Single-port robot-assisted perineal radical prostatectomy with the da Vinci XI system: initial experience and learning curve using the cumulative sum method
Abstract Background To evaluate the early functional and oncological outcomes of single-port robot-assisted perineal radical prostatectomy (sp-pRARP) using the da Vinci XI system and analyze its learning curve using the cumulative sum (CUSUM) method. Methods The clinical data of 50 patients who unde...
| Main Authors: | , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2023-02-01
|
| Series: | World Journal of Surgical Oncology |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12957-023-02927-9 |
| _version_ | 1797864523485413376 |
|---|---|
| author | Chenhao Yu Li Xu Liyin Ye Qiming Zheng Haiyi Hu Kangxin Ni Chenghao Zhou Dingwei Xue Sheng Cheng Hui Wang Raymond Wei Pak Gonghui Li |
| author_facet | Chenhao Yu Li Xu Liyin Ye Qiming Zheng Haiyi Hu Kangxin Ni Chenghao Zhou Dingwei Xue Sheng Cheng Hui Wang Raymond Wei Pak Gonghui Li |
| author_sort | Chenhao Yu |
| collection | DOAJ |
| description | Abstract Background To evaluate the early functional and oncological outcomes of single-port robot-assisted perineal radical prostatectomy (sp-pRARP) using the da Vinci XI system and analyze its learning curve using the cumulative sum (CUSUM) method. Methods The clinical data of 50 patients who underwent sp-pRARP for localized prostate cancer between May 2020 and May 2022 in our center by a single surgeon were analyzed retrospectively. Demographic information, preoperative and postoperative variables, complications, early functional and oncological outcomes of patients were recorded. The CUSUM method was used to illustrate the learning curve based on operation time. Results All surgeries were completed without conversion. The median (interquartile range, IQR) operation time was 205.0 (82.5) min, whereas the median (IQR) docking time was 30.0 (15.0) min and the console time was 120.0 (80.5) min. The median (IQR) estimated blood loss (EBL) was 50.0 (137.5) mL. Positive surgical margins were detected in five patients (10.0%). The continence rate was 40.9%, 63.6%, 88.4%, and 97.7% at the 1, 3, 6, and 12 months after surgery. According to the CUSUM plot, the inflection points of the learning curve were 20 cases, splitting the case series into “early phase” and “late phase.” In “late phase” cases, there was less time spent on each step of the operation and less EBL. Conclusions Sp-pRARP using the da Vinci XI system was verified to be a feasible and reliable surgical approach. According to the CUSUM plot, 20 cases was considered the turning point for surgeons to master the novel technique. |
| first_indexed | 2024-04-09T22:54:19Z |
| format | Article |
| id | doaj.art-ce1c27a871944f2c806075855110b2d2 |
| institution | Directory Open Access Journal |
| issn | 1477-7819 |
| language | English |
| last_indexed | 2024-04-09T22:54:19Z |
| publishDate | 2023-02-01 |
| publisher | BMC |
| record_format | Article |
| series | World Journal of Surgical Oncology |
| spelling | doaj.art-ce1c27a871944f2c806075855110b2d22023-03-22T11:24:21ZengBMCWorld Journal of Surgical Oncology1477-78192023-02-0121111010.1186/s12957-023-02927-9Single-port robot-assisted perineal radical prostatectomy with the da Vinci XI system: initial experience and learning curve using the cumulative sum methodChenhao Yu0Li Xu1Liyin Ye2Qiming Zheng3Haiyi Hu4Kangxin Ni5Chenghao Zhou6Dingwei Xue7Sheng Cheng8Hui Wang9Raymond Wei Pak10Gonghui Li11Department of Urology, Sir Run Run Shaw Hospital, Zhejiang University School of MedicineDepartment of Urology, Sir Run Run Shaw Hospital, Zhejiang University School of MedicineDepartment of Urology, Sir Run Run Shaw Hospital, Zhejiang University School of MedicineDepartment of Urology, Sir Run Run Shaw Hospital, Zhejiang University School of MedicineDepartment of Urology, Sir Run Run Shaw Hospital, Zhejiang University School of MedicineDepartment of Urology, Sir Run Run Shaw Hospital, Zhejiang University School of MedicineDepartment of Urology, Sir Run Run Shaw Hospital, Zhejiang University School of MedicineDepartment of Urology, Sir Run Run Shaw Hospital, Zhejiang University School of MedicineDepartment of Urology, Sir Run Run Shaw Hospital, Zhejiang University School of MedicineDepartment of Urology, Sir Run Run Shaw Hospital, Zhejiang University School of MedicineDepartment of UrologyDepartment of Urology, Sir Run Run Shaw Hospital, Zhejiang University School of MedicineAbstract Background To evaluate the early functional and oncological outcomes of single-port robot-assisted perineal radical prostatectomy (sp-pRARP) using the da Vinci XI system and analyze its learning curve using the cumulative sum (CUSUM) method. Methods The clinical data of 50 patients who underwent sp-pRARP for localized