The importance of systematic operative training in laparoscopic adrenalectomy for novice surgeons

• Published in: Japanese Journal of Endourology Vol. 32; no. 2; pp. 225 - 229
• Main Authors: 和田里 章悟, 小林 泰之, 定平 卓也, 岩田 健宏, 西村 慎吾, 高本 篤, 佐古 智子, 枝村 康平, 和田 耕一郎, 荒木 元朗, 渡邉 豊彦, 那須 保友
• Format: Journal Article
• Language: Japanese
• Published: Japanese Society of Endourology 2019; 日本泌尿器内視鏡学会
• Subjects: ラーニングカーブ; 副腎; 手術教育; 腹腔鏡トレーニング; 腹腔鏡手術
• ISSN: 2186-1889; 2187-4700
• DOI: 10.11302/jsejje.32.225

  The original training program to obtain the license in endoscopic surgical skill qualification system (ESSQS) of the JSE started at 2006 at the Department of Urology of Okayama University Hospital. We reviewed the outcomes of laparoscopic adrenalectomy surgeries that were performed by the trainees enrolled in the program. We retrospectively evaluated the case of 76 patients who underwent laparoscopic adrenalectomy by trainees in comparison with 43 cases performed by ESSQS certified urologists from March 2009 to November 2017. The median number of cases performed by 18 trainees (6-11 years after graduation) was 4 (range : 1-9), and by 9 certified urologists was 2 (range : 1-26). There were no significant differences in the patient background between two groups. The operative time was significantly shorter in the certified group (p ＝ 0.0122). There was no case that required blood transfusion nor conversion to open surgical approach. The operative time and blood loss were presented without following the expected learning curve when they were compared to similar training programs. The systematic education achieved favorable outcome in the trainee group.