Department of Urology and Renal Transplantation, University Hospital of Coimbra, Coimbra, Portugal.
BJU Int. 2013 Dec;112(8):1223-8. doi: 10.1111/bju.12410.
To assess the participation of European urology residents in urological laparoscopy, their training patterns and facilities available in European Urology Departments.
A survey, consisting of 23 questions concerning laparoscopic training, was published online as well as distributed on paper, during the Annual European Association of Urology Congress in 2012. Exposure to laparoscopic procedures, acquired laparoscopic experience, training patterns, training facilities and motivation were evaluated. Data was analysed with descriptive statistics.
In all, 219 European urology residents answered the survey. Conventional laparoscopy was available in 74% of the respondents' departments, while robotic surgery was available in 17% of the departments. Of the respondents, 27% were first surgeons and 43% were assistants in conventional laparoscopic procedures. Only 23% of the residents rated their laparoscopic experience as at least 'satisfactory'; 32% of the residents did not attend any course or fellowship on laparoscopy. Dry laboratory was the most frequent setting for training (33%), although 42% of the respondents did not have access to any type of laparoscopic laboratory. The motivation to perform laparoscopy was rated as 'high' or 'very high' by 77% of the respondents, and 81% considered a post-residency fellowship in laparoscopy.
Urological laparoscopy is available in most European training institutions, with residents playing an active role in the procedure. However, most of them consider their laparoscopic experience to be poor. Moreover, the availability of training facilities and participation in laparoscopy courses and fellowships are low and should be encouraged.
评估欧洲泌尿科住院医师在泌尿科腹腔镜手术中的参与情况、他们的培训模式以及欧洲泌尿科系可用的设施。
2012 年在欧洲泌尿外科学会年会上,以在线和纸质形式发布了一项包含 23 个腹腔镜培训相关问题的调查。评估腹腔镜手术的接触、获得的腹腔镜经验、培训模式、培训设施和动机。使用描述性统计方法对数据进行分析。
共有 219 名欧洲泌尿科住院医师回答了这项调查。74%的受访者所在部门有常规腹腔镜,17%的部门有机器人手术。在受访者中,27%是第一手术医师,43%是常规腹腔镜手术的助手。只有 23%的住院医师对他们的腹腔镜经验评价至少为“满意”;32%的住院医师没有参加过任何腹腔镜课程或奖学金。干实验室是培训最常见的环境(33%),尽管 42%的受访者无法使用任何类型的腹腔镜实验室。77%的受访者认为进行腹腔镜手术的动机“高”或“非常高”,81%的人认为腹腔镜术后的奖学金是必要的。
泌尿科腹腔镜手术在大多数欧洲培训机构中都有提供,住院医师在手术中发挥着积极的作用。然而,他们中的大多数人认为自己的腹腔镜经验很差。此外,培训设施的可用性以及参与腹腔镜课程和奖学金的情况很低,应该得到鼓励。