Survey of Urological Laparoscopic Practices in the State of California

Kaynan, Ayal M.; Lee, Keith L.; Winfield, Howard N.

doi:10.1016/s0022-5347(05)64989-0

Cited by 21 publications

(11 citation statements)

References 19 publications

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“…As supported by similar studies, the majority of laparoscopic urologic procedures were performed by younger surgeons and by surgeons who have been in practice for a short time. [6][7][8] Our study showed that urologists in academic hospitals, both in university hospitals and in education and research hospitals, tended to perform more laparoscopic surgeries. It appears that academic hospitals prioritize teaching the laparoscopic techniques that represent indispensable training for future urologists.…”

Section: Discussionmentioning

confidence: 64%

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Current laparoscopic practice patterns among urologists in Turkey

Söylemez¹,

Özer²,

Efe³

et al. 2012

Turkish Journal of Urology

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Objective: Laparoscopic surgery has become increasingly popular in urology over the last decade. This survey was performed to evaluate the current practice patterns in laparoscopy among urologists in Turkey. Material and methods:A detailed questionnaire about urologic laparoscopic practice patterns was distributed to 1242 urologists who were working in Turkey. The questions pertained to age, practice demographics, and the amount and variety of laparoscopy performed.Results: Nearly half of the respondents (48.3%) already performed laparoscopy. Of the urologists in academic settings, including university hospitals and education and research hospitals, 69.6% and 59.4% performed laparoscopy, respectively. In state hospitals, the percentage of those who performed laparoscopy was lower (26.9%). The most important reasons mentioned for performing laparoscopy were shorter hospital stay, patient requests and greater flexibility of possible surgical techniques. The main laparoscopic procedures performed were nephrectomy (benign indication), 91%; renal cyst decortications, 90%; nephrectomy (malign indication), 65%; laparoscopic stone surgery, 47% and pyeloplasty, 38%. A large percentage (77.2%) of respondents intended to attend continuing education and to perform laparoscopy in the future. Conclusions:Our results show that laparoscopic practice steadily increases in frequency and that urologists are willing to substitute open surgery for laparoscopic surgery. The performance of laparoscopic surgery has become a goal for most urologists in Turkey to achieve in the near future.Key words: Laparoscopy; questionnaire; survey; urology. ÖZETAmaç: Laparoskopik cerrahi üroloji alanında son on yılda giderek popüler olmuştur. Bu anket Türkiye'deki ürologların laparoskopi alanındaki mevcut pratiklerini araştırmak amacıyla gerçekleştirildi. Gereç ve yöntemler:Ürolojik laparoskopi konusunda hazırlanan ayrıntılı bir anket formu Türkiye'de ça-lışan 1242 ürologa e-mail yoluyla gönderildi. Sorular, ürologun yaşını, çalıştığı yerin özelliklerini, yaptığı laparoskopik ameliyatların çeşitlilik ve miktarını kapsamaktaydı. Bulgular: Ankete cevap verenlerin yaklaşık yarısı (%48.3) zaten laparoskopi uygulamakta olduğunu belittiler. Üniversite hastanesi ve eğitim-araştırma hastanesi gibi akademik ortamlarda bulunan ürologların sırasıyla %69.6 ve %59.4'ü laparoskopi uygulamaktaydı. Devlet hastanesinde ise laparoskopi uygulayanların oranı daha düşüktü (%26.9). Laparoskopi uygulamak için öne sürülen en önemli nedenler; kısa hastanede kalış süresi, hastaların tercihi ve daha fazla cerrahi teknik sunabilmedir. Ana laparoskopik prosedürler şunlardır; benign endikasyonlarda nefrektomi %91, renal kist dekortikasyonu %90, malign endikasyonlarda nefrektomi %65, laparoskopik taş cerrahisi %47 ve pyeloplasti %38. Cevap verenlerin büyük çoğunluğu (%77.2) gelecekte eğitim alma ve laparoskopi uygulama niyetindedir.Sonuç: Sonuçlarımız göstermektedir ki laparoskopi kullananların sayısı giderek artmaktadır ve ürologlar açık cerrahinin yerine laparoskopik cer...

