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Title of Journal: World J Urol

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Abbravation: World Journal of Urology

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Springer-Verlag

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DOI

10.1002/jctb.5000514702

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1433-8726

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Evaluation of complications in endoscopic extraper

Authors: Roman Ganzer Robert Rabenalt Michael C Truss Stefanos Papadoukakis Minh Do Andreas Blana Markus Straub Stefan Denzinger Wolf F Wieland Martin Burchardt Thomas Herrmann JensUwe Stolzenburg
Publish Date: 2008/07/16
Volume: 26, Issue: 6, Pages: 587-593
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Abstract

Structured mentorbased “modular surgical training MST” has proved to be an effective way to teach endoscopic extraperitoneal radical prostatectomy EERPE safely to residents even those without previous experience in laparoscopic surgery We report on complications in early patient series from two centres where EERPE was established by MST held at the same teaching centreThree trainees from two departments underwent MST at the same teaching centre Thereafter they were supervised by their mentor at their hospital Perioperative and postoperative complications of the first 245 centre 1 and 288 centre 2 cases were analysed retrospectively by the revised Clavien classification and compared to a large series n = 1300 from the teaching centre P 005 were considered significantIn total 427 801 patients were without complications at the training centres Intraoperative complications occurred in 8 16 patients Among 98 183 patients with postoperative complications 41 77 and 7 13 patients with Clavien grade I and II complications required no or pharmacological treatment respectively Totally 40 75 patients required surgical intervention Clavien grade III Grade IV and V complications were observed in 9 17 and 1 02 cases respectively A comparison of complications from the training centres and the teaching centre revealed no statistically significant differenceNovice laparoscopic surgeons can safely learn EERPE by a structured mentor based modular surgical training programme without putting patients at risk The complication rates in early patient series are low and comparable to those of the teaching centre


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  12. Influence of age on false positive rates of urine-based tumor markers
  13. Phosphodiesterase type 2 distribution in the guinea pig urinary bladder
  14. Changing concepts in the surgery of renal cell carcinoma
  15. Association of polymorphisms in CYP19A1 and CYP3A4 genes with lower urinary tract symptoms, prostate volume, uroflow and PSA in a population-based sample
  16. Reduction in incidence of lymphocele following extraperitoneal radical prostatectomy and pelvic lymph node dissection by bilateral peritoneal fenestration
  17. Should inclusion criteria for active surveillance for low-risk prostate cancer be more stringent? From an interim analysis of PRIAS-JAPAN
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