008
Print ISSN: 0724-4983
Electronic ISSN: 1433-8726
DOI: https://doi.org/10.1007/s00345-008-0291-y

At a glance: The STEP trials

Springer Medicine

Evaluation of complications in endoscopic extraperitoneal radical prostatectomy in a modular training programme: a multicentre experience

Abstract

Objectives

Methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Objectives

Methods

Results

Conclusions

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