Allameh Farzad, Razzaghi Mohammadreza, Abedi Amir Reza, Dadpour Mehdi
Laser Application in Medical Sciences Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Center of Excellence in Training Laser Application in Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
J Lasers Med Sci. 2020 Fall;11(Suppl 1):S8-S15. doi: 10.34172/jlms.2020.S2. Epub 2020 Dec 30.
Currently, a laser is a popular technology in urological surgeries. The important laserrelated issue is the time when a surgeon reaches an acceptable level of safety and efficacy using laser technology. In this review, we aimed to assess the learning curves of three types of surgeries in urology, including photoselective vaporization of the prostate (PVP), holmium laser enucleation of the prostate (HoLEP) and retrograde intra-renal surgeries (RIRSs). Here, we searched Medline, Web of Science, Google Scholar, EMBASE, and Scopus for such keywords as Urology, laser, laser vaporization, prostate, nephrolithiasis, benign prostatic hyperplasia (BPH), and learning curve. We evaluated 14 studies about PVP, 17 about RIRS, and 29 studies about HoLEP. Also, we separately discussed the learning curves of these three kinds of surgeries in detail. All the urologists, even expert surgeons, should attend a formal training course and have a skilled tutor present at their first cases.
目前，激光是泌尿外科手术中一种流行的技术。与激光相关的重要问题是外科医生使用激光技术达到可接受的安全和疗效水平所需的时间。在本综述中，我们旨在评估泌尿外科三种手术的学习曲线，包括选择性光汽化前列腺术（PVP）、钬激光前列腺剜除术（HoLEP）和逆行性肾内手术（RIRS）。在此，我们在医学文献数据库（Medline）、科学网（Web of Science）、谷歌学术、荷兰医学文摘数据库（EMBASE）和Scopus中搜索了“泌尿外科”“激光”“激光汽化”“前列腺”“肾结石”“良性前列腺增生（BPH）”和“学习曲线”等关键词。我们评估了14项关于PVP的研究、17项关于RIRS的研究以及29项关于HoLEP的研究。此外，我们还分别详细讨论了这三种手术的学习曲线。所有泌尿外科医生，即使是专家外科医生，在开展首例手术时都应参加正规培训课程并配备熟练的带教老师。
