| Online-Ressource |
Verfasst von: | Wenk, Maren [VerfasserIn]  |
| Hartung, Friedrich [VerfasserIn]  |
| Egen, Luisa [VerfasserIn]  |
| Netsch, Christopher [VerfasserIn]  |
| Kosiba, Marina [VerfasserIn]  |
| Grüne, Britta [VerfasserIn]  |
| Herrmann, Jonas [VerfasserIn]  |
Titel: | The long-term learning curve of holmium laser enucleation of the prostate (HoLEP) in the en-bloc technique |
Titelzusatz: | a single surgeon series of 500 consecutive cases |
Verf.angabe: | M.J. Wenk, F.O. Hartung, L. Egen, C. Netsch, M. Kosiba, B. Grüne, Jonas Herrmann |
E-Jahr: | 2024 |
Jahr: | 24 July 2024 |
Umfang: | 7 S. |
Fussnoten: | Gesehen am 12.12.2024 |
Titel Quelle: | Enthalten in: World journal of urology |
Ort Quelle: | Berlin : Springer, 1983 |
Jahr Quelle: | 2024 |
Band/Heft Quelle: | 42(2024), 1, Artikel-ID 436, Seite 1-7 |
ISSN Quelle: | 1433-8726 |
Abstract: | Purpose To evaluate perioperative parameters, clinical outcomes, and the learning curve of holmium laser enucleation of the prostate (HoLEP) of a single surgeon in 500 consecutive cases. - Methods Demographic parameters, outcomes, and adverse events were evaluated. The learning curve for HoLEP in en-bloc technique of the first 500 consecutive patients was analyzed in clusters of 100 (clusters 1-5) using the Wilcoxen rank test, Chi² test and Kruskal Wallis test. - Results Enucleation weight was similar in the clusters 1,2,3, and 5 (62 g, 63 g, 61 g, 61 g), in cluster 4 it was slightly higher at 73 g. There was a significant reduction in operating time from 67 min (cluster 1) to 57 min (cluster 2), 46 min (cluster 3), 53 min (cluster 4), and 43 min (cluster 5), p < 0.001. Enucleation efficiency (g/min) showed a steady increase (1.72, 2.24, 2.79, 2.92 vs. 2.99, p < 0.001). Laser energy efficiency also improved (2.17 vs. 2.12 vs. 1.71 vs. 1.65 vs. 1.55; p < 0.001). There was no measurable learning curve regarding the length of hospital stay (mean 2.5 days), catheterization time (1.9 days), hemoglobin drop (approx. 1 g/dl) or complications (p > 0.1). - Conclusions HoLEP using the en-bloc technique is a safe and highly effective method. Over time, a slight but steady learning curve and improvement in operation time, enucleation efficiency and laser energy efficiency were shown even for an experienced surgeon - after 500 cases, still no plateau was reached. There was no measurable learning curve regarding blood loss, complications, length of hospital stay, and catheterization time. |
DOI: | doi:10.1007/s00345-024-05097-9 |
URL: | Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.
kostenfrei: Volltext: https://doi.org/10.1007/s00345-024-05097-9 |
| kostenfrei: Volltext: https://link.springer.com/10.1007/s00345-024-05097-9 |
| DOI: https://doi.org/10.1007/s00345-024-05097-9 |
Datenträger: | Online-Ressource |
Sprache: | eng |
K10plus-PPN: | 1912162571 |
Verknüpfungen: | → Zeitschrift |
¬The¬ long-term learning curve of holmium laser enucleation of the prostate (HoLEP) in the en-bloc technique / Wenk, Maren [VerfasserIn]; 24 July 2024 (Online-Ressource)