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Laparoskopische Chirurgie in der Urologie

Training und Ausbildung

Laparoscopic surgery in urology

Taining and education

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Zusammenfassung

Ein anhaltend diskutiertes Problem der laparoskopischen Operationen mit mittlerem und hohem Schwierigkeitsgrad sind die relativ langen Lernkurven und die damit verbundenen im Vergleich zur konventionellen Technik längeren Operationszeiten. Es gibt heute eine Vielzahl von Möglichkeiten, laparoskopische Operationstechniken zu erlernen. Diese Trainingsmöglichkeiten umfassen neben den sog. Pelvitrainern Computersysteme, die eine virtuelle Realität simulieren. Eine realistischere Methode stellen Übungen im sog. „wet lab“ dar, in dem am Schwein ablative und rekonstruktive Operationen trainiert werden können.

Die Liste der Indikationen für laparoskopische Operationen in der Urologie umfasst heute Operationen mit einfachem (z. B. laparoskopische Hodensuche), mit mittlerem (laparoskopische Nierenbeckenplastik) bis hin zu Operationen mit hohem Schwierigkeitsgrad (laparoskopische/endoskopische Prostatektomie). Die Laparoskopie sollte deshalb ein fester Bestandteil der Ausbildung in unserem Fachgebiet sein. Dazu wird eine definierte Anzahl von Ausbildungszentren mit strukturierten Ausbildungsprogrammen, ggf. auch mit multizentrischen Kooperationen benötigt. Das Hauptziel unserer Bemühungen sollte in der Strukturierung und Standardisierung von Operationstechniken und Ausbildungsprogrammen liegen, um individuelle Lernkurven zu verkürzen und einheitliche Qualitätsstandards zu generieren.

Abstract

Relatively long learning curves and, therefore, initially longer operating times compared to conventional procedures are still a matter of debate. Today, there are numerous possibilities for learning laparoscopic techniques and establishing one’s own laparoscopic programs, including various pelvitrainers and virtual reality computer programs. One useful and realistic way involves “wet lab” training programs for ablative and reconstructive procedures using the pig model.

Today, laparoscopic urological surgery includes procedures with low (e.g. laparoscopy for undescended testicles), intermediate (laparoscopic pyeloplasty) and high level (laparoscopic/endoscopic prostatectomy) complexity. Therefore, laparoscopy should be an integral part of training in urology. A defined number of possibly multi-institutional training centers with well structured educational programs are needed. The main goal should be the standardization of surgical procedures as well as educational training programs in order to shorten individual learning curves and generate common quality standards.

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Authors and Affiliations

  1. Urologische Klinik, Klinikum Dortmund gGmbH, Dortmund

    S. Papadoukakis & M. Truß

  2. Department of Urology, Western General Hospital, Edinburgh, Schottland

    A. McNeill

  3. Klinik für Urologie, Universität, Patras, Griechenland

    E. Liatsikos

  4. Klinik und Poliklinik für Urologie, Universitätsklinikum, Liebigstraße 20, 04103, Leipzig

    R. Rabenalt, D. Minh, A. Dietel, B. Bynens &  J.-U. Stolzenburg

Authors
  1. R. Rabenalt
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  2. D. Minh
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  3. A. Dietel
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  4. B. Bynens
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  5. S. Papadoukakis
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  6. A. McNeill
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  7. E. Liatsikos
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  8. M. Truß
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  9. J.-U. Stolzenburg
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Corresponding author

Correspondence to J.-U. Stolzenburg.

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Rabenalt, R., Minh, D., Dietel, A. et al. Laparoskopische Chirurgie in der Urologie. Urologe 45, 1155–1162 (2006). https://doi.org/10.1007/s00120-006-1149-9

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  • DOI: https://doi.org/10.1007/s00120-006-1149-9

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