MP39-09 STRUCTURED TRAINING CURRICULUM FOR ROBOTIC RADICAL NEPHROURETERECTOMY FOR UPPER TRACT UROTHELIAL CARCINOMA: A DELPHI CONSENSUS STUDY
Farshad Sheybaee MoghaddamAlireza GhoreifiZhenjie WuFiras AbdollahAlessandro AntonelliDaniel EunShengjie GuoAndrew J. HungLulin MaVitaly MargulisSurena F. MatinReza MehrazinJames PorterAaron M. PotretzkeBenjamin PradèreMorgan RouprêtThomas SeisenShahrokh F. ShariatGiuseppe SimoneRobert J. SteinLong WangJitao WuÉvanguelos XylinasLin YaoHomayoun ZargarRiccardo AutorinoGiovanni CacciamaniHooman Djaladat
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You have accessJournal of UrologyEducation Research II (MP39)1 May 2024MP39-09 STRUCTURED TRAINING CURRICULUM FOR ROBOTIC RADICAL NEPHROURETERECTOMY FOR UPPER TRACT UROTHELIAL CARCINOMA: A DELPHI CONSENSUS STUDY Farshad Sheybaee Moghaddam, Alireza Ghoreifi, Zhenjie Wu, Firas Abdollah, Alessandro Antonelli, Daniel D. Eun, Shengjie Guo, Andrew J. Hung, Lulin Ma, Vitaly Margulis, Surena F. Matin, Reza Mehrazin, James Porter, Aaron Potretzke, Benjamin Pradere, Morgan Roupret, Thomas Seisen, Shahrokh F. Shariat, Giuseppe Simone, Robert J. Stein, Long Wang, Jitao Wu, Evanguelos Xylinas, Lin Yao, Homayoun Zargar, Riccardo Autorino, Giovanni E. Cacciamani, and Hooman Djaladat Farshad Sheybaee MoghaddamFarshad Sheybaee Moghaddam , Alireza GhoreifiAlireza Ghoreifi , Zhenjie WuZhenjie Wu , Firas AbdollahFiras Abdollah , Alessandro AntonelliAlessandro Antonelli , Daniel D. EunDaniel D. Eun , Shengjie GuoShengjie Guo , Andrew J. HungAndrew J. Hung , Lulin MaLulin Ma , Vitaly MargulisVitaly Margulis , Surena F. MatinSurena F. Matin , Reza MehrazinReza Mehrazin , James PorterJames Porter , Aaron PotretzkeAaron Potretzke , Benjamin PradereBenjamin Pradere , Morgan RoupretMorgan Roupret , Thomas SeisenThomas Seisen , Shahrokh F. ShariatShahrokh F. Shariat , Giuseppe SimoneGiuseppe Simone , Robert J. SteinRobert J. Stein , Long WangLong Wang , Jitao WuJitao Wu , Evanguelos XylinasEvanguelos Xylinas , Lin YaoLin Yao , Homayoun ZargarHomayoun Zargar , Riccardo AutorinoRiccardo Autorino , Giovanni E. CacciamaniGiovanni E. Cacciamani , and Hooman DjaladatHooman Djaladat View All Author Informationhttps://doi.org/10.1097/01.JU.0001008644.01945.6c.09AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Radical nephroureterectomy (RNU) is the mainstay surgical treatment for upper tract urothelial carcinoma (UTUC). Despite the increasing dispersion of robotic approaches to RNU (RRNU) in recent years, no specific training curriculum is currently available to assist trainees through the learning process. The objective of this study is to define a structured training curriculum for RRNU through assessment among a group of experts in this field. METHODS: A survey on RRNU training programs was prepared based on the available evidence. The RRNU procedure was divided into eleven steps. The online inquiry was distributed through survey questionnaire to 30 experts in the field of UTUC surgical management based on their academic interest, research focus, including peer-reviewed publications, and surgical expertise embracing training courses. The modified Delphi methodology was applied, considering agreement among responders as ≥80%. RESULTS: Two rounds of the Delphi process were conducted to achieve consensus on the statements. The response rate for the first and second rounds was 80% (24/30) and 91.7% (22/24), respectively. Based on the results of the first round, the panel categorized the critical steps of RRNU into five modules, considering the complexity of each step and the minimum number of steps required for trainees to progress to the next level. Table 1 presents the essential statements obtained from the two rounds, delineating a well-structured training curriculum for RRNU. The curriculum's structure is illustrated in Figure 1. All statements, except the minimum annual RRNU volume and evaluation of a trainee's index video for modules I to V, reached a consensus level among participants (≥ 80%). CONCLUSIONS: This study presents a well-defined training curriculum for RRNU, designed to support trainees in their learning journey. Next step includes implementation and evaluation of this curriculum in clinical training programs. Download PPT Source of Funding: None © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e654 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information Farshad Sheybaee Moghaddam More articles by this author Alireza Ghoreifi More articles by this author Zhenjie Wu More articles by this author Firas Abdollah More articles by this author Alessandro Antonelli More articles by this author Daniel D. Eun More articles by this