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
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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