Characterising endourologist learning curve during percutaneous nephrolithotomy: implications on occupational dose and patients
In this study we have characterised the learning curve for percutaneous nephrolithotomy procedures
over 301 cases for six years. Different surrogate parameters of clinical expertise have been used,
such as dose area product, total procedure time, fluoroscopy time and personal equivalent doses. In
addition, two different endourologists have been monitored; one of whom had specific Radiation
Protection training (ICRP 85). Eye lens dose was estimated from thermoluminescent dosimeters.
Significant differences were observed between both endourologists, especially in the fluoroscopy
time. Finally, both entrance skin dose and effective doses of patients have been determined.
Source: Journal of Radiological Protection - Category: Physics Authors: Jacobo Guiu-Souto, Carlos Otero, Daniel A P érez-Fentes, Carlos Fernández-Baltar, Juan Francisco Sánchez-Garcia, Camilo García-Freire, Miguel Pombar-Cameán and Juan Pardo-Montero Source Type: research
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