What does lrp stand for in education

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Tackle everyday compliance issues. No conversion to open surgery was required Table 4. The main objective of LRP safe learning protocol was fully achieved: there was a safe transfer of LRP skills during the fellowship period. The rate of perioperative complications was similar between the groups. There were no serious complications, deaths or conversions in all stages of the learning curve which reinforces the importance of this method.

The OT of the fellows group was higher, but the average time was less than 4 hours the longest lasted about 5 hours. This relatively short time during the learning period reduces significantly the risks of metabolic complications associated with the surgical procedure and keeps patient safe. There was a larger number of high risk patients in tutor group; however, when these high-risk cases were operated by fellows, the surgery proceeded without any significant complications.

Prostate weight was comparable between groups and this is an important detail, since large glands decrease the visualization of the surgical field when performing the laparoscopic approach 10 Prostate size is associated with surgical difficulty but not functional outcome at 1 year after radical prostatectomy.

J Urol. We detected a trend of higher transfusion rates in fellow group, although the estimated blood loss was similar. This occurred because the major bleedings, though few, occurred in this group.

The explanation is the greater difficulty in controlling the prostate venous plexus and longer operative times. Still, these outcomes are acceptable and similar to other studies with a mentored fellowship program 7 7. Learning laparoscopic radical prostatectomy with the Leipzig program. Analysis of the training module program. Laparoscopic radical prostatectomy: decreasing the learning curve using a mentor initiated approach.

Mentor-initiated approach in laparoscopic radical prostatectomy. J Endourol. Studies demonstrating decreased learning curve from a mentored learning model of LRP have been published since 11 In , Stolzemburg and colleagues created the Leipzig method for learners without any experience and reached satisfactory results 9 9. In , these authors presented the five year's follow-up with good oncologic outcomes 12 Therefore, modulated learning of LRP has proven to be effective in achieving reasonable early and midterm outcomes 7 7.

Eur Urol Suppl ;e—3. However, there are several reports of failure of other teaching methods courses and shorter programs to incorporate LRP in urologists practice 16 Laparoscopic radical prostatectomy: six months of fellowship training doesn't prevent the learning curve when incorporating into a lower volume practice. Urol Oncol.

One of the biggest challenges of this surgery is achieving negative surgical margins status with functional preservation. There is not only a learning curve but multiple curves for different variables. Although the primary goal was not the evaluation of our functional and oncological outcomes, the expert's results were better.

These because the LC for these criteria was not met by the learners. According to the literature, LC for oncological outcomes reaches plateau at approximately to cases 17 The learning curve for laparoscopic radical prostatectomy: an international multicenter study. Eur Urol Suppl ;— Laparoscopic prostatectomy for prostate cancer: continued role in urology. Surg Oncol Clin N Am. The 25 cases operated by apprentice did not allow them to reach proficiency in these aspects.

Nevertheless, this protocol presents a safe and effective learning method. Regarding surgical steps, a previous study compared systematically the single steps of LRP with those of open approach.

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