Analysis of Learning Curve in Robot-Assisted Radical Prostatectomy Performed by a Surgeon
المؤلفون المشاركون
Slusarenco, Roman I.
Mikheev, Konstantin V.
Prostomolotov, Artem O.
Sukhanov, Roman B.
Bezrukov, Evgeny A.
المصدر
العدد
المجلد 2020، العدد 2020 (31 ديسمبر/كانون الأول 2020)، ص ص. 1-7، 7ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2020-05-26
دولة النشر
مصر
عدد الصفحات
7
التخصصات الرئيسية
الملخص EN
This study aimed to report the learning curve in robot-assisted radical prostatectomy (RARP) performed by one surgeon who is experienced in laparoscopic prostatectomies.
The records of 145 RARP cases performed between 2015 and 2017 were evaluated retrospectively.
Patients were divided into three groups: group 1 comprised the first 49 cases, group 2 comprised 50–88 cases, and the rest of the cases were assigned to group 3.
Continence was defined as the necessity to use at least one pad during a day.
Additionally, erectile function recovery was defined as having erection sufficient for sexual intercourse regardless of using a phosphodiesterase type 5 inhibitor.
Continence and erectile function recovery were assessed during interviews at 3, 6, and 12 months after surgery.
First, all procedures were successfully performed without conversions or blood transfusions.
The median follow-up period was 22 months.
Moreover, the median skin-to-skin operative time (OT) was 220 minutes.
The median blood loss was 150 ml, and the mean hospital stay was 8.9 ± 3.87 days.
The median prostate volume was 36 cm³.
The overall positive surgical margin rate was 13.1%.
Overall, 38 (26.2%) postoperative complications were observed, and 17.9% of them were graded as minor.
Anastomotic leakage decreased significantly from group 1 to group 3 (26.5% and 7%, respectively).
The continence recovery (0-1 pad) rates were 60.6%, 75.7%, and 84.9% at 3, 6, and 12 months after surgery, respectively.
Subsequently, the erectile function recovery rates were 50.9% and 65.4% at 6 and 12 months after surgery, respectively.
In conclusion, there are several types of learning curves for RARP.
First, the shallowest learning curve was observed for the OT.
Regarding the analysis of “advanced learning curve,” demonstrating the improvement of OT and blood loss is considered insufficient.
Therefore, additional oncological and functional results that require a longer period of investigation are required.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Slusarenco, Roman I.& Mikheev, Konstantin V.& Prostomolotov, Artem O.& Sukhanov, Roman B.& Bezrukov, Evgeny A.. 2020. Analysis of Learning Curve in Robot-Assisted Radical Prostatectomy Performed by a Surgeon. Advances in Urology،Vol. 2020, no. 2020, pp.1-7.
https://search.emarefa.net/detail/BIM-1130655
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Slusarenco, Roman I.…[et al.]. Analysis of Learning Curve in Robot-Assisted Radical Prostatectomy Performed by a Surgeon. Advances in Urology No. 2020 (2020), pp.1-7.
https://search.emarefa.net/detail/BIM-1130655
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Slusarenco, Roman I.& Mikheev, Konstantin V.& Prostomolotov, Artem O.& Sukhanov, Roman B.& Bezrukov, Evgeny A.. Analysis of Learning Curve in Robot-Assisted Radical Prostatectomy Performed by a Surgeon. Advances in Urology. 2020. Vol. 2020, no. 2020, pp.1-7.
https://search.emarefa.net/detail/BIM-1130655
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1130655
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر