Laparoscopic radical prostatectomy: a single surgeon’s experience in 80 cases after 2 years of formal training
Abstract Background To 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. Methods The records of 80 LRP cases performed betw...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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SpringerOpen
2021-04-01
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| Series: | African Journal of Urology |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12301-021-00159-5 |
| _version_ | 1818937508395745280 |
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| author | Sinan Çelen Yusuf Özlülerden Aslı Mete Aykut Başer Ömer Levent Tuncay Ali Ersin Zümrütbaş |
| author_facet | Sinan Çelen Yusuf Özlülerden Aslı Mete Aykut Başer Ömer Levent Tuncay Ali Ersin Zümrütbaş |
| author_sort | Sinan Çelen |
| collection | DOAJ |
| description | Abstract Background To 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. Methods The 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. Results Clinical and surgical stages of the four groups were similar between groups. The operative time (126.8 ± 5.48 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 |
| first_indexed | 2024-12-20T05:53:04Z |
| format | Article |
| id | doaj.art-6632ea9295e1434880000b9f7903db14 |
| institution | Directory Open Access Journal |
| issn | 1110-5704 1961-9987 |
| language | English |
| last_indexed | 2024-12-20T05:53:04Z |
| publishDate | 2021-04-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | African Journal of Urology |
| spelling | doaj.art-6632ea9295e1434880000b9f7903db142022-12-21T19:51:06ZengSpringerOpenAfrican Journal of Urology1110-57041961-99872021-04-012711610.1186/s12301-021-00159-5Laparoscopic radical prostatectomy: a single surgeon’s experience in 80 cases after 2 years of formal trainingSinan Çelen0Yusuf Özlülerden1Aslı Mete2Aykut Başer3Ömer Levent Tuncay4Ali Ersin Zümrütbaş5Department of Urology, Pamukkale University Hospital and Faculty of MedicineDepartment of Urology, Pamukkale University Hospital and Faculty of MedicineDepartment of Anesthesia and Reanimation, Pamukkale University Hospital and Faculty of MedicineDepartment of Urology, Hitit University Hospital and Faculty of MedicineDepartment of Urology, Pamukkale University Hospital and Faculty of MedicineDepartment of Urology, Pamukkale University Hospital and Faculty of MedicineAbstract Background To 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. Methods The 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. Results Clinical and surgical stages of the four groups were similar between groups. The operative time (126.8 ± 5.48 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 ratehttps://doi.org/10.1186/s12301-021-00159-5Learning curveLaparoscopyRadical prostatectomyProstate cancer |
| spellingShingle | Sinan Çelen Yusuf Özlülerden Aslı Mete Aykut Başer Ömer Levent Tuncay Ali Ersin Zümrütbaş Laparoscopic radical prostatectomy: a single surgeon’s experience in 80 cases after 2 years of formal training African Journal of Urology Learning curve Laparoscopy Radical prostatectomy Prostate cancer |
| title | Laparoscopic radical prostatectomy: a single surgeon’s experience in 80 cases after 2 years of formal training |
| title_full | Laparoscopic radical prostatectomy: a single surgeon’s experience in 80 cases after 2 years of formal training |
| title_fullStr | Laparoscopic radical prostatectomy: a single surgeon’s experience in 80 cases after 2 years of formal training |
| title_full_unstemmed | Laparoscopic radical prostatectomy: a single surgeon’s experience in 80 cases after 2 years of formal training |
| title_short | Laparoscopic radical prostatectomy: a single surgeon’s experience in 80 cases after 2 years of formal training |
| title_sort | laparoscopic radical prostatectomy a single surgeon s experience in 80 cases after 2 years of formal training |
| topic | Learning curve Laparoscopy Radical prostatectomy Prostate cancer |
| url | https://doi.org/10.1186/s12301-021-00159-5 |
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