Operative Concept
Learning curve in UBE surgery
UBE surgery involves a distinct set of visual, ergonomic, and safety-related skills that should be learned progressively.
Skill domains
The learning curve includes endoscopic orientation, portal triangulation, irrigation control, bleeding management, contralateral decompression, and complication recognition.
Case selection
Progressive case selection is important. Early cases should be anatomically straightforward and aligned with the surgeon's existing decompression skills.
Educational responsibility
Teaching UBE surgery should include limitations, complication management, and conversion planning rather than technique demonstration alone.