Effect of Prostate Gland Size on the Learning Curve for Robot-Assisted Laparoscopic Radical Prostatectomy: Does Size Matter Initially?

2010 ◽  
Vol 24 (2) ◽  
pp. 261-266 ◽  
Author(s):  
Carlos H. Martínez ◽  
Venu Chalasani ◽  
Darwin Lim ◽  
Linda Nott ◽  
Reem J. Al-Bareeq ◽  
...  
Keyword(s):  
Radical Prostatectomy ◽  
Learning Curve ◽  
Prostate Gland ◽  
Laparoscopic Radical Prostatectomy ◽  
Robot Assisted ◽  
Gland Size ◽  
Size Matter

3: Impact of Prostate Gland Size on Urinary Quality of Life Indices after Laparoscopic Radical Prostatectomy

2007 ◽  
Vol 177 (4S) ◽  
pp. 1-2
Author(s):  
Adam W. Levinson ◽  
Richard E. Link ◽  
Lynda Z. Mettee ◽  
Soroush Rais-Bahrami ◽  
Devesh Agarwal ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Radical Prostatectomy ◽  
Prostate Gland ◽  
Laparoscopic Radical Prostatectomy ◽  
Gland Size

Issue of Prostate Gland Size, Laparoscopic Radical Prostatectomy, and Continence Revisited

Urology ◽  
2008 ◽  
Vol 71 (3) ◽  
pp. 417-420 ◽  
Author(s):  
Paul M. Milhoua ◽  
Philip T. Koi ◽  
Daniel Lowe ◽  
Reza Ghavamian
Keyword(s):  
Radical Prostatectomy ◽  
Prostate Gland ◽  
Laparoscopic Radical Prostatectomy ◽  
Gland Size

scholarly journals The Complications of Robot Assisted Laparoscopic Radical Prostatectomy in the Process of the Learning Curve

2016 ◽  
Vol 23 (4) ◽  
pp. 364-368
Author(s):  
Mustafa Güneş ◽  
Müslüm Ergün ◽  
Recep Eryılmaz ◽  
Rahmi Aslan
Keyword(s):  
Radical Prostatectomy ◽  
Learning Curve ◽  
Laparoscopic Radical Prostatectomy ◽  
Robot Assisted

scholarly journals Positive surgical margin rates during the robot-assisted laparoscopic radical prostatectomy learning curve of an experienced laparoscopic surgeon

2017 ◽  
Vol 11 (11) ◽  
pp. E409-13 ◽  
Author(s):  
Anthony F. Adili ◽  
Julia Di Giovanni ◽  
Emma Kolesar ◽  
Nathan C. Wong ◽  
Jen Hoogenes ◽  
...  
Keyword(s):  
Radical Prostatectomy ◽  
Learning Curve ◽  
Surgical Margin ◽  
Margin Status ◽  
Laparoscopic Radical Prostatectomy ◽  
Positive Surgical Margin ◽  
Robot Assisted ◽  
Estimated Blood Loss ◽  
The Mean ◽  
The Impact

Introduction: Since its introduction, robot-assisted laparoscopic radical prostatectomy (RARP) has gained widespread popularity, but is associated with a variable learning curve. Herein, we report the positive surgical margin (PSM) rates during the RARP learning curve of a single surgeon with significant previous laparoscopic radical prostatectomy (LRP) experience.Methods: We performed a prospective cohort study of the first 400 men with prostate cancer treated with RARP by a single surgeon (BS) with significant LRP experience. Our primary outcome was the impact of case timing in the learning curve on margin status. Our analysis was conducted by dividing the case numbers into quartiles (Q1‒Q4) and determining if a case falling into an earlier quartile had an impact on margin status relative to the most recent quartile (Q4).Results: The Q1 cases had an odds ratio for margin positivity of 1.74 compared to Q4 (p=0.1). Multivariate logistic regression did not demonstrate case number to be a significant predictor of PSM. The mean Q1 operative time was 207.4 minutes, decreasing to 179.2 by Q4 (p<0.0001). The mean Q1 estimated blood loss was 255.1 ml, decreasing to 213.6 by Q4 (p=0.0064). There was no change in length of hospitalization within the study period.Conclusions: Even when controlling for copredictors, a statistically significant learning curve for PSM rate of a surgeon with significant previous LRP experience was not detected during the first 400 RARP cases. We hypothesize that previous LRP experience may reduce the RARP PSM learning curve.

The Impact of Prostate Gland Weight in Robot Assisted Laparoscopic Radical Prostatectomy

2008 ◽  
Vol 180 (3) ◽  
pp. 928-932 ◽  
Author(s):  
Brian A. Link ◽  
Rebecca Nelson ◽  
David Y. Josephson ◽  
Jeffrey S. Yoshida ◽  
Laura E. Crocitto ◽  
...  
Keyword(s):  
Radical Prostatectomy ◽  
Prostate Gland ◽  
Laparoscopic Radical Prostatectomy ◽  
Robot Assisted ◽  
Gland Weight ◽  
The Impact

Perioperative and short-term outcomes of Retzius-sparing robot-assisted laparoscopic radical prostatectomy stratified by gland size

2016 ◽  
Vol 119 (1) ◽  
pp. 135-141 ◽  
Author(s):  
Glen D.R Santok ◽  
Ali Abdel Raheem ◽  
Lawrence H. C. Kim ◽  
Kidon Chang ◽  
Trenton G. H. Lum ◽  
...  
Keyword(s):  
Radical Prostatectomy ◽  
Laparoscopic Radical Prostatectomy ◽  
Robot Assisted ◽  
Short Term ◽  
Gland Size
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