cost analysis of surgical approaches performed by residents for bladder outlet obstruction laser versus loop成本分析膀胱出口梗阻的外科方法由居民激光与循环.pdfVIP
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cost analysis of surgical approaches performed by residents for bladder outlet obstruction laser versus loop成本分析膀胱出口梗阻的外科方法由居民激光与循环
Open Journal of Urology, 2012, 2, 33-37 33
/10.4236/oju.2012.22007 Published Online May 2012 (http://www.SciRP.org/journal/oju)
Cost Analysis of Surgical Approaches Performed by
Residents for Bladder Outlet Obstruction:
*
Laser versus Loop
1 2 3 3#
Samuel H. Eaton , Courtney K. Rowe , Mark B. Del Papa , Lori B. Lerner
1
Northwestern University, Chicago, USA
2Harvard Longwood Program, Boston, USA
3VA Boston Healthcare System, Boston, USA
Email: #Lerner_lori@
Received March 16, 2012; revised March 23, 2012; accepted April 20, 2012
ABSTRACT
Purpose: Few studies have analyzed cost differences between holmium laser enucleation of the prostate (HoLEP) and
transurethral resection of the prostate (TURP), and none as regards resident training. We compared these costs at a
teaching institution with residents from two Boston programs. Methods: We reviewed all patients who underwent
TURP (January 2007-August 2010) or HoLEP (April 2008-August 2010) with residents, excluding those with prostate
cancer, simultaneous procedures at the same time, or prior urethral procedures. Operative approach was determined
following consultation between the senior resident and the attending surgeon. Operati
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