ThuliumV1, Ncbi, Merge, bibRecord, 000589

Evaluation of the learning curve for Thulium VapoEnucleation of the prostate (ThuVEP) using a mentor-based approach.

Identifieur interne : 000589 ( Ncbi/Merge ); précédent : 000588; suivant : 000590

Evaluation of the learning curve for Thulium VapoEnucleation of the prostate (ThuVEP) using a mentor-based approach.

Auteurs : C. Netsch [Oman] ; T. Bach ; T R W. Herrmann ; O. Neubauer ; A J Gross

Source :

World journal of urology [ 1433-8726 ] ; 2013.

RBID : pubmed:22733237

Descripteurs français

English descriptors

KwdEn :
- Adenoma (surgery), Aged, Aged, 80 and over, Follow-Up Studies, Humans, Laser Therapy (adverse effects), Laser Therapy (methods), Lasers, Solid-State, Learning Curve, Male, Mentors, Middle Aged, Prospective Studies, Prostate (surgery), Prostatic Hyperplasia (surgery), Prostatic Neoplasms (surgery), Thulium, Transurethral Resection of Prostate (adverse effects), Transurethral Resection of Prostate (methods), Treatment Outcome.
MESH :
- chemical : Thulium.
- adverse effects : Laser Therapy, Transurethral Resection of Prostate.
- methods : Laser Therapy, Transurethral Resection of Prostate.
- surgery : Adenoma, Prostate, Prostatic Hyperplasia, Prostatic Neoplasms.
- Aged, Aged, 80 and over, Follow-Up Studies, Humans, Lasers, Solid-State, Learning Curve, Male, Mentors, Middle Aged, Prospective Studies, Treatment Outcome.

Abstract

To evaluate the learning curve of Thulium:YAG VapoEnucleation of the prostate (ThuVEP) for patients with symptomatic benign prostatic obstruction (BPO) prospectively.

