200 / 238
200
29
th
CONGRESS OF THE ESPU
CONCLUSIONS
MicroPercTM is a valuable and safe technique to treat ureteric stones that allows intubation of small
ureters without need of dilation, with the limitation of a small work channel.
VD-7 (VS without presentation)
THE USE OF THE PORCINE MODEL AS PART
OF A STRUCTURED -PROCEDURE SPECIFIC- ROBOTIC
TRAINING PROGRAM IN PEDIATRIC UROLOGY
Achilles PLOUMIDIS
1
, Alexandre MOTTRIE
2
, Piet HOEBEKE
3
and Anne-Françoise
SPINOIT
4
1) Athens Medical Centre, Urology, Athens, GREECE - 2) ORSI Academy, ORSI, Ghent, BELGIUM - 3) Ghent University
Hospital, Urology, Ghent, BELGIUM - 4) University Hospital Ghent, Urology, Ghent, BELGIUM
PURPOSE
Robotic-assisted surgery is the newest technique in minimally invasive surgery. Offering the
precision of traditional open surgery and the shorter recovery time of minimally invasive surgery,
robotic-assisted surgery is widely adopted in adult urology. Use of the robotic technology in the
pediatric population has gained some popularity over the last years, creating a need for experienced
laparascopic pediatric urologists to become familiar with the robotic platform.
This video demonstrates the use of the porcine model as part of a structured -procedure specific-
robotic training program in pediatric urology.
MATERIAL AND METHODS
A robotic course designed for pediatric urologists familiar with laparascopy was created in order to
practice on live porcine models. The two main robotic models available on the market (Da Vinci Xi
and Da Vinci Si) were used to practice standard pediatric urology surgical procedures. Dual console
was used by the proctors to guide the attendees through the procedures. Identical procedures were
repeated two days on a row to monitor progression and to gain confidence about the procedures.
The proctors were experienced robotic surgeons familiar with porcine models.
RESULTS
Each porcine model was used by two attendes, exchanging roles (console surgeon or bed-side as-
sistant) guided by a proctor. The porcine model was placed in a decubitus position to allow training
in the pelvis, maximizing the variety of possible procedures. Bilateral Extravesical Lich-Gregoire
ureteric reimplantation, bladder auto-augmentation (detrusorotomy), Ureteric anastomosis and
bladder neck reconstruction with fascial sling procedures were performed by the attendees with
a self-reported feeling of improving skills.
CONCLUSIONS
Introduction of the robotic platform in the pediatric population might be facilitated by a structured
training program. Live porcine models used to practice standard pediatric urology procedures seems
to be adequate to gain confidence for practicing these procedures in children, as self-reported by
the attendees.