A census of laparoscopic and robotic urological practice: a survey of minimally invasive surgery department of the Brazilian Society of Urology

Vol. 45 (x): 2019 May 5.[Ahead of print]

doi: 10.1590/S1677-5538.IBJU.2018.0724


ORIGINAL ARTICLE

Marcos Flávio Holanda Rocha 1, Rafael Ferreira Coelho 2, Anibal Wood Branco 3, Pedro Henrique de Oliveira Filgueira 1, Rômolo Guida Júnior 4
1 Hospital Monte Klinikum, Fortaleza, CE, Brasil; 2 Hospital Albert Einstein, São Paulo, SP, Brasil; 3 Hospital Marcelino Champagnat, Curitiba, PR, Brasil; 4 Hospital Federal dos Servidores do Estado, Rio de Janeiro, RJ, Brasil

ABSTRACT

Minimally invasive urologic surgery has been developing in Brazil and now is a routine part of care in many regions and patients with different conditions benefi t from it. Training in laparoscopic and robotic surgery has evolved and concerns exist both over the quality of surgical training and the practical effect on results of the urological training. This is an unprecedented study which undertook a census to determinate the current state of laparoscopic and robotic urological practice and to know the mains barriers to adequate practice in Brazil. In august 2017, surveys, consisting of an anonymous questionnaire with 15 questions, were sent via internet to the mailing list of the Brazilian Society of Urology (SBU). With these data, activities related to laparoscopy and robotic surgery of our urologists and the mains diffi culties and barriers to practice laparoscopy and robotic surgery were evaluated. In our survey, 413 questionnaires were completed. Majority of the responders were currently working in the southeast region of Brazil (52.1%) and 75.5% of the surgeons performed laparoscopic surgery while, only 12.8%, robotic surgery. The lack of experience on the technique and the lack of equipment were the mains barriers and diffi culties for not executing laparoscopic and robotic surgeries, respectively. Proper longitudinal training and access to good equipment in minimally invasive surgery are still barriers for urologists in our country.

Keywords: Education; Robotic Surgical Procedures; Urology

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