DOI: 10.1007/s00345-012-0894-1
PubMed: 22733237

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pubmed:22733237

Le document en format XML

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<author><name sortKey="Netsch, C" sort="Netsch, C" uniqKey="Netsch C" first="C" last="Netsch">C. Netsch</name>
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<wicri:regionArea>Department of Urology, Asklepios Hospital Barmbek, Rübenkamp 220, 22291, Hamburg, Germany</wicri:regionArea>
<wicri:noRegion>Germany</wicri:noRegion>
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<author><name sortKey="Bach, T" sort="Bach, T" uniqKey="Bach T" first="T" last="Bach">T. Bach</name>
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<author><name sortKey="Herrmann, T R W" sort="Herrmann, T R W" uniqKey="Herrmann T" first="T R W" last="Herrmann">T R W. Herrmann</name>
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<author><name sortKey="Neubauer, O" sort="Neubauer, O" uniqKey="Neubauer O" first="O" last="Neubauer">O. Neubauer</name>
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<author><name sortKey="Gross, A J" sort="Gross, A J" uniqKey="Gross A" first="A J" last="Gross">A J Gross</name>
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<author><name sortKey="Bach, T" sort="Bach, T" uniqKey="Bach T" first="T" last="Bach">T. Bach</name>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adenoma (surgery)</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Laser Therapy (adverse effects)</term>
<term>Laser Therapy (methods)</term>
<term>Lasers, Solid-State</term>
<term>Learning Curve</term>
<term>Male</term>
<term>Mentors</term>
<term>Middle Aged</term>
<term>Prospective Studies</term>
<term>Prostate (surgery)</term>
<term>Prostatic Hyperplasia (surgery)</term>
<term>Prostatic Neoplasms (surgery)</term>
<term>Thulium</term>
<term>Transurethral Resection of Prostate (adverse effects)</term>
<term>Transurethral Resection of Prostate (methods)</term>
<term>Treatment Outcome</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen</term>
<term>Adénomes ()</term>
<term>Courbe d'apprentissage</term>
<term>Humains</term>
<term>Hyperplasie de la prostate ()</term>
<term>Lasers à solide</term>
<term>Mentors</term>
<term>Mâle</term>
<term>Prostate ()</term>
<term>Résection transuréthrale de prostate ()</term>
<term>Résection transuréthrale de prostate (effets indésirables)</term>
<term>Résultat thérapeutique</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Thulium</term>
<term>Thérapie laser ()</term>
<term>Thérapie laser (effets indésirables)</term>
<term>Tumeurs de la prostate ()</term>
<term>Études de suivi</term>
<term>Études prospectives</term>
</keywords>
<keywords scheme="MESH" type="chemical" xml:lang="en"><term>Thulium</term>
</keywords>
<keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Laser Therapy</term>
<term>Transurethral Resection of Prostate</term>
</keywords>
<keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Résection transuréthrale de prostate</term>
<term>Thérapie laser</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Laser Therapy</term>
<term>Transurethral Resection of Prostate</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Adenoma</term>
<term>Prostate</term>
<term>Prostatic Hyperplasia</term>
<term>Prostatic Neoplasms</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Aged</term>
<term>Aged, 80 and over</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Lasers, Solid-State</term>
<term>Learning Curve</term>
<term>Male</term>
<term>Mentors</term>
<term>Middle Aged</term>
<term>Prospective Studies</term>
<term>Treatment Outcome</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term>
<term>Adénomes</term>
<term>Courbe d'apprentissage</term>
<term>Humains</term>
<term>Hyperplasie de la prostate</term>
<term>Lasers à solide</term>
<term>Mentors</term>
<term>Mâle</term>
<term>Prostate</term>
<term>Résection transuréthrale de prostate</term>
<term>Résultat thérapeutique</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Thulium</term>
<term>Thérapie laser</term>
<term>Tumeurs de la prostate</term>
<term>Études de suivi</term>
<term>Études prospectives</term>
</keywords>
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<front><div type="abstract" xml:lang="en">To evaluate the learning curve of Thulium:YAG VapoEnucleation of the prostate (ThuVEP) for patients with symptomatic benign prostatic obstruction (BPO) prospectively.</div>
</front>
</TEI>
<pubmed><MedlineCitation Owner="NLM" Status="MEDLINE"><PMID Version="1">22733237</PMID>
<DateCreated><Year>2013</Year>
<Month>09</Month>
<Day>30</Day>
</DateCreated>
<DateCompleted><Year>2014</Year>
<Month>06</Month>
<Day>09</Day>
</DateCompleted>
<DateRevised><Year>2015</Year>
<Month>03</Month>
<Day>10</Day>
</DateRevised>
<Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1433-8726</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>31</Volume>
<Issue>5</Issue>
<PubDate><Year>2013</Year>
<Month>Oct</Month>
</PubDate>
</JournalIssue>
<Title>World journal of urology</Title>
<ISOAbbreviation>World J Urol</ISOAbbreviation>
</Journal>
<ArticleTitle>Evaluation of the learning curve for Thulium VapoEnucleation of the prostate (ThuVEP) using a mentor-based approach.</ArticleTitle>
<Pagination><MedlinePgn>1231-8</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1007/s00345-012-0894-1</ELocationID>
