Harley Frances, Fong Eva, Yao Henry Han-I, Hashim Hashim, O'Connell Helen E
Department of Surgery University of Melbourne Melbourne Victoria Australia.
Department of Urology Urology Institute Auckland New Zealand.
BJUI Compass. 2023 Apr 27;4(5):493-500. doi: 10.1002/bco2.238. eCollection 2023 Sep.
The increasing popularity of robotic assisted surgery (RAS) as it is implemented in to sub specialities poses many challenges to ensuring standards in quality and safety. The area of Reconstructive and Functional Urology (RFU) has a wide range and largely complex heterogeneous procedures. In recent years RFU has started to incorporate RAS as the primary method to undertake these procedures due to improved vision, dexterity, and access to deep cavities. To ensure patient safety majority of institutions maintain minimal requirements to operate using RAS however across specialities and institutions these greatly vary.
A narrative review of all the relevant papers known to the author was conducted.
Specific challenges facing RFU is the inability to rely on case numbers as a surrogate means to measure competency as well the ongoing consideration of how to differentiate between surgeons with robotic training and those with the clinical experience specific to RFU.
This review explores current models of training and credentialling and assess how it can be adapted to suggest a standardised guideline for RFU to ensure the highest standards of patient care.
随着机器人辅助手术（RAS）在各亚专业中的应用日益普及，确保质量和安全标准面临诸多挑战。重建与功能泌尿外科（RFU）领域的手术范围广泛且大多复杂多样。近年来，由于视野改善、灵活性提高以及能够进入深部腔隙，RFU已开始将RAS作为进行这些手术的主要方法。为确保患者安全，大多数机构对使用RAS手术设定了最低要求，但各专业和机构之间差异很大。
对作者所知的所有相关论文进行叙述性综述。
RFU面临的具体挑战包括无法将病例数量作为衡量能力的替代指标，以及如何区分接受过机器人培训的外科医生和具有RFU特定临床经验的外科医生这一持续存在的问题。
本综述探讨了当前的培训和认证模式，并评估如何对其进行调整，以提出一套适用于RFU的标准化指南，确保患者护理达到最高标准。
