Disciplina de Urologia Universidade do Vale do Itajai - UNIVALI, Itajaí, SC, Brasil.
Departamento de Uro-oncologia da Sociedade Brasileira de Urologia, Brasil.
Int Braz J Urol. 2020 Mar-Apr;46(2):203-213. doi: 10.1590/S1677-5538.IBJU.2018.0668.
To evaluate the familiarity of Brazilian urology residents with laparoscopy, methods of training and perspectives.
A questionnaire with 23 questions was sent by e-mail to all urological residents of 86 Urology Residence Programs certified by the Brazilian Society of Urology (BSU).
225 valid answers (85% of all residents) responded. Most residences belong to academic hospitals mainly in the Southeast region of Brazil. Women account for 5% of residents and 82% of programs perform less than 100 procedures per year. Residents have access to LESS, RAL and 98% to surgical laparoscopy and 87% of these participate actively at the surgery, but 84.9% do not have access to RAL. The most common laparoscopic procedure is radical nephrectomy (73.2%), but only 28.8% of residents acted as surgeons, and third year residents (R3) are those that mainly performed this procedure (statistical significance, p < 0.05). 61% of residents do not participate in hands-on courses or fellowship in laparoscopy, among those who attended these fellowships, 23.47% were sponsored by BSU in equal regions of the country. Although there are several opportunities of training in laparoscopy, 42% of residents do not have access to any kind of preparation and 52% have no structured specific program. R3 perception of laparoscopy experience is significantly higher than R2 and R1 residents. Almost 30% of them affirms that they are prepared for professional life regarding urologic laparoscopy.
Brazilian urologic residents have access to laparoscopy and actively participate in the learning process. Robotic surgery is expanding in the country, although still very far from residents. Brazilian resident, at the end of medical residency, is motivated to perform laparoscopic procedures.
评估巴西泌尿科住院医师对腹腔镜的熟悉程度、培训方法和前景。
向 86 个经巴西泌尿科协会 (BSU) 认证的泌尿科住院医师计划中的所有泌尿科住院医师发送了一份包含 23 个问题的问卷。
225 份有效回答（占所有住院医师的 85%）。大多数住院医师计划属于学术医院，主要分布在巴西东南部地区。女性占住院医师的 5%，82%的计划每年进行的手术不到 100 例。住院医师可以使用LESS、RAL，98%可以进行手术腹腔镜检查，87%的住院医师积极参与手术，但 84.9%无法使用 RAL。最常见的腹腔镜手术是根治性肾切除术（73.2%），但只有 28.8%的住院医师担任外科医生，而第三年住院医师（R3）是主要进行该手术的医生（具有统计学意义，p<0.05）。61%的住院医师不参加腹腔镜动手课程或进修，参加过这些进修的人中，有 23.47%是由 BSU 在全国同地区资助的。尽管有多种腹腔镜培训机会，但 42%的住院医师无法获得任何准备，52%的住院医师没有结构化的特定计划。R3 对腹腔镜经验的感知明显高于 R2 和 R1 住院医师。近 30%的人表示，他们已经为泌尿科腹腔镜手术做好了准备。
巴西泌尿科住院医师可以使用腹腔镜，并积极参与学习过程。机器人手术在该国不断发展，尽管与住院医师仍相距甚远。在结束住院医师培训后，巴西住院医师有动力进行腹腔镜手术。