<Abstract><AbstractText Label="INTRODUCTION" NlmCategory="BACKGROUND">To evaluate the learning curve of Thulium:YAG VapoEnucleation of the prostate (ThuVEP) for patients with symptomatic benign prostatic obstruction (BPO) prospectively.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">ThuVEP was performed using the 120 Watt 2 μm continuous wave Thulium:YAG laser. ThuVEP was done by a resident without experience in transurethral prostate surgery (A, n = 32), an experienced endourologist (B, n = 32), and an experienced surgeon in ThuVEP (C, n = 32), who served as the mentor for A/B. Patients were divided into consecutive subgroups of 8 patients to assess the impact of the learning curve on procedure outcome. Patient demographic, perioperative, and 12-month follow-up data were analysed.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">ThuVEP was successfully completed in all patients. Enucleation efficiency (g/min) differed significantly between surgeon A (0.48 ± 0.3), B (0.7 ± 0.36), and C (1.4 ± 0.67) (p ≤ 0.001). Enucleation efficiency correlated significantly with the weight of resected tissue in surgeon A (r = 0.88), B (r = 0.73), and C (r = 0.79) (p < 0.001). ThuVEP was performed by surgeon A and B with reasonable enucleation, morcellation, and overall operation efficiency after 8-16 procedures. At 12-month follow-up, 68 (71 %) patients were available for review. IPSS, QoL, Qmax, PVR, PSA, and prostate volume improved significantly at follow-up (p ≤ 0.023). Mean PSA/prostate volume reduction was 81.95/74.5, 80.7/79.4, and 87.6/75.9 % in surgeon A, B, and C, respectively. Urethral stricture and bladder neck contracture developed 2 (A = 1, B = 1; 2.1 %) patients and 1 (C, 1 %) patient each, respectively.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">ThuVEP can be performed with reasonable efficiency even during the initial learning course of the surgeon when closely mentored. Previous experience in the field of endourology is beneficial.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Netsch</LastName>
<ForeName>C</ForeName>
<Initials>C</Initials>
<AffiliationInfo><Affiliation>Department of Urology, Asklepios Hospital Barmbek, Rübenkamp 220, 22291, Hamburg, Germany, c.netsch@asklepios.com.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Bach</LastName>
<ForeName>T</ForeName>
<Initials>T</Initials>
</Author>
<Author ValidYN="Y"><LastName>Herrmann</LastName>
<ForeName>T R W</ForeName>
<Initials>TR</Initials>
</Author>
<Author ValidYN="Y"><LastName>Neubauer</LastName>
<ForeName>O</ForeName>
<Initials>O</Initials>
</Author>
<Author ValidYN="Y"><LastName>Gross</LastName>
<ForeName>A J</ForeName>
<Initials>AJ</Initials>
</Author>
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<Language>eng</Language>
<PublicationTypeList><PublicationType UI="D023362">Evaluation Studies</PublicationType>
<PublicationType UI="D016428">Journal Article</PublicationType>
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<ArticleDate DateType="Electronic"><Year>2012</Year>
<Month>06</Month>
<Day>24</Day>
</ArticleDate>
</Article>
<MedlineJournalInfo><Country>Germany</Country>
<MedlineTA>World J Urol</MedlineTA>
<NlmUniqueID>8307716</NlmUniqueID>
<ISSNLinking>0724-4983</ISSNLinking>
</MedlineJournalInfo>
<ChemicalList><Chemical><RegistryNumber>8RKC5ATI4P</RegistryNumber>
<NameOfSubstance UI="D013932">Thulium</NameOfSubstance>
</Chemical>
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<CitationSubset>IM</CitationSubset>
<CommentsCorrectionsList><CommentsCorrections RefType="CommentIn"><RefSource>J Urol. 2015 Feb;193(2):610</RefSource>
<PMID Version="1">25617288</PMID>
</CommentsCorrections>
</CommentsCorrectionsList>
<MeshHeadingList><MeshHeading><DescriptorName MajorTopicYN="N" UI="D000236">Adenoma</DescriptorName>
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</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D000368">Aged</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D000369">Aged, 80 and over</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D005500">Follow-Up Studies</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D006801">Humans</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D053685">Laser Therapy</DescriptorName>
<QualifierName MajorTopicYN="N" UI="Q000009">adverse effects</QualifierName>
<QualifierName MajorTopicYN="Y" UI="Q000379">methods</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="Y" UI="D053844">Lasers, Solid-State</DescriptorName>
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<MeshHeading><DescriptorName MajorTopicYN="N" UI="D008875">Middle Aged</DescriptorName>
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<QualifierName MajorTopicYN="Y" UI="Q000601">surgery</QualifierName>
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<MeshHeading><DescriptorName MajorTopicYN="Y" UI="D013932">Thulium</DescriptorName>
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<MeshHeading><DescriptorName MajorTopicYN="N" UI="D020728">Transurethral Resection of Prostate</DescriptorName>
<QualifierName MajorTopicYN="N" UI="Q000009">adverse effects</QualifierName>
<QualifierName MajorTopicYN="Y" UI="Q000379">methods</QualifierName>
</MeshHeading>
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</MeshHeading>
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<tree><noCountry><name sortKey="Bach, T" sort="Bach, T" uniqKey="Bach T" first="T" last="Bach">T. Bach</name>
<name sortKey="Gross, A J" sort="Gross, A J" uniqKey="Gross A" first="A J" last="Gross">A J Gross</name>
<name sortKey="Herrmann, T R W" sort="Herrmann, T R W" uniqKey="Herrmann T" first="T R W" last="Herrmann">T R W. Herrmann</name>
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Evaluation of the learning curve for Thulium VapoEnucleation of the prostate (ThuVEP) using a mentor-based approach.

Evaluation of the learning curve for Thulium VapoEnucleation of the prostate (ThuVEP) using a mentor-based approach.

Source :

Descripteurs français

English descriptors

Abstract

Links toward previous steps (curation, corpus...)

Links to Exploration step

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri

Pour générer des pages wiki