Perioperative results of 256 robot-assisted radical prostatectomies (RARP) performed by single, ERUS Fellowship-trained, surgeon in high volume center in Poland

2019 ◽  
Vol 18 (6) ◽  
pp. e2572-e2573
Author(s):  
P. Salwa
Keyword(s):  
High Volume ◽  
Robot Assisted ◽  
High Volume Center

scholarly journals Expanding the horizon: assessing safety and utility of robot-assisted complex hepatopancreaticobiliary surgery in a high-volume center

HPB ◽  
2016 ◽  
Vol 18 ◽  
pp. e497
Author(s):  
I. Siddiqui ◽  
E. Baker ◽  
R. Kirks ◽  
A. Cochran ◽  
J. Barnes ◽  
...  
Keyword(s):  
High Volume ◽  
Robot Assisted ◽  
Hepatopancreaticobiliary Surgery ◽  
High Volume Center

scholarly journals Feasibility of robot-assisted radical prostatectomy in men at senior age ≥75 years: perioperative, functional, and oncological outcomes of a high-volume center

2021 ◽  
Vol 25 (1) ◽  
pp. 8-16
Author(s):  
Sami-Ramzi Leyh-Bannurah ◽  
Christian Wagner ◽  
Andreas Schuette ◽  
Nikolaos Liakos ◽  
Theodoros Karagiotis ◽  
...  
Keyword(s):  
Radical Prostatectomy ◽  
High Volume ◽  
Robot Assisted ◽  
Oncological Outcomes ◽  
High Volume Center

Comparison of Robot-Assisted and Laparoscopic Partial Nephrectomy for Completely Endophytic Renal Tumors: A High-Volume Center Experience

2020 ◽  
Vol 34 (5) ◽  
pp. 581-587 ◽  
Author(s):  
Liangyou Gu ◽  
Kan Liu ◽  
Donglai Shen ◽  
Hongzhao Li ◽  
Yu Gao ◽  
...  
Keyword(s):  
Partial Nephrectomy ◽  
High Volume ◽  
Laparoscopic Partial Nephrectomy ◽  
Renal Tumors ◽  
Robot Assisted ◽  
High Volume Center

Nerve sparing robot assisted radical cystectomy and “SHELL” neobladder: The evolution of technique in a high volume center

2018 ◽  
Vol 17 (8) ◽  
pp. 259
Author(s):  
R. Bianchi ◽  
G. Cozzi ◽  
M. Delor ◽  
A. Mistretta ◽  
M. Catellani ◽  
...  
Keyword(s):  
Radical Cystectomy ◽  
High Volume ◽  
Nerve Sparing ◽  
Robot Assisted ◽  
High Volume Center

Linear extent of positive surgical margin impacts biochemical recurrence after robot-assisted radical prostatectomy in a high-volume center

2020 ◽  
Vol 14 (4) ◽  
pp. 663-675 ◽  
Author(s):  
Antonio Benito Porcaro ◽  
Alessandro Tafuri ◽  
Marco Sebben ◽  
Nelia Amigoni ◽  
Aliasger Shakir ◽  
...  
Keyword(s):  
Radical Prostatectomy ◽  
Biochemical Recurrence ◽  
Surgical Margin ◽  
High Volume ◽  
Positive Surgical Margin ◽  
Robot Assisted ◽  
Linear Extent ◽  
High Volume Center

scholarly journals A structured training pathway to implement robot-assisted minimally invasive esophagectomy: the learning curve results from a high-volume center

2020 ◽  
Vol 33 (Supplement_2) ◽  
Author(s):  
B Feike Kingma ◽  
Edin Hadzijusufovic ◽  
Pieter C Van der Sluis ◽  
Erida Bano ◽  
Hauke Lang ◽  
...  
Keyword(s):  
Blood Loss ◽  
Learning Curve ◽  
Minimally Invasive Esophagectomy ◽  
Operating Time ◽  
High Volume ◽  
Learning Curves ◽  
Intraoperative Blood Loss ◽  
Robot Assisted ◽  
Invasive Esophagectomy ◽  
High Volume Center

ABSTRACT To ensure safe implementation of robot-assisted minimally invasive esophagectomy (RAMIE), the learning process should be optimized. This study aimed to report the results of a surgeon who implemented RAMIE in a German high-volume center by following a tailored and structured training pathway that involved proctoring. Consecutive patients who underwent RAMIE during the course of the program were included from a prospective database. A single surgeon, who had prior experience in conventional MIE, performed all RAMIE procedures. Cumulative sum (CUSUM) learning curves were plotted for the thoracic operating time and intraoperative blood loss. Perioperative outcomes were compared between patients who underwent surgery before and after a learning curve plateau occurred. Between 2017 and 2018, the adopting center adhered to the structured training pathway, and a total of 70 patients were included in the analysis. The CUSUM learning curves showed plateaus after 22 cases. In consecutive cases 23 to 70, the operating time was shorter for both the thoracic phase (median 215 vs. 249 minutes, P = 0.001) and overall procedure (median 394 vs. 440 minutes, P = 0.005), intraoperative blood loss was less (median 210 vs. 400 milliliters, P = 0.029), and lymph node yield was higher (median 32 vs. 23 nodes, P = 0.001) when compared to cases 1 to 22. No significant differences were found in terms of conversion rates, postoperative complications, length of stay, completeness of resection, or mortality. In conclusion, the structured training pathway resulted in a short and safe learning curve for RAMIE in this single center’s experience. As the pathway seems effective in implementing RAMIE without compromising the early oncological outcomes and complication rates, it is advised for surgeons who are wanting to adopt this technique.

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