scholarly journals Switching from Endoscopic Extraperitoneal Radical Prostatectomy to Robot-Assisted Laparoscopic Prostatectomy: Comparing Outcomes and Complications

2015 ◽  
Vol 95 (4) ◽  
pp. 380-385 ◽  
Author(s):  
Robert Wagenhoffer ◽  
Maren Gruner ◽  
Jan Schymik ◽  
Lydia Schachtner ◽  
Liviu Neagoe ◽  
...  
Keyword(s):  
Radical Prostatectomy ◽  
Prostate Volume ◽  
Surgical Techniques ◽  
Surgical Experience ◽  
Robot Assisted ◽  
Laparoscopic Prostatectomy ◽  
Minimally Invasive Surgical ◽  
Lower Blood ◽  
Individual Surgeon ◽  
Pathological Stages

Objective: Endoscopic extraperitoneal radical prostatectomy (EERPE) and robot-assisted laparoscopic prostatectomy (RALP) are minimally invasive surgical techniques to treat localized prostate cancer. We report the outcome and complications of these two techniques conducted by one individual surgeon. Patients and Methods: 86 patients underwent EERPE between January 2008 and June 2011, and 100 patients underwent RALP between August 2011 and October 2012. All surgeries were performed by one single surgeon. Results: The patients of the EERPE and RALP groups had similar clinical characteristics in PSA, prostate volume and D'Amico classification, and were significantly different in their age and BMI as well as in the number of prior surgeries. RALP surgeries were significantly slower (183 vs. 157 min) but also involved lower blood loss (147 vs. 245 ml). Pathological stages and positive surgical margins were similar in both groups. Complications were assessed by the Clavien-Dindo classification. 6 patients in the EERPE group and 3 patients of the RALP group suffered major complications (IIIb-IV). Conclusion: Altogether our results indicate that the learning curve for RALP was short after experience with EERPE. We hypothesize that this is more a result of the surgical experience of the surgeon with the EERPE than on the robotic technique.

scholarly journals Impact of Acoustic and Interactive Disruptive Factors during Robot-Assisted Surgery—A Virtual Surgical Training Model

Sensors ◽  
2020 ◽  
Vol 20 (20) ◽  
pp. 5891
Author(s):  
Magret Krüger ◽  
Johannes Ackermann ◽  
Daniar Osmonov ◽  
Veronika Günther ◽  
Dirk Bauerschlag ◽  
...  
Keyword(s):  
Robotic Surgery ◽  
Video Games ◽  
Surgical Techniques ◽  
Training Model ◽  
German Society ◽  
Surgical Experience ◽  
Robot Assisted ◽  
Cross Sectional ◽  
Significant Difference ◽  
The Impact

The use of virtual reality trainers for teaching minimally invasive surgical techniques has been established for a long time in conventional laparoscopy as well as robotic surgery. The aim of the present study was to evaluate the impact of reproducible disruptive factors on the surgeon’s work. In a cross-sectional investigation, surgeons were tested with regard to the impact of different disruptive factors when doing exercises on a robotic-surgery simulator (Mimic Flex VRTM). Additionally, we collected data about the participants’ professional experience, gender, age, expertise in playing an instrument, and expertise in playing video games. The data were collected during DRUS 2019 (Symposium of the German Society for Robot-assisted Urology). Forty-two surgeons attending DRUS 2019 were asked to participate in a virtual robotic stress training unit. The surgeons worked in various specialties (visceral surgery, gynecology, and urology) and had different levels of expertise. The time taken to complete the exercise (TTCE), the final score (FSC), and blood loss (BL) were measured. In the basic exercise with an interactive disruption, TTCE was significantly longer (p < 0.01) and FSC significantly lower (p < 0.05). No significant difference in TTCE, FSC, or BL was noted in the advanced exercise with acoustic disruption. Performance during disruption was not dependent on the level of surgical experience, gender, age, expertise in playing an instrument, or playing video games. A positive correlation was registered between self-estimation and surgical experience. Interactive disruptions have a greater impact on the performance of a surgeon than acoustic ones. Disruption affects the performance of experienced as well as inexperienced surgeons. Disruption in daily surgery should be evaluated and minimized in the interest of the patient’s safety.

Erectile Function and Oncologic Outcomes Following Open Retropubic and Robot-assisted Radical Prostatectomy: Results from the LAParoscopic Prostatectomy Robot Open Trial

2018 ◽  
Vol 73 (4) ◽  
pp. 618-627 ◽  
Author(s):  
Prasanna Sooriakumaran ◽  
Giovannalberto Pini ◽  
Tommy Nyberg ◽  
Maryam Derogar ◽  
Stefan Carlsson ◽  
...  
Keyword(s):  
Radical Prostatectomy ◽  
Erectile Function ◽  
Open Trial ◽  
Oncologic Outcomes ◽  
Robot Assisted ◽  
Laparoscopic Prostatectomy
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