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Öğe Evaluation of Applied Laparoscopic Urology Course Using Validated Checklist(Soc Laparoendoscopic Surgeons, 2013) Tunc, Lutfi; Guven, Selcuk; Gurbuz, Cenk; Gozen, Ali Serdar; Tuncel, Altug; Saracoglu, Firat; Istanbulluoglu, OkanBackground and Objectives: The objectives of this study were to investigate the effectiveness of the applied laparoscopic urology course using a validated checklist and to determine any differences in laparoscopic skills achieved by the participants at the end of the course period based on whether they began their training in a dry or wet laboratory. Methods: To facilitate the mastering of challenging laparoscopic skills by urologists, a unique 3-day mini-training program was established at the Gulhane Military Academy of Medicine, Surgical Research Center, Ankara, Turkey. Only 30 trainees were accepted in each course, and they were divided into 3 subgroups. The primary outcome of the study was the changes in the performance and task accomplishment duration of the trainees at the beginning compared with the end of the course. The secondary outcome was any differences in the basic skills of the trainees based on whether they started their training in the dry or wet laboratory. Results: The overall laparoscopic skills, which were evaluated by use of a standardized laparoscopic suturing task score, significantly improved (18.8 to 26.0, P < .001), and the time needed for task accomplishment decreased throughout the course (9.5 minutes to 5.25 minutes, P = .002). With respect to the course design, laparoscopic skills scores and the times needed for task accomplishment showed no statistically significant changes at the end of the course despite the fact that the trainees had started their training at different stages. Conclusion: The applied short-term laparoscopy course was shown to be an effective format particularly for achieving laparoscopic skills in which suturing and knotting are essential. This is mainly achieved through close cooperation in dry and wet laboratories.Öğe INITIAL REPORT OF 'MICROPERC' IN THE TREATMENT OF PAEDIATRIC KIDNEY STONES(Mary Ann Liebert, Inc, 2012) Silay, Mesrur Selcuk; Tepeler, Abdulkadir; Atis, Gokhan; Piskin, Mesut; Sancaktutar, Ahmet Ali; Gurbuz, Cenk; Penbegul, Necmettin[Abstract Not Availabe]Öğe Initial report of microperc in the treatment of pediatric nephrolithiasis(W B Saunders Co-Elsevier Inc, 2013) Silay, Mesrur Selcuk; Tepeler, Abdulkadir; Atis, Gokhan; Sancaktutar, Ahmet Ali; Piskin, Mesut; Gurbuz, Cenk; Penbegul, NecmettinBackground/Purpose: To report the first technical feasibility and safety of microperc in the treatment of pediatric nephrolithiasis. Methods: A multicenter prospective trial was initiated and microperc was performed in 19 children from four different centers. In all cases, 4.85-Fr all-seeing needle was used to access the collecting system under direct vision. Stone fragmentation was performed using a 200-mu m holmium: YAG laser fiber either through the same needle sheath or an 8-Fr microsheath. Patient-and procedure-related factors and perioperative and postoperative parameters were analyzed. Results: The mean age of the children was 7.5 +/- 4.4 years. Mean stone size was 14.8 +/- 6.8 mm. Conversion to Mini-PNL was required in two patients because of optical default in one and the high stone burden in the other. The mean hospital stay was 1.8 +/- 0.8 days and the mean hemoglobin decrease was 0.1 mg/dl. The overall stone-free rate at 1 month was 89.5%. In one patient with obstructed ureteropelvic junction, intravasation of the irrigation fluid has led to abdominal distention and managed with percutaneous drainage intraoperatively. No other postoperative complication was recorded and no ancillary procedure was required. Conclusions: Microperc is a safe and effective procedure in the treatment of pediatric kidney stones. (C) 2013 Elsevier Inc. All rights reserved.
