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评估钬激光前列腺剜除术（HoLEP）的学习曲线：一项系统评价

Assessing the Learning Curve of Holmium Laser Enucleation of Prostate (HoLEP). A Systematic Review.

作者信息

Kampantais Spyridon, Dimopoulos Panagiotis, Tasleem Ali, Acher Peter, Gordon Karen, Young Anthony

机构信息

Department of Urology, Southend University Hospital, Southend on Sea, United Kingdom.

Department of Urology, Southend University Hospital, Southend on Sea, United Kingdom.

出版信息

Urology. 2018 Oct;120:9-22. doi: 10.1016/j.urology.2018.06.012. Epub 2018 Jul 4.

DOI:10.1016/j.urology.2018.06.012
PMID:30403609
Abstract

We systematically assessed the learning curve of Holmium laser enucleation of the prostate using the available literature to identify, as our primary outcome, the average number of cases required to reach competency. A computerized search of PubMed and Scopus for articles published from inception through to January 2018 was performed including 24 studies with a total of 5173 patients. Even though different outcome measures require varying case-loads to reach a plateau, Holmium laser enucleation of prostate has an acceptable learning curve with a proposed figure approximating 25-50 cases, with a structured mentorship programme aiding for faster progress.

摘要

我们利用现有文献系统评估了钬激光前列腺剜除术的学习曲线，将达到熟练水平所需的平均病例数作为主要结果。对PubMed和Scopus进行计算机检索，查找从创刊到2018年1月发表的文章，共纳入24项研究，涉及5173例患者。尽管不同的结果测量指标达到平台期所需的病例数不同，但钬激光前列腺剜除术具有可接受的学习曲线，预计约25 - 50例，结构化的导师指导计划有助于更快进步。

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