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Updated: Jan 22, 2026

Utilizing a 3D Printed Laparoscopic Nissen Fundoplication Model to Shorten a Resident's Learning Curve
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Laparoscopic Training in Urology Residency Programs: A Systematic Review.

Tiago Ribeiro de Oliveira1,2, Ben Van Cleynenbreugel3, Sérgio Pereira1

  • 1Department of Urology, Santa Maria University Hospital, Lisbon, Portugal.

Current Urology
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Urology residents report inadequate laparoscopic training and low confidence in performing procedures independently. Most desire more surgical exposure during residency programs.

Keywords:
EducationLaparoscopyResidency urology

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Area of Science:

  • Urology
  • Surgical Education
  • Minimally Invasive Surgery

Background:

  • Laparoscopy is a common surgical technique in urology.
  • Proficiency in laparoscopic surgery demands extensive training due to a steep learning curve.
  • Residency programs often incorporate standardized laparoscopic training.

Purpose of the Study:

  • To systematically analyze the current state of laparoscopic training in urology residency programs worldwide.
  • To identify variations in training exposure and resident confidence levels.

Main Methods:

  • A systematic review of PubMed/Medline and the Cochrane Library was conducted in February 2018.
  • Eight publications involving 985 urology residents were selected based on predefined criteria.
  • Data were analyzed according to the Preferred Reporting Items for the Systematic Review and Meta-Analyses (PRISMA) statement.

Main Results:

  • Significant variation exists in laparoscopic training exposure across different urology residency programs.
  • A majority of residents perceive their laparoscopic training as insufficient.
  • Most residents lack confidence in performing laparoscopic procedures independently by residency's end.
  • North American residents reported higher confidence compared to European residents.

Conclusions:

  • Substantial disparities are evident in laparoscopic training across national urology residency programs.
  • The majority of urology residents advocate for increased laparoscopic training during their residency.