The Impact of Prostate Gland Weight in Robot Assisted Laparoscopic Radical Prostatectomy

2008 ◽  
Vol 180 (3) ◽  
pp. 928-932 ◽  
Author(s):  
Brian A. Link ◽  
Rebecca Nelson ◽  
David Y. Josephson ◽  
Jeffrey S. Yoshida ◽  
Laura E. Crocitto ◽  
...  
Keyword(s):  
Radical Prostatectomy ◽  
Prostate Gland ◽  
Laparoscopic Radical Prostatectomy ◽  
Robot Assisted ◽  
Gland Weight ◽  
The Impact

Effect of Prostate Gland Size on the Learning Curve for Robot-Assisted Laparoscopic Radical Prostatectomy: Does Size Matter Initially?

2010 ◽  
Vol 24 (2) ◽  
pp. 261-266 ◽  
Author(s):  
Carlos H. Martínez ◽  
Venu Chalasani ◽  
Darwin Lim ◽  
Linda Nott ◽  
Reem J. Al-Bareeq ◽  
...  
Keyword(s):  
Radical Prostatectomy ◽  
Learning Curve ◽  
Prostate Gland ◽  
Laparoscopic Radical Prostatectomy ◽  
Robot Assisted ◽  
Gland Size ◽  
Size Matter

scholarly journals Positive surgical margin rates during the robot-assisted laparoscopic radical prostatectomy learning curve of an experienced laparoscopic surgeon

2017 ◽  
Vol 11 (11) ◽  
pp. E409-13 ◽  
Author(s):  
Anthony F. Adili ◽  
Julia Di Giovanni ◽  
Emma Kolesar ◽  
Nathan C. Wong ◽  
Jen Hoogenes ◽  
...  
Keyword(s):  
Radical Prostatectomy ◽  
Learning Curve ◽  
Surgical Margin ◽  
Margin Status ◽  
Laparoscopic Radical Prostatectomy ◽  
Positive Surgical Margin ◽  
Robot Assisted ◽  
Estimated Blood Loss ◽  
The Mean ◽  
The Impact

Introduction: Since its introduction, robot-assisted laparoscopic radical prostatectomy (RARP) has gained widespread popularity, but is associated with a variable learning curve. Herein, we report the positive surgical margin (PSM) rates during the RARP learning curve of a single surgeon with significant previous laparoscopic radical prostatectomy (LRP) experience.Methods: We performed a prospective cohort study of the first 400 men with prostate cancer treated with RARP by a single surgeon (BS) with significant LRP experience. Our primary outcome was the impact of case timing in the learning curve on margin status. Our analysis was conducted by dividing the case numbers into quartiles (Q1‒Q4) and determining if a case falling into an earlier quartile had an impact on margin status relative to the most recent quartile (Q4).Results: The Q1 cases had an odds ratio for margin positivity of 1.74 compared to Q4 (p=0.1). Multivariate logistic regression did not demonstrate case number to be a significant predictor of PSM. The mean Q1 operative time was 207.4 minutes, decreasing to 179.2 by Q4 (p<0.0001). The mean Q1 estimated blood loss was 255.1 ml, decreasing to 213.6 by Q4 (p=0.0064). There was no change in length of hospitalization within the study period.Conclusions: Even when controlling for copredictors, a statistically significant learning curve for PSM rate of a surgeon with significant previous LRP experience was not detected during the first 400 RARP cases. We hypothesize that previous LRP experience may reduce the RARP PSM learning curve.

scholarly journals Effect of prostate gland weight on the surgical and oncological outcomes of extraperitoneal robot-assisted radical prostatectomy

BMC Urology ◽  
2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Min Seok Kim ◽  
Won Sik Jang ◽  
Doo Yong Chung ◽  
Dong Hoon Koh ◽  
Jong Soo Lee ◽  
...  
Keyword(s):  
Radical Prostatectomy ◽  
Prostate Gland ◽  
Robot Assisted ◽  
Oncological Outcomes ◽  
Gland Weight

scholarly journals Urinary Continence after Robot-Assisted Laparoscopic Radical Prostatectomy: The Impact of Intravesical Prostatic Protrusion

2016 ◽  
Vol 57 (5) ◽  
pp. 1145 ◽  
Author(s):  
Jung Ki Jo ◽  
Sung Kyu Hong ◽  
Seok-Soo Byun ◽  
Homayoun Zargar ◽  
Riccardo Autorino ◽  
...  
Keyword(s):  
Radical Prostatectomy ◽  
Laparoscopic Radical Prostatectomy ◽  
Urinary Continence ◽  
Robot Assisted ◽  
The Impact ◽  
Intravesical Prostatic Protrusion

scholarly journals Comparing Urinary and Sexual Complications of Robot-Assisted Radical Prostatectomy and Laparoscopic Radical Prostatectomy in Prostate Cancer: a Systematic Review and Meta-Analysis Protocol

2021 ◽  
Author(s):  
Afshin Heidari ◽  
◽  
Aida Kazemi ◽  
Parisa Najjari ◽  
Kamran Dalvandi ◽  
...  
Keyword(s):  
Prostate Cancer ◽  
Systematic Review ◽  
Radical Prostatectomy ◽  
Meta Analysis ◽  
Prostate Gland ◽  
Laparoscopic Radical Prostatectomy ◽  
Robot Assisted ◽  
Conventional Laparoscopic ◽  
Review Question ◽  
Analysis Protocol

Review question / Objective: The aims of this study are: 1. To compare urinary complications of robot-assisted radical prostatectomy(RARP) and laparoscopic radical prostatectomy(LRP) in patients with prostate cancer; 2. To compare sexual complications of RARP and LRP in patients with prostate cancer. Condition being studied: Prostate cancer is one of the most prevalent types of cancer; according to 2018 statistics, prostate cancer was responsible for 7.1% of all cancer in men. The primary intervention in such patients is radical prostatectomy surgery (RP), which could be performed in different methods in patients that cancer has not spread beyond the prostate gland or has not spread much. One of the most common types of RP is laparoscopic radical prostatectomy. There are several techniques for performing RP; two are Conventional Laparoscopic Radical Prostatectomy (LRP) and Robot-Assisted Radical Prostatectomy (RARP). Sexual and urinary difficulties can occur in prostate cancer patients due to cancer itself or the treatment. Like any treatment option and surgery, radical prostatectomy can carry risks, like urinary(e.g., incontinency) and sexual complications(e.g., Impotence). In this review, we compared urinary and sexual complications of LRP and RARP.

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