Laparoscopic radical prostatectomy: a single surgeon's experience in 80 cases after 2 years of formal training
Yükleniyor...
Dosyalar
Tarih
2021
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Springer
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
BackgroundTo assess the learning curve in laparoscopic radical prostatectomy (LRP) performed by a single surgeon who had a healthcare career as a surgical first assistant for 2 years in high-volume centers treating>150 cases per year.MethodsThe records of 80 LRP cases performed between October 2017 and August 2018 by a single surgeon were consecutively divided into four groups (groups A=first 20 cases, B=second 20 cases, C=third 20 cases, and D=last 20 cases). The groups were compared in terms of surgical and functional outcomes with a minimum follow-up of 6 months.ResultsClinical and surgical stages of the four groups were similar between groups. The operative time (126.85.48 min; P=0.001) and time of removal of the drain (1.65 +/- 0.93 days; P=0.029) were significantly lower in group D; however, hospitalization, catheterization time, and blood loss were similar between groups. The complication rate was low. No patient had a visceral injury, and there were no procedures needed to open conversion. The positive surgical margin (PSM) rates were similar between groups. In terms of continence and potency, all groups were similar at the 6th-month follow-up after surgery.Conclusions Our results showed that prior experience in laparoscopic surgery as a surgical first assistant in a high-volume center improves the learning curve and oncological and functional outcomes, and helps to minimize the complication rate
Açıklama
Anahtar Kelimeler
Learning curve, Laparoscopy, Radical prostatectomy, Prostate cancer
Kaynak
African Journal Of Urology
WoS Q Değeri
N/A
Scopus Q Değeri
Q3
Cilt
27
Sayı
1
Künye
Çelen, S., Özlülerden, Y., Mete, A., Başer, A., Tuncay, Ö. L., & Zümrütbaş, A. E. (2021). Laparoscopic radical prostatectomy: a single surgeon’s experience in 80 cases after 2 years of formal training. African Journal of Urology, 27(1), 1-6.
