Passing a Learning Curve after 200 Cases of Robotic Assisted Laparoscopic Radical Prostatectomy: Experience from a single surgeon
Keywords:Robotic Assisted Laparoscopic Radical Prostatectomy
Introduction: There are many options of treatment in early prostate cancer patients. Nowadays, the patients seek treatment aiming for cure without much troublesome. Robotic Assisted Laparoscopic Radical Prostatectomy is one of them.
Objective: To evaluate oncological outcome of 200 cases of Robotic Assisted Laparoscopic Radical Prostatectomy done by a single surgeon’s experience.
Materials and Methods: 200 patients with localized prostate cancer, who underwent Robotic Assisted Laparoscopic Radical Prostatectomy were enrolled. Oncological outcomes and peri-operative results were evaluated.
Results: Whthin the last 61 cases of pT2 disease, positive surgical margin rate was reported as 4.9% operative time and intra-operative blood loss were significantly reduced in the last 100 cases.
Conclusion: Robotic Assisted Laparoscopic Radical Prostatectomy is one of the good options for early prostate cancer patients. The author’s learning curve was 100 cases to get significantly improved outcomes.
Srinualnad S. Extraperitoneal robotic assted laparoscopic radical prostatectomy: The new approach for early prostate cancer. Thai J Urol 2007; 28(1): 1-6.
Srinualnad S. Early experience of robotic assisted laparoscopic radical prostatectomy. J Med Assoc Thai 2008; 91(3): 377-82.
Srinualnad S. robotic Assisted Laparoscopic Radical Prostatectomy without Proctorship: Early Experience of the First Series in Asia. Thai J Surg 2008; 29(1): 1-5.
Srinualnad S. Sittiporn’s Sound facilitating Urethro-vesical Anastomosis during Extraperitoneal Laparoscopic Radical Prostatectomy and Extraperitoneal Robotic Assisted Laparoscopic Radical Prostatectomy: The New Invention. Thai J Urol 2007; 28(2): 150-3.
Srinualnad S. Robotic Prostatectomy: Dose the Approach matter? Thai J Urol 2008; 29(1): 39-42.
Srinualnad S. Outcome of Robotic Assisted Laparoscopic Radical Prostatectomy after 112 Consecutive cases. Thai J Urol 2009; 30(1): 1-5.
Srinualnad S. Robotic Assisted Laparoscopic Radical Prostatectomy: When cure can come with quality of life. Thai J Urol 2009; 30(2): 47-51.
Menon M, Shrivastava A, Kaul S, Badani KK, Fumo M, Bhandari M, et al. Vattikuti Institute prostatectomy: contemporary technique and analysis of results. Eur Urol 2007; 51(3): 648-57.
Ahlering TE, Skarecky D, Borin J. Impact of cauter versus cautery-free presevervation of neurovascular bundles on early return of potency. J Endourol 2006; 20(8): 586-9.
Kaul S, Savera A, Badani K, Fumo M, Bhandari A, Menon M. Functional outcome sand oncological efficacy of Vattikuti Institute prostatectomy with Veil of Aphrodite nerve-sparing: an analysis of 154 consecutive patients. BJU Int 2006; 97(3): 467-72.
Zorn KC, Gofrit ON, Orvieto MA, Mikhail AA, Zagaja GP, Shalhav AL. Robotic-assisted laparoscopic prostatectomy: Functional and pathologic outcomes with interfasical nerve preservation. Eur Urol 2007; 51(3): 755-62.
Herrell SD, Smith JA Jr. Robotic-assisted laparoscopic prostatectomy: with is the learning curve? Urology 2005; 66(5 suppl): 105-7.
Atug F, Castie EP, Srivastav SK, Burgess SV, Thomas R, Davis R. Positive surgical margins in robotic-assisted radical prostatectomy: impact of learning curve on oncologic outcomes. Eur Urol 2006; 49(5): 866-71.