El aprendizaje de la Prostatectomía Radical Laparoscópica según el modelo de Leipzig. Análisis de un programa tutelado progresivo
Learning laparoscopic radical prostatectomy with the Leipzig program. Analysis of the training module program
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Juan Cruz Jiménez, Jens Uwe Stolzenburg, Mihn Do, Ania Dietel" "autores" => array:6 [ 0 => array:4 [ "nombre" => "Miguel" "apellidos" => "Ramírez Backhaus" "email" => array:1 [ 0 => "ramirezbackhaus@yahoo.es" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "cor0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0010" ] ] ] 1 => array:3 [ "nombre" => "L." "apellidos" => "José Ruiz-Cerdá" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "F." 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España" "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0010" ] 1 => array:3 [ "entidad" => "Departamento de Urología. Uniklinik Leipzig. Alemania" "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "1" "correspondencia" => "Correspondencia autor: Dr. Miguel Ramírez Backhaus Servicio de Urología. Hospital Universitario La Fe. Avenida Campanar, 21 - 46009 Valencia. Tel.: 963 862 700" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Learning laparoscopic radical prostatectomy with the Leipzig program. Analysis of the training module program" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2008-11-01" "fechaAceptado" => "2008-12-01" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec88866" "palabras" => array:3 [ 0 => "Cáncer de próstata" 1 => "Prostatectomía radical" 2 => "Curva de aprendizaje" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec88865" "palabras" => array:3 [ 0 => "Prostate cancer" 1 => "Radical prostatectomy" 2 => "Learning curve" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span class="elsevierStyleSectionTitle">Introducción y objetivo</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">En la mayoría de los casos el aprendizaje de la prostatectomía radical laparoscópica no se completa durante la residencia. Ante esta problemática internacional surgen las becas o “fellowships” de los centros de excelencia europeos y norteamericanos. El objetivo del presente trabajo es evaluar la eficiencia de la beca de formación propuesta por el grupo alemán.</p> <span class="elsevierStyleSectionTitle">Material y método</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Describimos la evolución de un becario durante el entrenamiento progresivo, tutorizado por módulos descrito por el grupo de Leipzig, evaluamos la eficiencia del modelo describiendo los resultados de las primeras 30 prostatectomías radicales del becario como cirujano autónomo, comparamos los resultados con la serie histórica del centro, con la curva de aprendizaje de residentes del mismo centro y de otros centros.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">El becario cumplimentó el entrenamiento por módulos en 7 meses posteriormente se le asignaron 30 prostatectomías radicales sin la obligatoriedad de ser ayudado por un cirujano experto. En el 46,67% de los pacientes se aplicó una técnica intrafascial. El tiempo quirúrgico medio fue de 2h y 27 minutos, incluida la linfadenectomía (realizada en 20/30 pacientes). Dos pacientes presentaron márgenes positivos, todas las anastomosis, menos un paciente, fueron estancas. La sonda se retiró al quinto día (mediana). No se detectaron complicaciones intraoperatorias ni en el posoperatorio tardío. Los resultados de éstas, se superponen a la de los residentes del mismo centro y a la de otros urólogos que siguen un entrenamiento tutelado de larga duración.