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
2020 ◽  
Vol 127 (1) ◽  
pp. 114-121
Author(s):  
Marcio Covas Moschovas ◽  
Seetharam Bhat ◽  
Fikret Onol ◽  
Travis Rogers ◽  
Vipul Patel

2021 ◽  
Author(s):  
Louis Lenfant ◽  
Dillon Corrigan ◽  
Alp Tuna Beksac ◽  
Zeyad Schwen ◽  
Jihad Kaouk

2020 ◽  
pp. 101550
Author(s):  
Mahmoud Khalil ◽  
Alexander Cranwell ◽  
John Ouyang ◽  
Zaheer Alam ◽  
Jean Joseph

Author(s):  
Yu Han ◽  
Yajie Zhang ◽  
Wentian Zhang ◽  
Jie Xiang ◽  
Kai Chen ◽  
...  

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.


2018 ◽  
Vol 90 (1) ◽  
pp. 1 ◽  
Author(s):  
Riccardo Schiavina ◽  
Marco Borghesi ◽  
Hussam Dababneh ◽  
Martina Sofia Rossi ◽  
Cristian Vincenzo Pultrone ◽  
...  

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.


2011 ◽  
Vol 10 (8) ◽  
pp. 541
Author(s):  
B. Kassabov ◽  
A. Alexandrov ◽  
P.M. Lund ◽  
Chr. Baermann ◽  
J. Popp ◽  
...  

2010 ◽  
Vol 105 (5) ◽  
pp. 682-685 ◽  
Author(s):  
Sebastien Crouzet ◽  
Georges-Pascal Haber ◽  
Wesley M. White ◽  
Kazumi Kamoi ◽  
Raj K. Goel ◽  
...  

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