Learning curve for the laparoscopy-guided kidney biopsy procedure in small corpses of dogs and pigs
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , , , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNESP |
Texto Completo: | http://dx.doi.org/10.1371/journal.pone.0257653 http://hdl.handle.net/11449/229621 |
Resumo: | The use of renal biopsy through laparoscopy is increasingly present both in human and veterinary medicine. However, both techniques require skill and training to make the operator capable to do it. The learning curve allows the quantitative and qualitative assessment of the number of attempts and minimum time for the surgical procedure. The objective included establish the learning curve for laparoscopy-guided kidney biopsy procedures in dog and pig corpses. Six dogs and six pigs corpses weighing less than 10 kg were used for this study. All corpses underwent kidney biopsy performed through laparoscopy. Twenty-four operators, two per animal, performed 20 renal biopsies each (10 for each kidney), with 480 collection-procedures in total. Duration and difficulty of the procedure and the biopsy sample quality were evaluated and statistical analysis was performed using a mixed regression model with a random effect of individuals and multivariate analysis of data. There were 91.5% of the samples that were adequate for evaluation. There was no significant difference in the number of glomeruli or cortex percentage considering the attempts in either species, demonstrating the operator’s ability since first collection. Swine samples showed higher amounts of renal cortex than canine samples. The procedure duration was shorter as more attempts were performed in dogs and pigs. From the fourth repetition, the professional reached a plateau for the variable related to ‘collection’, and from the second, the professional presented uniform duration for ‘sample storage’. Operators of the swine model acquired more agility than the dog ones. The variable ‘difficulty’ decreased as more repetitions were performed, reaching a plateau in the sixth attempt. Seven renal biopsies laparoscopy-guided are required for an operator to be considered ‘capable’ to perform the procedure in the referred species included. The learning curve for image-guided kidney biopsy procedures improves the implementation of this technique and benefits patients that undergo this procedure. |
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Learning curve for the laparoscopy-guided kidney biopsy procedure in small corpses of dogs and pigsThe use of renal biopsy through laparoscopy is increasingly present both in human and veterinary medicine. However, both techniques require skill and training to make the operator capable to do it. The learning curve allows the quantitative and qualitative assessment of the number of attempts and minimum time for the surgical procedure. The objective included establish the learning curve for laparoscopy-guided kidney biopsy procedures in dog and pig corpses. Six dogs and six pigs corpses weighing less than 10 kg were used for this study. All corpses underwent kidney biopsy performed through laparoscopy. Twenty-four operators, two per animal, performed 20 renal biopsies each (10 for each kidney), with 480 collection-procedures in total. Duration and difficulty of the procedure and the biopsy sample quality were evaluated and statistical analysis was performed using a mixed regression model with a random effect of individuals and multivariate analysis of data. There were 91.5% of the samples that were adequate for evaluation. There was no significant difference in the number of glomeruli or cortex percentage considering the attempts in either species, demonstrating the operator’s ability since first collection. Swine samples showed higher amounts of renal cortex than canine samples. The procedure duration was shorter as more attempts were performed in dogs and pigs. From the fourth repetition, the professional reached a plateau for the variable related to ‘collection’, and from the second, the professional presented uniform duration for ‘sample storage’. Operators of the swine model acquired more agility than the dog ones. The variable ‘difficulty’ decreased as more repetitions were performed, reaching a plateau in the sixth attempt. Seven renal biopsies laparoscopy-guided are required for an operator to be considered ‘capable’ to perform the procedure in the referred species included. The learning curve for image-guided kidney biopsy procedures improves the implementation of this technique and benefits patients that undergo this procedure.Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)Department of Veterinary Clinics School of Veterinary Medicine and Animal Science São Paulo State University (UNESP), São PauloUniversity of Franca (UNIFRAN), São PauloDepartment of Veterinary Medicine and Surgery Federal Rural University of Rio de Janeiro (UFRRJ), SeropédicaDepartment of Animal Science UNA—Academic Center, Pouso Alegre, Minas GeraisHealth Promotion Graduate Program University of Franca (UNIFRAN), FrancaAnimal Science Graduate Program Veterinary Teaching Hospital of University of Franca (UNIFRAN), Franca, São PauloGlobal Study Program University of California Davis (UC DAVIS)Graduate Program in Veterinary Science (PPGCV) College of Veterinary Medicine (FAMEV) Federal University of Uberlândia (UFU), Uberlândia, Minas GeraisDepartment of Veterinary Clinics School of Veterinary Medicine and Animal Science São Paulo State University (UNESP), São PauloFAPESP: #2017/ 25458-0Universidade Estadual Paulista (UNESP)University of Franca (UNIFRAN)Federal Rural University of Rio de Janeiro (UFRRJ)UNA—Academic CenterVeterinary Teaching Hospital of University of Franca (UNIFRAN)University of California Davis (UC DAVIS)Universidade Federal de Uberlândia (UFU)Maia, Suellen Rodrigues [UNESP]Mendes, Pamela Almerindada Câmara Barros, Felipe Farias PereiraAyer, Ilan MunhozRamos, Salvador BoccalettiVacari, Alessandra MarieeliLucera, Tiago Machado CarneiroMurakami, Vanessa Yurikade Carvalho, Leonardo LamarcaBernardino, Pedro NegriGouvêa, Fernanda NastriBorin-Crivellenti, SofiaCrivellenti, Leandro Zuccolotto2022-04-29T08:34:51Z2022-04-29T08:34:51Z2021-09-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttp://dx.doi.org/10.1371/journal.pone.0257653PLoS ONE, v. 16, n. 9 September 2021, 2021.1932-6203http://hdl.handle.net/11449/22962110.1371/journal.pone.02576532-s2.0-85116113782Scopusreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengPLoS ONEinfo:eu-repo/semantics/openAccess2022-04-29T08:34:51Zoai:repositorio.unesp.br:11449/229621Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462022-04-29T08:34:51Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false |
dc.title.none.fl_str_mv |
Learning curve for the laparoscopy-guided kidney biopsy procedure in small corpses of dogs and pigs |
title |
Learning curve for the laparoscopy-guided kidney biopsy procedure in small corpses of dogs and pigs |
spellingShingle |
Learning curve for the laparoscopy-guided kidney biopsy procedure in small corpses of dogs and pigs Maia, Suellen Rodrigues [UNESP] |
title_short |
Learning curve for the laparoscopy-guided kidney biopsy procedure in small corpses of dogs and pigs |
title_full |
Learning curve for the laparoscopy-guided kidney biopsy procedure in small corpses of dogs and pigs |
title_fullStr |
Learning curve for the laparoscopy-guided kidney biopsy procedure in small corpses of dogs and pigs |
title_full_unstemmed |
Learning curve for the laparoscopy-guided kidney biopsy procedure in small corpses of dogs and pigs |
title_sort |
Learning curve for the laparoscopy-guided kidney biopsy procedure in small corpses of dogs and pigs |
author |
Maia, Suellen Rodrigues [UNESP] |
author_facet |
Maia, Suellen Rodrigues [UNESP] Mendes, Pamela Almerinda da Câmara Barros, Felipe Farias Pereira Ayer, Ilan Munhoz Ramos, Salvador Boccaletti Vacari, Alessandra Marieeli Lucera, Tiago Machado Carneiro Murakami, Vanessa Yurika de Carvalho, Leonardo Lamarca Bernardino, Pedro Negri Gouvêa, Fernanda Nastri Borin-Crivellenti, Sofia Crivellenti, Leandro Zuccolotto |
author_role |
author |
author2 |
Mendes, Pamela Almerinda da Câmara Barros, Felipe Farias Pereira Ayer, Ilan Munhoz Ramos, Salvador Boccaletti Vacari, Alessandra Marieeli Lucera, Tiago Machado Carneiro Murakami, Vanessa Yurika de Carvalho, Leonardo Lamarca Bernardino, Pedro Negri Gouvêa, Fernanda Nastri Borin-Crivellenti, Sofia Crivellenti, Leandro Zuccolotto |