</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">El aprendizaje de la prostatectomía radical laparoscópica debe seguir un modelo tutorizado progresivo de larga duración. Hasta la expansión definitiva de la técnica, el programa de formación tipo “fellow” que imparte el grupo de Leipzig es un modelo de formación completo y efectivo.</p>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span class="elsevierStyleSectionTitle">Introduction and objective</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">In most cases the learning curve of laparoscopic radical prostatectomy is not completed during the residency. This is why International Fellowship programs are becoming more popular. The aim of this paper is to evaluate the efficiency of the fellowship program of the German group.</p> <span class="elsevierStyleSectionTitle">Material and methods</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">We describe the evolution of our last fellow in the modular training program developed by the Leipzig group. We also evaluate the efficiency of this program by analyzing the results of 30 procedures performed by the fellow as first surgeon. In addition we have reviewed the literature and compared those outcomes with previous series of the clinic and other training programs.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">The training programme was completed in four months. After this time, the fellow performed 30 procedures without any assistance from a tutor. 46,67% of these procedures were nerve sparing. The time average was 2 hours and 27 minutes. The programme includes lymphadenectomy in 20 patients. Two patients had positive margins, all anastomosis were tight except for one. Urethral catheter was removed on the fifth day and there were no other intraopertive or early postoperative complications. Results may be compared to previous results of other residents of the department and also of other groups where a long term tutor program was performed.</p> <span class="elsevierStyleSectionTitle">Conclusion</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">The learning process of laparoscopic radical prostatectomy should follow a long term tutorized model. Until the definitive expansion/development of this technique, the Leipzig Fellowship program is a complete and effective formation schedule.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Referencias" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:18 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Prostatectomía radical laparoscópica. Revisión de la literatura. 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| año/Mes | Html | Total | |
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| 2024 Noviembre | 0 | 1 | 1 |
| 2024 Octubre | 0 | 8 | 8 |
| 2024 Septiembre | 0 | 11 | 11 |
| 2024 Agosto | 0 | 1 | 1 |
| 2024 Julio | 0 | 4 | 4 |
| 2024 Junio | 0 | 6 | 6 |
| 2024 Mayo | 0 | 5 | 5 |
| 2024 Abril | 0 | 10 | 10 |
| 2024 Marzo | 0 | 26 | 26 |
| 2024 Febrero | 0 | 14 | 14 |
| 2024 Enero | 0 | 13 | 13 |
| 2023 Diciembre | 0 | 20 | 20 |
| 2023 Noviembre | 0 | 33 | 33 |
| 2023 Octubre | 0 | 35 | 35 |
| 2023 Septiembre | 0 | 17 | 17 |
| 2023 Agosto | 0 | 7 | 7 |