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Section: Discussionmentioning

confidence: 64%

“…In 2002, Kaynan et al [6] reported that only 12% of urologists successfully performed laparoscopy in California. Another study published in 2004 from the American Midwest revealed 21% of participants performed a significant amount of laparoscopy.…”

Section: Discussionmentioning

confidence: 99%

Current laparoscopic practice patterns among urologists in Turkey

Söylemez¹,

Özer²,

Efe³

et al. 2012

Turkish Journal of Urology

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“…At the same time, a survey of urological laparoscopic practice patterns in the Midwest United States demonstrated that a total of 49% of urologists did not perform laparoscopy, 30% devoted less than 5% of their practice and 21% devoted 5% or more of their practice to laparoscopy (44). It is worth mentioning that in this series there were more urologists who spent at least 5% of their operative time on laparoscopy than in previous series in the United States (45)(46)(47).…”

Section: Where Do We Stand Now? -Future Aspectsmentioning

confidence: 59%

Laparoscopic radical prostatectomy: A European virus

Skrekas

Laguna

Rosette

2005

Minimally Invasive Therapy & Allied Technologies

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The evolution of prostate cancer treatment has now incorporated the principles of minimally invasive surgery. Laparoscopic radical prostatectomy, just like a virus, infected first Europe and three years ago the United States. This European virus has nowadays a potentially widespread application. Oncological efficacy and ability to preserve and improve continence and potency are the factors that will ultimately determine the role of laparoscopic radical prostatectomy and thus the future of this virus infection. This article reviews the current published experience with minimally invasive prostatectomy and provides comparisons to published data on radical retropubic prostatectomy to increase awareness about viability. Some prospective and retrospective non-randomized comparative studies of the two approaches are also included in the present review. The current practice patterns regarding urological laparoscopic surgery and the tendency of the urologic community in Europe and in the United States to establish minimally invasive radical prostatectomy in more urological departments are described.

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“…6,7 A recent survey of California surgeons demonstrated that 50% of urologists performing HALS were using it as a means of acquiring laparoscopic technique. 8 The tactile feedback offers the novice laparoscopist the familiarity of open surgery yet with the outcomes of minimally invasive surgery. Direct comparisons have been made with standard laparoscopic and open nephrectomy and nephroureterectomy, all demonstrating equivalent or better results and morbidity.…”

Section: Resultsmentioning

confidence: 99%

Hand-Assisted Laparoscopic Approach to Simple Nephrectomy

Auge

Albala²

2004

Journal of Endourology

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Laparoscopic nephrectomy is commonly employed today for both malignant and benign renal conditions, yet the learning curve for all but the simplest procedures remains quite steep. Hand-assisted laparoscopic nephrectomy (HALN) bridges the gap between standard laparoscopy and open surgery, allowing urologists to develop laparoscopic skills while offering the advantages of minimally invasive surgery. Simple laparoscopic nephrectomy, performed for benign disorders, can at times prove to be challenging because of inflammation around the renal hilum. Meticulous dissection during HALN utilizing the intra-abdominal hand for tactile feedback, retraction, and blunt dissection may improve one's capabilities compared with the standard laparoscopic approach.

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Survey of Urological Laparoscopic Practices in the State of California

Abstract: Urological laparoscopic practice in California remains in its infancy. It is imperative that exposure should be increased in residency training programs.

Cited by 21 publications

References 19 publications

Current laparoscopic practice patterns among urologists in Turkey

Current laparoscopic practice patterns among urologists in Turkey

Laparoscopic radical prostatectomy: A European virus

Hand-Assisted Laparoscopic Approach to Simple Nephrectomy

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