The ERUS course on robot-assisted kidney transplantation

Purpose: Robot-assisted kidney transplantation (RAKT) is being increasingly performed at selected referral institutions worldwide. Yet, surgical training in RAKT is still unstructured and not grounded into formal credentialing courses including simulation, lab facilities, and modular training with a...

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Bibliographic Details
Authors: Campi, Riccardo|||0000-0001-5237-0888, Pecoraro, Alessio|||0000-0002-0667-1468, Piramide, Federico|||0000-0002-3529-9677, Gallo, Maria Lucia|||0000-0002-1305-9904, Serni, Sergio, Mottrie, Alex|||0000-0002-1253-1592, Territo, Angelo|||0000-0002-5162-5356, Decaestecker, Karel|||0000-0003-0767-940X, Breda, Alberto|||0000-0002-7842-9048
Format: article
Publication Date:2024
Country:España
Institution:Universitat Autònoma de Barcelona
Repository:Dipòsit Digital de Documents de la UAB
Language:English
OAI Identifier:oai:ddd.uab.cat:298690
Online Access:https://ddd.uab.cat/record/298690
https://dx.doi.org/urn:doi:10.1007/s00345-024-04802-y
Access Level:Open access
Keyword:Course
Kidney transplantation
Robotics
Simulation
Training
Description
Summary:Purpose: Robot-assisted kidney transplantation (RAKT) is being increasingly performed at selected referral institutions worldwide. Yet, surgical training in RAKT is still unstructured and not grounded into formal credentialing courses including simulation, lab facilities, and modular training with animal models. As such, developing standardized, modular training programs is warranted to provide surgeons with the RAKT-specific skillset needed for a "safe" learning curve. Methods: The 3-day course on RAKT developed at the EAU Skills Center in Orsi Academy was designed as a standardized, modular, step-by-step approach aiming to provide theoretical and practical skills. The course is held by expert proctors with extensive experience in RAKT. To maximize the course's usefulness, a solid knowledge of robotics and transplantation is desirable for participants. Results: From January 2016 to July 2023, 87 surgeons from 23 countries (of which 36% from extra-European countries) participated in the RAKT course performed at the EAU Skills Center in Orsi Academy. Of these, 58/87 (67%) were urologists, while 27/87 (31%) were general surgeons and 2/87 (2%) were vascular surgeons. To date, 18 participants (20.6%) are actively involved in RAKT programs at institutions included in the European Association of Urology (EAU) Robotic Urology Section (ERUS)-RAKT network. Conclusion: Leveraging the potential of simulation, wet-lab training, live porcine models, and experienced proctors, the RAKT course performed at the EAU Skills Center in Orsi Academy represents the first structured teaching effort aiming to offer surgeons a full immersion in RAKT to train the core technical skills.