Al-Kandari Ahmed M, Elshebiny Yehya, Ibrahim Hamdy, AlShammari Ahmad, Shokeir Ahmed A
Adan Urology Unit, Ministry of Health, Kuwait City, Kuwait; Department of Surgery, Kuwait University, Safat, Kuwait.
Adan Urology Unit, Ministry of Health, Kuwait City, Kuwait.
Arab J Urol. 2016 Oct 4;14(4):275-279. doi: 10.1016/j.aju.2016.08.005. eCollection 2016 Dec.
To evaluate the influence of fellowship training in endourology on different endourological procedures in a single institution.
The operative records of endourological and open surgeries were reviewed. Data analysed included numbers, types, and technical issues related to surgeries. The early study period ranged from September 1998 to September 2004, and the later period from January 2014 to June 2016. The study duration was classified into three periods according to the availability of an endourology fellowship trained member of staff (EFTS). In period A (September 1998 to September 2001) no EFTS was available, in period B (October 2001 to September 2004) an EFTS joined the urology unit, and in period C (January 2014 to June-2016) the EFTS had left the urology unit.
In periods B and C the number of rigid ureteroscopy (URS) significantly increased compared with period A. Also, flexible URS was used for the first time in period B and continued in period C. The number of percutaneous nephrolithotomies increased in period B and continued to be performed in period C. Laparoscopic urological surgery was not undertaken in period A, and only done in four cases in period C, whilst it was performed in 62 patients in period B. Holmium laser enucleation of the prostate was carried out in 36 patients during period B and not performed in periods A and C. Finally, the number of open stone surgeries decreased in periods B and C.
The introduction of an EFTS definitely enhanced the practice of minimally invasive procedures.
评估单一机构内腔内泌尿外科专科培训对不同腔内泌尿外科手术的影响。
回顾腔内泌尿外科手术和开放手术的手术记录。分析的数据包括手术数量、类型及相关技术问题。早期研究阶段为1998年9月至2004年9月，后期为2014年1月至2016年6月。根据是否有腔内泌尿外科专科培训的工作人员（EFTS），将研究持续时间分为三个阶段。A阶段（1998年9月至2001年9月）没有EFTS，B阶段（2001年10月至2004年9月）有一名EFTS加入泌尿外科，C阶段（2014年1月至2016年6月）该EFTS已离开泌尿外科。
与A阶段相比，B阶段和C阶段硬性输尿管镜检查（URS）的数量显著增加。此外，B阶段首次使用软性URS，并在C阶段继续使用。经皮肾镜取石术的数量在B阶段增加，并在C阶段继续开展。A阶段未进行腹腔镜泌尿外科手术，C阶段仅进行了4例，而B阶段有62例患者接受了该手术。B阶段有36例患者接受了钬激光前列腺剜除术，A阶段和C阶段未开展。最后，B阶段和C阶段开放结石手术的数量减少。
引入EFTS确实促进了微创手术的开展。
