Tips for Education in Laparoscopy

Figure 54.1

Video-based theoretical session

Figure 54.2

Training in the dry laboratory

Figure 54.3

Third group trains in the wet laboratory where live-animal surgery is conducted on pigs

Figure 54.4

Trainees perform laparoscopic surgeries in the operating room under the guidance of the mentors on the last day

The first group participates in a video-based theoretical session (Fig. 54.1), the second group trains in the dry laboratory (Fig. 54.2), and the third group trains in the wet laboratory where live-animal surgery is conducted on pigs. We lay the pigs on the lateral position to use the animals effectively. This gives the opportunity to use the both side of the pigs to perform laparoscopic surgery; such as nephrectomy, pyeloplasty and partial nephrectomy etc. Each group has the opportunity to participate in the same field twice (Fig. 54.3). Three-day-course ends with live surgeries. Trainees perform laparoscopic surgeries in the operating room under the guidance of the mentors on the last day (Fig. 54.4).

Fellowship Programs

Fellowship models and programs are available for the residents and postgraduates in laparoscopic urology [20, 25, 31]. These programs have its own gradual development style from easy to hard procedures and bench models to clinical practice. These programs contain observing and participating procedures under the mentor’s guidance in a safe environment. Duration of the fellowships is recommended to last between 3 and 12 months [16, 17].

Society of Endourology in United States, Europe, Asia and South America have different fellowship programs available in laparoscopy. European Society of Uro-Technology (ESUT) has its own fellowship and certification program in Europe. IRCAD-EITS (Strasbourg) is a center where the theory is being given in standardized modules and in animal models [16, 17].

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