author Shengjie Guo More articles by this author Andrew J. Hung More articles by this author Lulin Ma More articles by this author Vitaly Margulis More articles by this author Surena F. Matin More articles by this author Reza Mehrazin More articles by this author James Porter More articles by this author Aaron Potretzke More articles by this author Benjamin Pradere More articles by this author Morgan Roupret More articles by this author Thomas Seisen More articles by this author Shahrokh F. Shariat More articles by this author Giuseppe Simone More articles by this author Robert J. Stein More articles by this author Long Wang More articles by this author Jitao Wu More articles by this author Evanguelos Xylinas More articles by this author Lin Yao More articles by this author Homayoun Zargar More articles by this author Riccardo Autorino More articles by this author Giovanni E. Cacciamani More articles by this author Hooman Djaladat More articles by this author Expand All Advertisement PDF downloadLoading ...Cite
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Seperti pada dewasa, teknik regional anestesi pada pediatrik kini makin popular digunakan oleh ahli anestesikarena keuntungannya. Namun demikian selalu ada risiko dan kemungkinan timbulnya komplikasi dari setiap tindakan yang dilakukan, termasuk tindakan anestesi regional pada pediatrik. Insidensi komplikasi anestesi regional pada pediatrik tidak banyak, dan kalaupun terjadi komplikasi adalah minor. Komplikasi bisa diakibatkan dari identifikasi ruang saraf, alat, obat, teknis tindakan anestesi regionalnya dan komplikasi lainnya.Walaupun tidak banyak kejadian komplikasi regional anestesi yang dilaporkan pada pediatrik, dan bukanlah komplikasi yang fatal, teknik regional anestesi pada pediatrik harus dilakukan dengan lebih hatihati, pertimbangan risiko dan keuntungannya untuk menghindari terjadinya komplikasi, terlebih karena kebanyakan komplikasi dapat dihindari dengan mempelajari teknik yang benar, menggunakan peralatan yang sesuai, dan sangat menerapkan prinsip keamanan pada pasien dengan baik.
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Genentech is partnering with the German cancer company Affimed to develop immunotherapies for multiple kinds of solid and blood cancers. Affimed is developing therapies that engage natural killer cells of the innate immune system to help direct them to attack cancer cells. Genentech will pay Affimed $96 million up front and up to $5 billion more in potential payments.
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ABSTRACT Airway management is particularly difficult in children with severe congenital anomalies. Such patients are extre- mely sensitive to the respiratory depressant effects of anaesthetic agents. We describe the successful and safe app- lication of caudal anaesthesia for inguinal hernia repair in three cases with severe congenital anomalies (Joubert syndrome, I-cell syndrome). The three patients concerned had congenital anomalies including serious facial defor- mity, respiratory failure and cardiovascular defects. They were administered a single dose of caudal epidural anaest- hesia for inguinal hernia surgery in order to avoid complications associated with general anaesthesia. Caudal block was performed and 1 mL/kg levobupivacaine 0.25% administered. We conclude that caudal epidural anaesthesia can be an effective, suitable and safe anaesthetic technique for inguinal herniotomy without the need for general anaesthesia or endotracheal intubation in children with severe congenital anomalies. Key Words: Caudal anaesthesia, children, congenital anomaly OZET Havayolu yonetimi, ciddi konjenital anomalileri olan cocuklarda ozellikle zordur. Bu tur hastalar anestezik ilaclarin solunum depresan etkilerine karsi asiri derecede duyarlidir. Kaudal anestezinin inguinal herni onarimindaki basarili ve guvenli uygulamasi konjenital anomalileri (Joubert sendromu, I-cell hastaligi) olan uc olguda gosterilmistir. Ilgili uc cocuk hastada, ciddi yuz deformitesi, solunum yetmezligi ve kardiyovaskuler bozukluk dahil konjenital bozuk- luklar vardi. Genel anesteziyle iliskili komplikasyonlari onlemek icin inguinal herni cerrahisinde tek doz kaudal epi- dural anestezi uygulandi. Kaudal anestezide %0.25 levobupivakain 1 mL/kg kullanildi. Kaudal epidural anestezinin, ciddi konjenital bozukluklari olan cocuklarda inguinal herni onarimi acisindan genel anesteziye veya endotrakeal entubasyona gerek duyulmadan etkili, uygun ve guvenli bir alternatif anestezi teknigi olabilecegi sonucuna varildi. A na h ta r Sozcukler: Kaudal anestezi, cocuk, konjenital bozukluk
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