title: Is laboratory training essential for beginners in learning laparoscopic adrenalectomy?
abstract: The aim is to develop a staged clinical laparoscopic training program (without laboratory trainings) for beginners to perform laparoscopic adrenalectomy (LA) and to determine its safety and feasibility. Five beginners with no previous experience in adrenalectomy were randomly selected to receive the staged clinical laparoscopic training, including open retroperitoneal adrenalectomy or radical nephrectomy and mentor-initiated clinical laparoscopic training. The clinical data of the 15 LAs performed by each the trainees were collected and compared with the data from the initial 15 LAs of the mentor. All LAs were completed successfully, and no procedure required conversion to open surgery. The median operative time of the trainees was obviously less than the mentor's. The learning curve of the trainees was shorter compared with that of the mentor. The perioperative complication rate was similar between trainees and mentor. Beginners without laboratory trainings could perform LA safely and effectively after they participated in staged clinical laparoscopic training.
authors.affiliation: Department of Genitourinary Oncology, Tianjin Medical University Cancer Institute and Hospital, Tianjin, People's Republic of China.
authors.forename: Qing
authors.initials: Q
authors.lastname: Yang
authors.forename: Jun
authors.initials: J
authors.lastname: Du
authors.forename: Zhi-Hua
authors.initials: ZH
authors.lastname: Zhao
authors.forename: Xu-Sheng
authors.initials: XS
authors.lastname: Chen
authors.forename: Lei
authors.initials: L
authors.lastname: Zhou
authors.forename: Xin
authors.initials: X
authors.lastname: Yao
mesh_terms: D000315:Adrenalectomy / Q000193:education* / Q000379:methods; D000328:Adult; D002983:Clinical Competence; D004503:Education, Medical, Graduate; D005260:Female; D006801:Humans; D007396:Internship and Residency; D007753:Laboratories; D010535:Laparoscopy / Q000193:education*; D059032:Learning Curve; D008297:Male; D008611:Mentors; D009392:Nephrectomy / Q000193:education* / Q000379:methods; D010529:Peritoneal Cavity / Q000601:surgery; D012187:Retroperitoneal Space / Q000601:surgery; D018570:Risk Assessment