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Learning Modern Laryngeal Surgery in a Dissection Laboratory
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Live surgery: highly educational or harmful?

B Rocco1, A A C Grasso2, E De Lorenzis2

  • 1Department of Urology, Nuovo Ospedale Civile Sant' Agostino Estense (N.O.C.S.A.E.) di Baggiovara, University of Modena and Reggio Emilia, Modena, Italy. bernardo.rocco@gmail.com.

World Journal of Urology
|November 11, 2017
PubMed
Summary
This summary is machine-generated.

Live surgery (LS) offers valuable teaching opportunities with a low complication rate, especially for radical prostatectomy (RP). Experts performing complex urologic procedures during the Congress Challenge in Laparoscopy and Robotics (CILR) demonstrated good patient safety outcomes.

Keywords:
Live case demonstrationLive-surgery broadcastMentoringSurgical complicationsSurgical educationTraining

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Area of Science:

  • Urologic Surgery
  • Surgical Education
  • Patient Safety

Background:

  • Live surgery (LS) is a valuable educational tool in urology.
  • Balancing teaching benefits with patient safety is crucial.
  • The Congress Challenge in Laparoscopy and Robotics (CILR) provides a platform for expert-led live surgical events.

Purpose of the Study:

  • To evaluate the complication rate of urologic live surgeries performed by experts.
  • To assess patient safety during live surgical events within the CILR framework.
  • To analyze postoperative morbidity using the Postoperative Morbidity Index (PMI).

Main Methods:

  • A retrospective analysis of a multi-institution, multi-surgeon database from 12 CILR events (2004-2015).
  • Inclusion of 224 urologic cases, with radical prostatectomy (RP) being the most frequent procedure.
  • Primary endpoint was postoperative complications, quantified using the Postoperative Morbidity Index (PMI).

Main Results:

  • A total of 224 cases were analyzed, with a gradual increase in case volume over the years.
  • The overall complication rate was 11.6% (26 out of 224 cases), with varying severity grades.
  • Postoperative Morbidity Index (PMI) was significantly higher for cystectomy compared to radical prostatectomy (RP).

Conclusions:

  • Live surgery (LS) in the CILR setting demonstrates a low overall complication rate, even for complex urologic procedures.
  • Radical prostatectomy (RP) appears to be a particularly safe procedure in the context of live surgery.
  • The Postoperative Morbidity Index (PMI) did not correlate with increased complexity in this series.