author2_role |
author author author author author author author author author author author author |
dc.contributor.none.fl_str_mv |
Universidade Estadual Paulista (UNESP) University of Franca (UNIFRAN) Federal Rural University of Rio de Janeiro (UFRRJ) UNA—Academic Center Veterinary Teaching Hospital of University of Franca (UNIFRAN) University of California Davis (UC DAVIS) Universidade Federal de Uberlândia (UFU) |
dc.contributor.author.fl_str_mv |
Maia, Suellen Rodrigues [UNESP] Mendes, Pamela Almerinda da Câmara Barros, Felipe Farias Pereira Ayer, Ilan Munhoz Ramos, Salvador Boccaletti Vacari, Alessandra Marieeli Lucera, Tiago Machado Carneiro Murakami, Vanessa Yurika de Carvalho, Leonardo Lamarca Bernardino, Pedro Negri Gouvêa, Fernanda Nastri Borin-Crivellenti, Sofia Crivellenti, Leandro Zuccolotto |
description |
The use of renal biopsy through laparoscopy is increasingly present both in human and veterinary medicine. However, both techniques require skill and training to make the operator capable to do it. The learning curve allows the quantitative and qualitative assessment of the number of attempts and minimum time for the surgical procedure. The objective included establish the learning curve for laparoscopy-guided kidney biopsy procedures in dog and pig corpses. Six dogs and six pigs corpses weighing less than 10 kg were used for this study. All corpses underwent kidney biopsy performed through laparoscopy. Twenty-four operators, two per animal, performed 20 renal biopsies each (10 for each kidney), with 480 collection-procedures in total. Duration and difficulty of the procedure and the biopsy sample quality were evaluated and statistical analysis was performed using a mixed regression model with a random effect of individuals and multivariate analysis of data. There were 91.5% of the samples that were adequate for evaluation. There was no significant difference in the number of glomeruli or cortex percentage considering the attempts in either species, demonstrating the operator’s ability since first collection. Swine samples showed higher amounts of renal cortex than canine samples. The procedure duration was shorter as more attempts were performed in dogs and pigs. From the fourth repetition, the professional reached a plateau for the variable related to ‘collection’, and from the second, the professional presented uniform duration for ‘sample storage’. Operators of the swine model acquired more agility than the dog ones. The variable ‘difficulty’ decreased as more repetitions were performed, reaching a plateau in the sixth attempt. Seven renal biopsies laparoscopy-guided are required for an operator to be considered ‘capable’ to perform the procedure in the referred species included. The learning curve for image-guided kidney biopsy procedures improves the implementation of this technique and benefits patients that undergo this procedure. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-09-01 2022-04-29T08:34:51Z 2022-04-29T08:34:51Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.1371/journal.pone.0257653 PLoS ONE, v. 16, n. 9 September 2021, 2021. 1932-6203 http://hdl.handle.net/11449/229621 10.1371/journal.pone.0257653 2-s2.0-85116113782 |
url |
http://dx.doi.org/10.1371/journal.pone.0257653 http://hdl.handle.net/11449/229621 |
identifier_str_mv |
PLoS ONE, v. 16, n. 9 September 2021, 2021. 1932-6203 10.1371/journal.pone.0257653 2-s2.0-85116113782 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
PLoS ONE |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.source.none.fl_str_mv |
Scopus reponame:Repositório Institucional da UNESP instname:Universidade Estadual Paulista (UNESP) instacron:UNESP |
instname_str |
Universidade Estadual Paulista (UNESP) |
instacron_str |
UNESP |
institution |
UNESP |
reponame_str |
Repositório Institucional da UNESP |
collection |
Repositório Institucional da UNESP |
repository.name.fl_str_mv |
Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP) |
repository.mail.fl_str_mv |
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1799965566771920896 |