Unit of Urological Robotic Surgery and Renal Transplantation, Careggi Hospital, Florence, Italy.
Department of Experimental and Clinical Medicine, University of Florence, Largo Brambilla, 3, 50134, Florence, Italy.
World J Urol. 2024 Mar 30;42(1):205. doi: 10.1007/s00345-024-04802-y.
Robot-assisted kidney transplantation (RAKT) is being increasingly performed at selected referral institutions worldwide. Yet, surgical training in RAKT is still unstructured and not grounded into formal credentialing courses including simulation, lab facilities, and modular training with animal models. As such, developing standardized, modular training programs is warranted to provide surgeons with the RAKT-specific skillset needed for a "safe" learning curve.
The 3-day course on RAKT developed at the EAU Skills Center in Orsi Academy was designed as a standardized, modular, step-by-step approach aiming to provide theoretical and practical skills. The course is held by expert proctors with extensive experience in RAKT. To maximize the course's usefulness, a solid knowledge of robotics and transplantation is desirable for participants.
From January 2016 to July 2023, 87 surgeons from 23 countries (of which 36% from extra-European countries) participated in the RAKT course performed at the EAU Skills Center in Orsi Academy. Of these, 58/87 (67%) were urologists, while 27/87 (31%) were general surgeons and 2/87 (2%) were vascular surgeons. To date, 18 participants (20.6%) are actively involved in RAKT programs at institutions included in the European Association of Urology (EAU) Robotic Urology Section (ERUS)-RAKT network.
Leveraging the potential of simulation, wet-lab training, live porcine models, and experienced proctors, the RAKT course performed at the EAU Skills Center in Orsi Academy represents the first structured teaching effort aiming to offer surgeons a full immersion in RAKT to train the core technical skills.
机器人辅助肾移植(RAKT)在全球选定的转诊机构中越来越多地进行。然而,RAKT 的手术培训仍然没有结构,也没有纳入包括模拟、实验室设施和动物模型模块化培训在内的正式认证课程。因此,有必要开发标准化的模块化培训计划,为外科医生提供进行“安全”学习曲线所需的 RAKT 特定技能。
在 Orsi 学院的 EAU 技能中心开发的为期 3 天的 RAKT 课程旨在提供理论和实践技能,是一个标准化的、模块化的、逐步的方法。该课程由在 RAKT 方面拥有丰富经验的专家导师授课。为了最大限度地提高课程的实用性,学员最好对机器人技术和移植有扎实的了解。
从 2016 年 1 月至 2023 年 7 月,来自 23 个国家的 87 名外科医生(其中 36%来自欧洲以外的国家)参加了在 Orsi 学院的 EAU 技能中心进行的 RAKT 课程。其中,58/87(67%)为泌尿科医生,27/87(31%)为普通外科医生,2/87(2%)为血管外科医生。迄今为止,18 名参与者(20.6%)积极参与了包括在欧洲泌尿外科学会(EAU)机器人泌尿外科分会(ERUS)-RAKT 网络中的机构的 RAKT 计划。
利用模拟、湿实验室培训、活体猪模型和经验丰富的导师的潜力,在 Orsi 学院的 EAU 技能中心进行的 RAKT 课程代表了首次有组织的教学努力,旨在为外科医生提供全面沉浸在 RAKT 中的机会,以培训核心技术技能。