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.