| 2023 Julio | 0 | 32 | 32 |
| 2023 Junio | 0 | 9 | 9 |
| 2023 Mayo | 0 | 3 | 3 |
| 2023 Abril | 0 | 14 | 14 |
| 2023 Marzo | 0 | 3 | 3 |
| 2023 Febrero | 0 | 23 | 23 |
| 2023 Enero | 0 | 3 | 3 |
| 2022 Diciembre | 0 | 8 | 8 |
| 2022 Noviembre | 0 | 15 | 15 |
| 2022 Octubre | 0 | 11 | 11 |
| 2022 Septiembre | 0 | 11 | 11 |
| 2022 Agosto | 0 | 36 | 36 |
| 2022 Julio | 0 | 9 | 9 |
| 2022 Junio | 0 | 2 | 2 |
| 2022 Mayo | 0 | 4 | 4 |
| 2022 Abril | 0 | 20 | 20 |
| 2022 Marzo | 0 | 6 | 6 |
| 2022 Febrero | 0 | 4 | 4 |
| 2022 Enero | 0 | 1 | 1 |
| 2021 Diciembre | 0 | 6 | 6 |
| 2021 Noviembre | 0 | 5 | 5 |
| 2021 Octubre | 0 | 4 | 4 |
| 2021 Septiembre | 0 | 3 | 3 |
| 2021 Agosto | 0 | 1 | 1 |
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| 2021 Marzo | 0 | 6 | 6 |
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| 2020 Octubre | 0 | 1 | 1 |
| 2020 Septiembre | 0 | 5 | 5 |
| 2020 Agosto | 0 | 5 | 5 |
| 2020 Julio | 0 | 3 | 3 |
| 2020 Junio | 0 | 7 | 7 |
| 2020 Mayo | 0 | 6 | 6 |
| 2020 Marzo | 0 | 7 | 7 |
| 2020 Febrero | 0 | 5 | 5 |
| 2020 Enero | 0 | 12 | 12 |
| 2019 Diciembre | 0 | 13 | 13 |
| 2019 Noviembre | 0 | 5 | 5 |
| 2019 Octubre | 0 | 8 | 8 |
| 2019 Septiembre | 0 | 3 | 3 |
| 2019 Agosto | 0 | 11 | 11 |
| 2019 Julio | 0 | 6 | 6 |
| 2019 Junio | 0 | 34 | 34 |
| 2019 Mayo | 0 | 54 | 54 |
| 2019 Abril | 0 | 39 | 39 |
| 2019 Marzo | 0 | 13 | 13 |
| 2019 Febrero | 0 | 14 | 14 |
| 2019 Enero | 0 | 3 | 3 |
| 2018 Diciembre | 0 | 11 | 11 |
| 2018 Noviembre | 0 | 19 | 19 |
| 2018 Octubre | 0 | 12 | 12 |
| 2018 Agosto | 0 | 3 | 3 |
| 2018 Julio | 0 | 1 | 1 |
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| 2018 Enero | 1 | 0 | 1 |
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| 2017 Noviembre | 5 | 3 | 8 |
| 2017 Octubre | 12 | 2 | 14 |
| 2017 Septiembre | 5 | 11 | 16 |
| 2017 Agosto | 9 | 10 | 19 |
| 2017 Julio | 6 | 5 | 11 |
| 2017 Junio | 8 | 6 | 14 |
| 2017 Mayo | 4 | 5 | 9 |
| 2017 Abril | 9 | 1 | 10 |
| 2017 Marzo | 15 | 41 | 56 |
| 2017 Febrero | 9 | 3 | 12 |
| 2017 Enero | 11 | 1 | 12 |
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| 2016 Noviembre | 20 | 4 | 24 |
| 2016 Octubre | 38 | 10 | 48 |
| 2016 Septiembre | 11 | 1 | 12 |
| 2016 Agosto | 15 | 1 | 16 |
| 2016 Julio | 7 | 1 | 8 |
| 2016 Junio | 14 | 12 | 26 |
| 2016 Mayo | 21 | 34 | 55 |
| 2016 Abril | 12 | 17 | 29 |
| 2016 Marzo | 17 | 25 | 42 |
| 2016 Febrero | 10 | 26 | 36 |
| 2016 Enero | 11 | 22 | 33 |
| 2015 Diciembre | 18 | 22 | 40 |
| 2015 Noviembre | 13 | 15 | 28 |
| 2015 Octubre | 11 | 15 | 26 |
| 2015 Septiembre | 11 | 10 | 21 |
| 2015 Agosto | 5 | 2 | 7 |
| 2015 Julio | 7 | 4 | 11 |
| 2015 Junio | 4 | 3 | 7 |
| 2015 Mayo | 2 | 4 | 6 |
| 2015 Abril | 9 | 9 | 18 |
| 2015 Marzo | 6 | 3 | 9 |
| 2015 Febrero | 2 | 3 | 5 |
| 2015 Enero | 9 | 3 | 12 |
| 2014 Diciembre | 7 | 11 | 18 |
| 2014 Noviembre | 1 | 1 | 2 |
| 2014 Octubre | 5 | 10 | 15 |
| 2014 Septiembre | 18 | 1 | 19 |
| 2014 Agosto | 9 | 4 | 13 |
| 2014 Julio | 13 | 2 | 15 |
| 2014 Junio | 8 | 4 | 12 |
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| 2014 Abril | 2 | 2 | 4 |
| 2014 Marzo | 4 | 2 | 6 |
| 2014 Febrero | 1 | 5 | 6 |
| 2014 Enero | 4 | 3 | 7 |
| 2013 Diciembre | 5 | 1 | 6 |
| 2013 Noviembre | 5 | 3 | 8 |
| 2013 Octubre | 6 | 8 | 14 |
| 2013 Septiembre | 5 | 7 | 12 |
| 2013 Agosto | 3 | 4 | 7 |
| 2013 Julio | 1 | 0 | 1 |
| 2009 Marzo | 271 | 0 | 271 |
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