Comparison of Outcomes Obtained After Regular Surgery Versus Live Operative Surgical Cases: Single-centre Experience with Green Laser Enucleation of the Prostate

Misraï, Vincent; Guillot-Tantay, C.; Pasquie, M; Bordier, B.; Guillotreau, J.; Sancha, Fernando Gómez; Woo, Henry H.; Herrmann, Thomas

doi:10.1016/j.euf.2018.01.001

Cited by 9 publications

(9 citation statements)

References 20 publications

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“…The results of patients who underwent GreenLEP in live surgery events reported by Misrai et al were compared with regular surgery results. The author emphasized that such practices do not endanger the skill and technique of the surgeon (16). The largest-scale study in this area has recently been reported by Rocco et al (17).…”

Section: Discussionmentioning

confidence: 99%

Safety of Live Retrograde Intrarenal Surgery; Results from a Boutique Course Series

Özman¹,

Çitgez²,

Başataç³

et al. 2020

Preprint

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Introduction: This study aims to investigate the outcomes and complication rates of patients undergoing retrograde intrarenal surgery (RIRS) at the live surgery events organized as boutique course series. Materials and Methods: Eight RIRS courses were organized between November 2017 and February 2020. Data of 24 patients who were operated in the live surgery events (as LSE group) for renal stone were matched with the data of 24 substitute patients (as control group) who underwent regular RIRS on the same period at the same centers.. Results: Stone free status of groups was similar (88% in LSE and 79% in the control group; p=1). There was no significant difference in terms of complication and need for additional procedure rates, operation and fluoroscopy and hospitality times between the two groups (p=1, p=1, p=0.12, p=0.58 and p=0.94, respectively). Fifty-four % (13/24) of LSE operations were performed by guest surgeons. No statistically significant difference was found between the patients who operated by host and guest surgeons. However, the operation times of the operations performed by guest surgeons were longer than those performed by the host surgeons (96.5±28 and 66.5±30 minute, respectively, p=0.07). Conclusion: Our study is the first report on this area. RIRS live surgery can be performed with low complication and high stone-free rates without jeopardizing patient safety. If the surgeon is not familiar with the operating room set-up or staffs, the live surgery must performed by the host surgeon to avoid extended operating time.

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Section: Discussionmentioning

confidence: 99%

Safety of Live Retrograde Intrarenal Surgery; Results from a Boutique Course Series

Özman¹,

Çitgez²,

Başataç³

et al. 2020

Preprint

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“…Furthermore, most of our responders stated that they feel there is little ethical dilemma while conducting LSDs, offering a different perspective on one of the major concerns of LSDs. Indeed, multiple studies reported no higher complication rate following LSDs despite strong theoretical concerns for patient safety [10,[22][23][24][25][26].…”

Section: Discussionmentioning

confidence: 99%

Learning benefits of live surgery and semi-live surgery in urology—informing the debate with results from the International Meeting of Reconstructive Urology (IMORU) VIII

et al. 2020

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Purpose To analyze the perceived learning opportunities of participants of the International Meeting on Reconstructive Urology (IMORU) VIII for both live surgery demonstrations (LSD) and semi-live surgery demonstrations (SLSD). Safety and educational efficacy of LSD and SLSD at live surgery events (LSE) have been debated extensively, however, objective data comparing learning benefits are missing. Methods We conducted a detailed survey, which employed the Kirkpatrick model, a well-established assessment method of training models, to investigate participants preferences as well as the learning benefit of LSE. Furthermore, we employed an audience response system and the Objective Structured Assessment of Technical Skills (OSATS), a well-established assessment method of surgery skills, to let our participants rate the perceived learning opportunity of LSD and SLSD. Results Of 229 participants at the IMORU VIII, 39.7% returned our questionnaires. 90% stated that they prefer LSD. On all levels of Kirkpatrick’s training evaluation model, the IMORU received high ratings, suggesting a high learning benefit. For the assessment of OSATS, a total of 23 surgical cases were evaluable. For all six utilized items, LSD scored significantly better ratings than SLSD. Conclusion Our study suggests that there is still a rationale for LSD, as participants attributed a statistically significant higher learning benefit to LSD over SLDS. Evaluation of the survey showed that for LSE such as the IMORU VIII, a high learning benefit can be expected. Considering that most of our participants are active surgeons with high caseloads, their opinion on the educational value of LSE is of high relevance.

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“…More recently, three studies evaluated the outcomes of live endourological procedures and live robot-assisted radical prostatectomies. These studies did not report statistically significant differences in outcomes in comparison to routine cases [ 6 , 14 , 15 ].…”

Section: Discussionmentioning

confidence: 99%

Surgical teaching in urology: patient safety and educational value of ‘LIVE’ and ‘SEMI-LIVE’ surgical demonstrations

et al. 2018

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PurposeTo evaluate the opinion of urologists and their audience regarding patient safety and educational value of live surgical demonstrations (LSD) and semi-live surgical demonstrations (semi-LSD).MethodsFollowing the ‘2017 Challenges in Endourology’ meeting, a survey addressing patient safety and the educational value of LSD and semi-LSD was disseminated online to all participants. Survey outcomes of LSD and semi-LSD were compared. ResultsAll 279 respondents attended both LSD and semi-LSD. Overall, 53% of said respondents stated that patient safety was always the highest priority for LSD, while 74% noted the same for semi-LSD. The complication risk in LSD was perceived equal by 57% of the respondents when compared to cases of similar difficulty in routine practice, while 38% perceived it as a greater risk. For semi-LSD, the complication risk was perceived equal by 84%, while 5% perceived it to be a greater risk in comparison to general practice. On a scale from 0 (no value) to 10 (highly valuable), the average educational value of LSD and semi-LSD was rated 8.4 and 8.3, respectively. A substantial percentage of the surgeons who perform LSD express concerns that live surgery is not the optimal setting to ensure patient safety.ConclusionsLSD remains a popular tool for surgical education among urologists and their audience. However, patient safety remains a concern and is perceived less of a concern for semi-LSD. The educational value of LSD and semi-LSD was scored equally high. Therefore, we should consider to advocate the use of semi-LSD more often.Electronic supplementary materialThe online version of this article (10.1007/s00345-018-2291-x) contains supplementary material, which is available to authorized users.

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Comparison of Outcomes Obtained After Regular Surgery Versus Live Operative Surgical Cases: Single-centre Experience with Green Laser Enucleation of the Prostate

Cited by 9 publications

References 20 publications

Safety of Live Retrograde Intrarenal Surgery; Results from a Boutique Course Series

Safety of Live Retrograde Intrarenal Surgery; Results from a Boutique Course Series

Learning benefits of live surgery and semi-live surgery in urology—informing the debate with results from the International Meeting of Reconstructive Urology (IMORU) VIII

Surgical teaching in urology: patient safety and educational value of ‘LIVE’ and ‘SEMI-LIVE’ surgical demonstrations

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