scholarly journals Assessing the learning curve of single‐port robot‐assisted prostatectomy

2021 ◽  
Vol 128 (6) ◽  
pp. 657-658
Author(s):  
Fairleigh Reeves ◽  
Prokar Dasgupta
Keyword(s):  
Learning Curve ◽  
Single Port ◽  
Robot Assisted

Early outcomes of single‐port robot‐assisted radical prostatectomy: lessons learned from the learning‐curve experience

2020 ◽  
Vol 127 (1) ◽  
pp. 114-121
Author(s):  
Marcio Covas Moschovas ◽  
Seetharam Bhat ◽  
Fikret Onol ◽  
Travis Rogers ◽  
Vipul Patel
Keyword(s):  
Radical Prostatectomy ◽  
Learning Curve ◽  
Single Port ◽  
Lessons Learned ◽  
Robot Assisted

Learning Curve Analysis of Single‐Port Robot‐Assisted Extraperitoneal Prostatectomy Using the CUSUM Method

2021 ◽  
Author(s):  
Louis Lenfant ◽  
Dillon Corrigan ◽  
Alp Tuna Beksac ◽  
Zeyad Schwen ◽  
Jihad Kaouk
Keyword(s):  
Learning Curve ◽  
Single Port ◽  
Curve Analysis ◽  
Robot Assisted ◽  
Cusum Method

scholarly journals Single-port robot assisted concomitant hemi-nephrectomy, ureterectomy and radical prostatectomy using the da vinci SP platform

2020 ◽  
pp. 101550
Author(s):  
Mahmoud Khalil ◽  
Alexander Cranwell ◽  
John Ouyang ◽  
Zaheer Alam ◽  
Jean Joseph
Keyword(s):  
Radical Prostatectomy ◽  
Da Vinci ◽  
Single Port ◽  
Robot Assisted

Learning curve for robot-assisted Ivor Lewis esophagectomy

2021 ◽  
Author(s):  
Yu Han ◽  
Yajie Zhang ◽  
Wentian Zhang ◽  
Jie Xiang ◽  
Kai Chen ◽  
...  
Keyword(s):  
Learning Curve ◽  
Complication Rate ◽  
Major Complication ◽  
Robot Assisted ◽  
Ivor Lewis ◽  
Initial Learning ◽  
Cusum Analysis ◽  
Technical Proficiency ◽  
Major Complication Rate ◽  
Two Phases

Summary This study aimed to demonstrate the learning curve of robot-assisted minimally invasive esophagectomy (RAMIE). A retrospective analysis of the first 124 consecutive patients who underwent RAMIE with intrathoracic anastomosis (Ivor Lewis) by a single surgeon between May 2015 and August 2020 was performed. An risk-adjusted cumulative sum (RA-CUSUM) analysis was applied to generate a learning curve of RAMIE considering the major complication rate, which reflected the technical proficiency. The overall 30-day morbidity rate was 38.7%, while the major complication rate was 25.8%. The learning curve was divided into two phases based on the RA-CUSUM analysis: phase I, the initial learning phase (cases 1–51) and phase II, the proficiency phase (cases 52–124). As we compared the proficiency phase with the initial learning phase, significantly decreased trends were observed in relation to the major complication rate (37.3% vs. 18.7%, P = 0.017), total operation time (330.9 ± 55.6 vs. 267.3 ± 39.1 minutes, P < 0.001), and length of hospitalization (10 [IQR, 9–14] days vs. 9 [IQR, 8–11] days, P = 0.034). In conclusion, the learning curve of RAMIE consisted of two phases, and at least 51 cases were required to gain technical proficiency.

scholarly journals The impact of a structured intensive modular training in the learning curve of robot assisted radical prostatectomy

2018 ◽  
Vol 90 (1) ◽  
pp. 1 ◽  
Author(s):  
Riccardo Schiavina ◽  
Marco Borghesi ◽  
Hussam Dababneh ◽  
Martina Sofia Rossi ◽  
Cristian Vincenzo Pultrone ◽  
...  
Keyword(s):  
Learning Curve ◽  
Functional Outcomes ◽  
Statistical Significance ◽  
Urinary Continence ◽  
Operating Table ◽  
Open Approach ◽  
Robot Assisted ◽  
Modular Training ◽  
Continence Rate ◽  
The Impact

Aim: The success of Robot Assisted Laparoscopic Prostatectomy (RALP) is mainly due to his relatively short learning curve. Twenty cases are needed to reach a “4 hours-proficiency”. However, to achieve optimal functional outcomes such as urinary continence and potency recovery may require more experience. We aim to report the perioperative and early functional outcomes of patients undergoing RALP, after a structured modular training program. Methods: A surgeon with no previous laparoscopic or robotic experience attained a 3 month modular training including: a) e-learning; b) assistance and training to the operating table; c) dry console training; d) step by step in vivo modular training performing 40 surgical steps in increasing difficulty, under the supervision of an experienced mentor. Demographics, intraoperative and postoperative functional outcomes were recorded after his first 120 procedures, considering four groups of 30 cases. Results: All procedures were completed successfully without conversion to open approach. Overall 19 (15%) post operative complications were observed and 84% were graded as minor (Clavien I-II). Overall operative time and console time gradually decreased during the learning curve, with statistical significance in favour of Group 4. The overall continence rate at 1 and 3 months was 74% and 87% respectively with a significant improvement in continence rate throughout the four groups (p = 0.04). Considering those patients submitted to nerve-sparing procedure we found a significant increase in potency recovery over the four groups (p = 0.04) with the higher potency recovery rate up to 80% in the last 30 cases. Conclusions: Optimal perioperative and functional outcomes have been attained since early phase of the learning curve after an intensive structured modular training and less than 100 consecutive procedures seem needed in order to achieve optimal urinary continence and erectile function recovery.

28 Learning curve of robot-assisted radical cystectomy with extracorporal urinary diversion

2011 ◽  
Vol 10 (8) ◽  
pp. 541
Author(s):  
B. Kassabov ◽  
A. Alexandrov ◽  
P.M. Lund ◽  
Chr. Baermann ◽  
J. Popp ◽  
...  
Keyword(s):  
Learning Curve ◽  
Radical Cystectomy ◽  
Urinary Diversion ◽  
Robot Assisted

scholarly journals Single-port, single-operator-light endoscopic robot-assisted laparoscopic urology: pilot study in a pig model

2010 ◽  
Vol 105 (5) ◽  
pp. 682-685 ◽  
Author(s):  
Sebastien Crouzet ◽  
Georges-Pascal Haber ◽  
Wesley M. White ◽  
Kazumi Kamoi ◽  
Raj K. Goel ◽  
...  
Keyword(s):  
Pilot Study ◽  
Single Port ◽  
Pig Model ◽  
Robot Assisted ◽  
Single Operator
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