AI Article Synopsis
- The study assessed the impact of a standardized laparoscopic simulation training program on pyeloplasty outcomes during and after its implementation amid the COVID-19 pandemic.
- A total of 151 patients treated at a Brazilian hospital were analyzed, showing notable improvements in conversion rates to open surgery, surgical time, and hospital stay after the training.
- Even with a significant drop in surgical volume during the pandemic, the positive results from the simulation training were consistently maintained, indicating its effectiveness in enhancing surgical performance.
Article 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.
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Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10482452 | PMC |
| http://dx.doi.org/10.1590/S1677-5538.IBJU.2023.0021 | DOI Listing |
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