Learning curve for the laparoscopy-guided kidney biopsy procedure in small corpses of dogs and pigs.

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 mi...

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Autores principales:	Suellen Rodrigues Maia, Pamela Almerinda Mendes, Felipe Farias Pereira da Câmara Barros, Ilan Munhoz Ayer, Salvador Boccaletti Ramos, Alessandra Marieeli Vacari, Tiago Machado Carneiro Lucera, Vanessa Yurika Murakami, Leonardo Lamarca de Carvalho, Pedro Negri Bernardino, Fernanda Nastri Gouvêa, Sofia Borin-Crivellenti, Leandro Zuccolotto Crivellenti
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/1b344382cfc447ba90efe06842bb2b48
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spelling	oai:doaj.org-article:1b344382cfc447ba90efe06842bb2b482021-12-02T20:14:08ZLearning curve for the laparoscopy-guided kidney biopsy procedure in small corpses of dogs and pigs.1932-620310.1371/journal.pone.0257653https://doaj.org/article/1b344382cfc447ba90efe06842bb2b482021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0257653https://doaj.org/toc/1932-6203The 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.Suellen Rodrigues MaiaPamela Almerinda MendesFelipe Farias Pereira da Câmara BarrosIlan Munhoz AyerSalvador Boccaletti RamosAlessandra Marieeli VacariTiago Machado Carneiro LuceraVanessa Yurika MurakamiLeonardo Lamarca de CarvalhoPedro Negri BernardinoFernanda Nastri GouvêaSofia Borin-CrivellentiLeandro Zuccolotto CrivellentiPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 9, p e0257653 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Suellen Rodrigues Maia Pamela Almerinda Mendes Felipe Farias Pereira da Câmara Barros Ilan Munhoz Ayer Salvador Boccaletti Ramos Alessandra Marieeli Vacari Tiago Machado Carneiro Lucera Vanessa Yurika Murakami Leonardo Lamarca de Carvalho Pedro Negri Bernardino Fernanda Nastri Gouvêa Sofia Borin-Crivellenti Leandro Zuccolotto Crivellenti Learning curve for the laparoscopy-guided kidney biopsy procedure in small corpses of dogs and pigs.
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.
format	article
author	Suellen Rodrigues Maia Pamela Almerinda Mendes Felipe Farias Pereira da Câmara Barros Ilan Munhoz Ayer Salvador Boccaletti Ramos Alessandra Marieeli Vacari Tiago Machado Carneiro Lucera Vanessa Yurika Murakami Leonardo Lamarca de Carvalho Pedro Negri Bernardino Fernanda Nastri Gouvêa Sofia Borin-Crivellenti Leandro Zuccolotto Crivellenti
author_facet	Suellen Rodrigues Maia Pamela Almerinda Mendes Felipe Farias Pereira da Câmara Barros Ilan Munhoz Ayer Salvador Boccaletti Ramos Alessandra Marieeli Vacari Tiago Machado Carneiro Lucera Vanessa Yurika Murakami Leonardo Lamarca de Carvalho Pedro Negri Bernardino Fernanda Nastri Gouvêa Sofia Borin-Crivellenti Leandro Zuccolotto Crivellenti
author_sort	Suellen Rodrigues Maia
title	Learning curve for the laparoscopy-guided kidney biopsy procedure in small corpses of dogs and pigs.
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.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/1b344382cfc447ba90efe06842bb2b48
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Learning curve for the laparoscopy-guided kidney biopsy procedure in small corpses of dogs and pigs.

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