Training Modalities in Robotic Prostate Cancer Surgery

Öz

Robotic surgery is increasingly being performed worldwide in the surgical treatments of various diseases. Radical prostatectomy provides long-term cancer control in patients with localized prostate cancer. Robotic radical prostatectomy (RARP) has increasingly become a preferred treatment of choice both by patients and urologists since its introduction in 2001. The training of this surgical approach is a very important subject. This paper was prepared following reviewing the published literature on training on RARP, an internet bases search related with robotic prostate cancer surgery training and reviewing the training programs of the centers who offer training in robotic urology. In the present paper, we summarized the training modalities in RARP including; I. Video based learning: watching edited and non-edited surgical videos, II. Attending courses, symposiums and meetings related with robotic surgery, III. Watching live robotic surgical cases in the operating room, IV. Training with simulators, V. Training with the surgical surgical robot on training materials, VI. Training with the surgical robot on live animals under anesthesia in the laboratory, VII. Patient site assisting during robotic surgical procedures, VIII. Performing robotic surgery as a console surgeon under the supervision of a experienced mentor (fellowship program), IX. Assessing outcomes of the robotic surgical procedures (learning curve) and X. Ankara Ataturk Hospital Robotic Radical Prostatectomy Training Model. Training in robotic prostate cancer surgery includes a variety of modalities. Effective and sufficient training could be obtained with the combination of the suggested training modalities.

Keywords: Training modalities, robotic surgery, prostate cancer surgery.

Anahtar Kelimeler

• Training modalities, robotic surgery, prostate cancer surgery

Abdullah Erdem Canda Murat Keske

Öz

Robotik cerrahi, tüm dünyada çeşitli hastalıkların cerrahi tedavisinde giderek artan sıklıkta uygulanmaktadır. Lokalize prostat kanseri tedavisinde radikal prostatektomi uzun süreli kanser kontrolü sağlamaktadır. İlk kez 2001 yılında uygulanmaya başlaması ile birlikte robotik radikal prostatektomi (RARP), hem hastalar hem de ürologlar tarafından prostat kanserinde tercih edilen ameliyat yöntemi haline gelmiştir. Bu modern ameliyat yönteminin eğitimi de oldukça önemli bir konudur. Bu makale, RARP ameliyat yönteminin eğitimi ile ilgili uluslararası literatür incelenerek, internet üzerinden robotik prostat kanseri cerrahisi eğitimi araştırılarak ve bu konuda eğitim veren merkezlerin eğitim programları incelenerek hazırlanmıştır. Robotik prostat kanseri cerrahisi eğitimi ile ilgili şu basamaklar özetlenmiştir; I. Ameliyatlara ait video izlemeye dayalı eğitim, II. Robotik cerrahi ile ilgili kurslara, sempozyumlara ve toplantılara katılmak, III. Ameliyathanede robotik cerrahi ameliyatlarını izlemek, IV. Simülatörler üzerinde eğitim almak, V. Çeşitli eğitim materyalleri üzerinde cerrahi eğitim ile eğitim yapmak, VI. Anestezi altındaki çeşitli hayvan modelleri üzerinde laboratuvarda cerrahi robot ile eğitim yapmak, VII. Robotik cerrahi ameliyatlarında hasta başında asistanlık yapmak, VIII. Bu konuda deneyimli bir cerrahın gözetiminde konsol başında bire bir cerrahi eğitim almak, IX. Öğrenme eğirişi döneminde cerrahın kendi sonuçlarını değerlendirmesi ve X. Ankara Atatürk Hastanesi Robotik Radikal Prostatektomi Eğitim Modeli. Robotik prostat kanseri eğitiminde birçok yöntem kullanılabilmektedir. Bu yöntemlerin bir arada kullanılması ile etkili ve yeterli eğitim sağlanabilmektedir

Anahtar Kelimeler

• Eğitim yöntemleri, robotik cerrahi, prostat kanseri cerrahisi

Kaynakça

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