ESPU Congress 2017 - Abstract book

280

CONGRESS OF THE ESPU

VS: VIDEO SCREEN

(no presentation)

ESPU Meeting

VS-1 (VS without presentation)

HOW WE IMPROVED LAPAROSCOPIC PYELOPLASTY

TRAINING

Pedro Jose LOPEZ

, Yolanda PULLIN

, Francisco REED

, Nelly LETELIER

Danielle REYES

, Francisca YANKOVIC

and Ricardo ZUBIETA

1) Exequiel González Cortés, Urology, Santiago, CHILE - 2) Hospital Exequiel Gonzalez Cortes, Urology, Santiago,

CHILE - 3) Exequiel González Cortés, Uroglogy, Santiago, CHILE - 4) Exequiel González Cortés, Urologia, Santiago,

CHILE

PURPOSE

Laparoscopic pyeloplasty is the gold standard surgery for resolution in a pelviureteric junction

obstruction (UPJO). 1 Being one of the most demanding minimally invasive surgeries in pediatric

urology, training in laparoscopic surgery is hard and special skills should be acquired. We believe

that better realistic and less stressful training methods should be implemented.

Our objectives are to enhance training skills for better surgical outcomes also reduce stress related

to learning by simply following a step by step protocol.

MATERIAL AND METHODS

We created a video to demonstrated how we tested the previous published step-by-step protocol.

2 A prospective study was conducted in our institution including 12 patients > 5 kg with UPJO.

These patients were separated in 2 groups Group A (Surgeons) and Group B (Trainees). Group

A was indicated to perform their procedure technique of choice and Group B was indicated to per-

form the procedure following the step-by-step protocol. Surgical time from incision to skin closure

was measured.

RESULTS

A reduction in surgical time from 157 (120-200) minutes in group A to 150 (90-210) minutes in group

B was achieved. No complications where observed after surgery in both groups. Minimum follow up

of 12 months with a dynamic scintigraphy showed no obstructed.

CONCLUSIONS

We improved duration and quality of surgery by applying the protocol and practicing the procedure

as many times as possible this guarantees a better outcome. Making a step-by-step training surgi-

cal protocol for each laparoscopic procedure, which should be interiorized by the trainee, could

shorten the learning curve and bringing confidence to the resident in her/his future career. With

this surgical protocol, a kind of repeated "brain surgery" is taken in every procedure (assisted or

performed), helping in the step-by-step of the surgery.