The role of a well-trained team on the early learning curve of robot-assisted laparoscopic procedures: the example of radical prostatectomy

The International Journal of Medical Robotics + Computer Assisted Surgery : MRCAS
Thierry LebeauChristophe Vaessen

Abstract

The robot-assisted laparoscopic approach for radical prostatectomy (RARP) is being performed increasingly worldwide to treat localized prostate cancer (PCa). The aim of this study was to compare the learning curves of two surgeons with different surgical experiences. A prospective collection of peri-operative data was made: age, body mass index, PSA, clinical stage, biopsy Gleason score, operative time (OT), blood loss (BL), pathological stages, final Gleason scores, and complications. Patients were included, in two groups. The first group comprised the first 100 patients undergoing RARP by an expert laparoscopic surgeon. The second group of 100 patients was operated on by a junior surgeon without robotic console experience. Post-operative complications were defined according to the Clavien grading system for surgical morbidity For groups 1 and 2 median age was 63 and 62 years, respectively; median pre-operative PSA level was 10 and 8, respectively; the median BMI was 24 and 25, respectively. The median operative time (OT) was 179 and 160 min, respectively (p > 0.05); and median blood loss was 217 and 346 ml, respectively (p = 0.04). The overall transfusion rate was 1.5% and two major complications were recorded in group 1 and ...Continue Reading

References

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Citations

Aug 27, 2014·The International Journal of Medical Robotics + Computer Assisted Surgery : MRCAS·Thomas P CundyAzad S Najmaldin
Sep 7, 2016·Progrès en urologie : journal de l'Association française d'urologie et de la Société française d'urologie·L WagnerL Le Normand
Nov 11, 2016·Journal of Robotic Surgery·Yasmin Abu-GhanemDorit E Zilberman
Mar 23, 2017·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·B MüssleT Welsch

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