Yazarlar |
Emre Huri
Hacettepe Üniversitesi, Türkiye |
Andreas Skolarikos
Türkiye |
İlkan Tatar
Hacettepe Üniversitesi, Türkiye |
Murat Binbay
Türkiye |
Mustafa Sofikerim
Türkiye |
Emrah Yuruk
Türkiye |
Tolga Karakan
Türkiye |
Mustafa Fevzi Sargon
Hacettepe Üniversitesi, Türkiye |
Mehmet Deniz Demiryürek
Hacettepe Üniversitesi, Türkiye |
Roberto Mıano
Türkiye |
Murat Bağcıoğlu
Kafkas Üniversitesi, Türkiye |
Dr. Öğr. Üyesi Mehmet EZER
Hacettepe Üniversitesi, Türkiye |
Cecilia Maria Cracco
Türkiye |
Marco Scoffone Cesare
Türkiye |
Özet |
Purpose: The aim of the current study was to evaluate the use of fresh-frozen concurrently with embalmed cadavers as initial training models for flexible ureteroscopy (fURS) in a group of urologists who were inexperienced in retrograde intrarenal surgery (RIRS). Methods: Twelve urologists involved in a cadaveric fURS training course were enrolled into this prospective study. All the participants were inexperienced in fURS. Theoretical lectures and step-by-step tips and tricks video presentations on fURS were used to incorporate the technical background of the procedure to the hands-on-training course and to standardize the operating steps of the procedure. An 8-item survey was administered to the participants upon initiation and at the end of the course. Results: Pre- and post-training scores were similar for each question. All the participants successfully completed the hands-on-training tasks. Mean pre-training duration [3.56 ± 2.0 min (range 1.21–7.46)] was significantly higher than mean post-training duration [1.76 ± 1.54 min (range 1.00–6.34)] (p = 0.008). At the end of the day, the trainers checked the integrity of the collecting system both by endoscopy and by fluoroscopy and could not detect any injury of the upper ureteral wall or pelvicalyceal structures. The functionality of the scopes was also checked, and no scope injury (including a reduction in the deflection capacity) was noted. Conclusions: The fURS simulation training model using soft human cadavers has the unique advantage of perfectly mimicking the living human tissues. This similarity makes this model one of the best if not the perfect simulator for an effective endourologic training. |
Anahtar Kelimeler |
Retrograde intrarenal surgery soft cadaver | Urology training | RIRS simulation |
Makale Türü | Özgün Makale |
Makale Alt Türü | SSCI, AHCI, SCI, SCI-Exp dergilerinde yayımlanan tam makale |
Dergi Adı | WORLD JOURNAL OF UROLOGY |
Dergi ISSN | 0724-4983 |
Dergi Tarandığı Indeksler | SCI-Expanded |
Dergi Grubu | Q1 |
Makale Dili | İngilizce |
Basım Tarihi | 05-2016 |
Cilt No | 34 |
Sayı | 5 |
Sayfalar | 741 / 746 |
Doi Numarası | 10.1007/s00345-015-1676-3 |
Makale Linki | http://dx.doi.org/10.1007/s00345-015-1676-3 |