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Simulation of RIRS in soft cadavers: a novel training model by the Cadaveric Research On Endourology Training (CRET) Study Group        
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 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