Moreno Sierra Jesús, Fernández Pérez Cristina, Ortiz Oshiro Elena, Silmi Moyano Angel, Villavicencio Mavrich Humberto, Pereira Arias Jose Gregorio, Allona Almagro Antonio, Unda Urzaiz Miguel, Padilla Nieva Jesús, Madina Albisua Ion, Estebanez Zarranz Javier, Medina López Rafael, Baena Gonzalez Victor, Franco Miranda Eladio, Morote Robles Juan, Gomez Ruiz Juan Jose
Urology Department, Hospital Clínico San Carlos, Universidad Complutense, Madrid, Spain. dr_jmoreno @ hotmail.com
Urol Int. 2011;87(1):64-9. doi: 10.1159/000326909. Epub 2011 Jun 3.
The number of robotic-assisted procedures offered in Spain is rapidly increasing despite a lack of consensus criteria for training and credentialling.
This national multicentre study was designed to analyze the different areas of the robotic urological surgery learning curve.
A questionnaire was sent to all 13 urology units in Spain with an active robotics programme requesting information on training and problems encountered.
In most centres (n = 11, 84.6%), training programmes were animal-based; cadavers were used at only 2 (15.4%). Proctoring in initial procedures was practiced by 12 groups (92.3%). When initiating the robotics programme, the console was shared at 8 units (61.5%). Prior experience in open and/or laparoscopic surgery was reported by 10 of the groups (76.9%), and experience in open surgery only by 2 (15.4%) or robotic surgery alone by 1 (7.7%). The procedure with which the robotics programme was started in all 13 participating units was radical prostatectomy. The number of cases needed to complete the learning curve for this procedure was 20-25 cases according to 8 (61.5%) surgery teams.
Up until March 26, 2010, 1,692 operations, mostly radical prostatectomies, were conducted using the da Vinci robot in our country.
尽管在培训和资质认证方面缺乏共识标准，但西班牙提供的机器人辅助手术数量仍在迅速增加。
这项全国多中心研究旨在分析机器人泌尿外科手术学习曲线的不同方面。
向西班牙所有13个开展机器人手术项目的泌尿外科单位发送了一份问卷，询问有关培训及遇到的问题的信息。
在大多数中心（n = 11，84.6%），培训项目以动物实验为基础；只有2个中心（15.4%）使用尸体。12个小组（92.3%）在初始手术中进行了带教。启动机器人手术项目时，8个单位（61.5%）共享控制台。10个小组（76.9%）报告有开放和/或腹腔镜手术的既往经验，只有2个小组（15.4%）有开放手术经验，1个小组（7.7%）只有机器人手术经验。所有13个参与单位启动机器人手术项目时所采用的手术都是根治性前列腺切除术。根据8个（61.5%）手术团队的说法，完成该手术学习曲线所需的病例数为20 - 25例。
截至2010年3月26日，我国使用达芬奇机器人进行了1692例手术，其中大部分是根治性前列腺切除术。
