Learning Curve and Perioperative Outcomes of Robot-Assisted Radical Prostatectomy in 200 Initial Japanese Cases by a Single Surgeon

2013 ◽  
Vol 27 (10) ◽  
pp. 1218-1223 ◽  
Author(s):  
Takeshi Hashimoto ◽  
Kunihiko Yoshioka ◽  
Tatsuo Gondo ◽  
Naohiro Kamoda ◽  
Naoya Satake ◽  
...  
Keyword(s):  
Radical Prostatectomy ◽  
Learning Curve ◽  
Perioperative Outcomes ◽  
Robot Assisted

scholarly journals Impact of body mass index on perioperative outcomes during the learning curve for robot assisted radical prostatectomy

2010 ◽  
Vol 4 (4) ◽  
pp. 250-254 ◽  
Author(s):  
Venu Chalasani ◽  
Carlos H. Martinez ◽  
Darwin Lim ◽  
Reem Al Bareeq, ◽  
Geoffrey R. Wignall ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Radical Prostatectomy ◽  
Learning Curve ◽  
Body Mass ◽  
Perioperative Outcomes ◽  
Robot Assisted

scholarly journals Retropubic, laparoscopic, and robot-assisted radical prostatectomy: a multi-institutional comparative study

2020 ◽  
Vol 26 (1) ◽  
Author(s):  
Amr A. Faddan ◽  
Mahmoud M. Shalaby ◽  
Mohamed Gadelmoula ◽  
Younis Alshamsi ◽  
Daniar K. Osmonov ◽  
...  
Keyword(s):  
Radical Prostatectomy ◽  
Complication Rate ◽  
Perioperative Complications ◽  
Statistical Significance ◽  
Operating Time ◽  
Perioperative Outcomes ◽  
Academic Institutions ◽  
Robot Assisted ◽  
Surgical Specimen ◽  
Significant Difference

Abstract Background The standard surgical treatment of localized prostate cancer (PCa) has been rapidly changed along the last two decades from open to laparoscopic and finally robot-assisted techniques. Herein, we compare the three procedures for radical prostatectomy (RP), namely radical retropubic (RRP), laparoscopic (LRP), and robot-assisted laparoscopic (RALRP) regarding the perioperative clinical outcome and complication rate in four academic institutions. Methods A total of 394 patients underwent RP between January 2016 and December 2018 in four academic institutions; their records were reviewed. We recorded the patient age, BMI, PSA level, Gleason score and TNM stage, type of surgery, the pathological data from the surgical specimen, the perioperative complications, unplanned reoperating, and readmission rates within 3 months postoperatively. Statistical significance was set at (P < 0.05). All reported P values are two-sided. Results A total of 123 patients underwent RALRP, 220 patients underwent RRP, and 51 underwent LRP. There was no statistically significant difference between the three groups regarding age, BMI, prostatic volume, and preoperative PSA. However, there were statistically significant differences between them regarding the operating time (P < .0001), catheterization period (P < .001), hospital stay (P < .0001), and overall complications rate (P = .023). Conclusions The minimally invasive procedures (RALRP and LRP) are followed by a significantly lower complication rate. However, the patients’ factors and surgical experience likely impact perioperative outcomes and complications.

Robot-Assisted Laparoscopic Radical Prostatectomy: Perioperative Outcomes of 1500 Cases

2008 ◽  
Vol 22 (10) ◽  
pp. 2299-2306 ◽  
Author(s):  
Vipul R. Patel ◽  
Kenneth J. Palmer ◽  
Geoff Coughlin ◽  
Srinivas Samavedi
Keyword(s):  
Radical Prostatectomy ◽  
Laparoscopic Radical Prostatectomy ◽  
Perioperative Outcomes ◽  
Robot Assisted

scholarly journals Does transition from standard to Retzius-sparing technique in robot-assisted radical prostatectomy affect the functional and oncological outcomes?

2021 ◽  
Vol 93 (4) ◽  
pp. 399-403
Author(s):  
Hakan Anıl ◽  
Kaan Karamık ◽  
Ali Yıldız ◽  
Murat Savaş
Keyword(s):  
Radical Prostatectomy ◽  
Learning Curve ◽  
Surgical Margin ◽  
Nerve Sparing ◽  
Robot Assisted ◽  
Continence Status ◽  
Oncological Results ◽  
Group 2 ◽  
Group 1

Objective: To appraise the outcomes on the Retzius-sparing robot-assisted radical prostatectomy (Rs-RARP) learning curve of a surgeon with previous experience of anterior (standard) RARP. Materials and methods: The first 50 cases during the Rs-RARP learning curve (group 1) and 50 cases after the second 100 cases with the standard approach (group 2) were comprised in the study. Patients who used zero or one safety pads were considered continent. Erectile function recuperation was characterized as the competence to achieve penetrative intercourse without receiving any medication. All patients were reevaluated at two weeks, first, third, sixth, and 12th months after surgery using IIEF-5, PSA level, and continence status. Results: Immediate continence rates following catheter removal were 32/50 (64%) in Rs-RARP group and 26/50 (52%) in S-RARP group (p = 0.224). The continence recovery rate was 48/50 (96%) in Rs-RARP group and 46/50 (92%) in the S-RARP group at 12 months follow-up (p = 0.400). Total nerve-sparing surgery was enforced in 36/50 (72%) patients for group 1 and 35/50 (70%) patients for group 2. Potency recovery was 27/43 (62.8%) in Rs-RARP and 30/44 (68.2%) for S-RARP at 12 months follow up (p = 0.597). Surgical margin positivity was detected in 6/50 (12%) cases in the Rs-RARP group and in 4/50 (8%) cases in the S-RARP (p = 0.444). Conclusions: Functional and oncological results are not negatively affected in the first 50 cases for a surgeon who is experienced in S-RARP before transition to the Rs-RARP method.

Retzius-sparing robot assisted radical prostatectomy: Learning curve experiences in 3 continents

2019 ◽  
Vol 18 (6) ◽  
pp. e2575-e2576
Author(s):  
A. Galfano ◽  
S. Secco ◽  
K. Rha ◽  
C. Eden ◽  
K. Frensis ◽  
...  
Keyword(s):  
Radical Prostatectomy ◽  
Learning Curve ◽  
Robot Assisted

Learning curve for Retzius-Sparing Robot-Assisted Radical Prostatectomy (RS-RARP): Experience of two high volume UK surgeons

2021 ◽  
Vol 79 ◽  
pp. S1564
Author(s):  
T.A. Narain ◽  
P. Umari ◽  
D. Eden ◽  
C. Eden ◽  
P. Sooriakumaran
Keyword(s):  
Radical Prostatectomy ◽  
Learning Curve ◽  
High Volume ◽  
Robot Assisted
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