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[Results of comprehensive data collection concerning urologic laparoscopy]
T A Vögeli1, M Burchardt, T Sulser
1Urologische Klinik, Universitätsklinik Düsseldorf, Moorenstrasse 5, 40225 Düsseldorf. Moeller@med.uni-duesseldorf.de
Der Urologe. Ausg. A
|May 8, 2002
Summary
Laparoscopy use in German urology is increasing, with 54% of departments performing it and more planning to adopt the technique. Key concerns include cost, learning curve, and lack of data, despite growing acceptance.
Area of Science:
- Urology
- Surgical Technology
- Minimally Invasive Surgery
Background:
- Laparoscopy is a minimally invasive surgical technique increasingly adopted in urology.
- Previous surveys indicated lower acceptance rates for laparoscopic procedures in Germany.
Purpose of the Study:
- To assess the current adoption rate and future plans for laparoscopy among urologists in Germany.
- To identify the primary concerns and barriers hindering wider implementation of laparoscopic urological surgery.
Main Methods:
- A questionnaire was distributed to urologists in Germany by the "Working Group Laparoscopy" of the German Urological Association.
- 183 out of 300 distributed questionnaires were returned and analyzed, representing a 61% response rate.
Main Results:
- 54% of responding departments currently perform laparoscopy, with an additional 50% planning to introduce it.
- Major concerns cited include economic factors (70%), long learning curves (92%), investment costs (53%), and insufficient scientific data (76%).
- Commonly performed laparoscopic procedures include simple nephrectomy, cryptorchism, and varicocele repair, while radical prostatectomy and tumor nephrectomy are less frequent.
Conclusions:
- Laparoscopic urology acceptance has significantly increased since 1995, with widespread intention to adopt the technique.
- Addressing concerns regarding cost, training, investment, and robust scientific evidence is crucial for further dissemination of laparoscopy in German urology.