prostate cancer between May 2020 and May 2022 in our center by a single surgeon were analyzed retrospectively. Demographic information, preoperative and postoperative variables, complications, early functional and oncological outcomes of patients were recorded. The CUSUM method was used to illustrate the learning curve based on operation time. Results All surgeries were completed without conversion. The median (interquartile range, IQR) operation time was 205.0 (82.5) min, whereas the median (IQR) docking time was 30.0 (15.0) min and the console time was 120.0 (80.5) min. The median (IQR) estimated blood loss (EBL) was 50.0 (137.5) mL. Positive surgical margins were detected in five patients (10.0%). The continence rate was 40.9%, 63.6%, 88.4%, and 97.7% at the 1, 3, 6, and 12 months after surgery. According to the CUSUM plot, the inflection points of the learning curve were 20 cases, splitting the case series into “early phase” and “late phase.” In “late phase” cases, there was less time spent on each step of the operation and less EBL. Conclusions Sp-pRARP using the da Vinci XI system was verified to be a feasible and reliable surgical approach. According to the CUSUM plot, 20 cases was considered the turning point for surgeons to master the novel technique.https://doi.org/10.1186/s12957-023-02927-9Prostate cancerRadical prostatectomyPerineal prostatectomySingle portLearning curve |
| spellingShingle | Chenhao Yu Li Xu Liyin Ye Qiming Zheng Haiyi Hu Kangxin Ni Chenghao Zhou Dingwei Xue Sheng Cheng Hui Wang Raymond Wei Pak Gonghui Li Single-port robot-assisted perineal radical prostatectomy with the da Vinci XI system: initial experience and learning curve using the cumulative sum method World Journal of Surgical Oncology Prostate cancer Radical prostatectomy Perineal prostatectomy Single port Learning curve |
| title | Single-port robot-assisted perineal radical prostatectomy with the da Vinci XI system: initial experience and learning curve using the cumulative sum method |
| title_full | Single-port robot-assisted perineal radical prostatectomy with the da Vinci XI system: initial experience and learning curve using the cumulative sum method |
| title_fullStr | Single-port robot-assisted perineal radical prostatectomy with the da Vinci XI system: initial experience and learning curve using the cumulative sum method |
| title_full_unstemmed | Single-port robot-assisted perineal radical prostatectomy with the da Vinci XI system: initial experience and learning curve using the cumulative sum method |
| title_short | Single-port robot-assisted perineal radical prostatectomy with the da Vinci XI system: initial experience and learning curve using the cumulative sum method |
| title_sort | single port robot assisted perineal radical prostatectomy with the da vinci xi system initial experience and learning curve using the cumulative sum method |
| topic | Prostate cancer Radical prostatectomy Perineal prostatectomy Single port Learning curve |
| url | https://doi.org/10.1186/s12957-023-02927-9 |
| work_keys_str_mv | AT chenhaoyu singleportrobotassistedperinealradicalprostatectomywiththedavincixisysteminitialexperienceandlearningcurveusingthecumulativesummethod AT lixu singleportrobotassistedperinealradicalprostatectomywiththedavincixisysteminitialexperienceandlearningcurveusingthecumulativesummethod AT liyinye singleportrobotassistedperinealradicalprostatectomywiththedavincixisysteminitialexperienceandlearningcurveusingthecumulativesummethod AT qimingzheng singleportrobotassistedperinealradicalprostatectomywiththedavincixisysteminitialexperienceandlearningcurveusingthecumulativesummethod AT haiyihu singleportrobotassistedperinealradicalprostatectomywiththedavincixisysteminitialexperienceandlearningcurveusingthecumulativesummethod AT kangxinni singleportrobotassistedperinealradicalprostatectomywiththedavincixisysteminitialexperienceandlearningcurveusingthecumulativesummethod AT chenghaozhou singleportrobotassistedperinealradicalprostatectomywiththedavincixisysteminitialexperienceandlearningcurveusingthecumulativesummethod AT dingweixue singleportrobotassistedperinealradicalprostatectomywiththedavincixisysteminitialexperienceandlearningcurveusingthecumulativesummethod AT shengcheng singleportrobotassistedperinealradicalprostatectomywiththedavincixisysteminitialexperienceandlearningcurveusingthecumulativesummethod AT huiwang singleportrobotassistedperinealradicalprostatectomywiththedavincixisysteminitialexperienceandlearningcurveusingthecumulativesummethod AT raymondweipak singleportrobotassistedperinealradicalprostatectomywiththedavincixisysteminitialexperienceandlearningcurveusingthecumulativesummethod AT gonghuili singleportrobotassistedperinealradicalprostatectomywiththedavincixisysteminitialexperienceandlearningcurveusingthecumulativesummethod |