Cargando…
Impact of Fellowship Training on One-Year Outcomes of Robotic-Assisted Prostatectomy
BACKGROUND AND OBJECTIVES: We examined 1-year functional and oncologic outcomes for robotic-assisted laparoscopic prostatectomy (RALP) from a single surgeon entering practice directly from fellowship training. METHODS: We prospectively analyzed the first 100 RALPs performed by one fellowship-trained...
Autores principales: | , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Society of Laparoendoscopic Surgeons
2012
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3481249/ https://www.ncbi.nlm.nih.gov/pubmed/23477165 http://dx.doi.org/10.4293/108680812X13291597717220 |
_version_ | 1782247710591549440 |
---|---|
author | Thiel, David D. Hutchinson, Ryan Diehl, Nancy Tavlarides, Andrea Williams, Adrienne Parker, Alexander S. |
author_facet | Thiel, David D. Hutchinson, Ryan Diehl, Nancy Tavlarides, Andrea Williams, Adrienne Parker, Alexander S. |
author_sort | Thiel, David D. |
collection | PubMed |
description | BACKGROUND AND OBJECTIVES: We examined 1-year functional and oncologic outcomes for robotic-assisted laparoscopic prostatectomy (RALP) from a single surgeon entering practice directly from fellowship training. METHODS: We prospectively analyzed the first 100 RALPs performed by one fellowship-trained robotic surgeon. Data included resident involvement during the procedure, perioperative data, and surgical complications (scored using the Clavien grading system). Health-related quality of life (HRQOL) data were captured using the EPIC questionnaire at baseline (prior to surgery) and at 1-year follow-up. RESULTS: Eighty-two patients (82%) had hospital stays of 2 days or less without any postoperative complications, urethral catheter removal was within 14 days of surgery, and none required readmission to the hospital. The overall positive margin rate was 21% (19% for patients with T2 disease). Clavien grades 1 through 4 complication rates, respectively, were 4%, 10%, 1%, and 1%. There were no deaths, reoperations, or bladder neck contractures. One patient (1%) required a blood transfusion within the 90-day perioperative period. At 1-year follow-up, 78% of patients reported wearing no pads; 41.3% of patients with baseline and 1-year follow-up data reported having intercourse. CONCLUSIONS: We provide baseline data pertaining to the morbidity, oncologic efficacy, continence results, and potency outcomes of new surgeons performing RALP. |
format | Online Article Text |
id | pubmed-3481249 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2012 |
publisher | Society of Laparoendoscopic Surgeons |
record_format | MEDLINE/PubMed |
spelling | pubmed-34812492012-11-02 Impact of Fellowship Training on One-Year Outcomes of Robotic-Assisted Prostatectomy Thiel, David D. Hutchinson, Ryan Diehl, Nancy Tavlarides, Andrea Williams, Adrienne Parker, Alexander S. JSLS Scientific Papers BACKGROUND AND OBJECTIVES: We examined 1-year functional and oncologic outcomes for robotic-assisted laparoscopic prostatectomy (RALP) from a single surgeon entering practice directly from fellowship training. METHODS: We prospectively analyzed the first 100 RALPs performed by one fellowship-trained robotic surgeon. Data included resident involvement during the procedure, perioperative data, and surgical complications (scored using the Clavien grading system). Health-related quality of life (HRQOL) data were captured using the EPIC questionnaire at baseline (prior to surgery) and at 1-year follow-up. RESULTS: Eighty-two patients (82%) had hospital stays of 2 days or less without any postoperative complications, urethral catheter removal was within 14 days of surgery, and none required readmission to the hospital. The overall positive margin rate was 21% (19% for patients with T2 disease). Clavien grades 1 through 4 complication rates, respectively, were 4%, 10%, 1%, and 1%. There were no deaths, reoperations, or bladder neck contractures. One patient (1%) required a blood transfusion within the 90-day perioperative period. At 1-year follow-up, 78% of patients reported wearing no pads; 41.3% of patients with baseline and 1-year follow-up data reported having intercourse. CONCLUSIONS: We provide baseline data pertaining to the morbidity, oncologic efficacy, continence results, and potency outcomes of new surgeons performing RALP. Society of Laparoendoscopic Surgeons 2012 /pmc/articles/PMC3481249/ /pubmed/23477165 http://dx.doi.org/10.4293/108680812X13291597717220 Text en © 2012 by JSLS, Journal of the Society of Laparoendoscopic Surgeons. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives License (http://creativecommons.org/licenses/by-nc-nd/3.0/), which permits for noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited and is not altered in any way. |
spellingShingle | Scientific Papers Thiel, David D. Hutchinson, Ryan Diehl, Nancy Tavlarides, Andrea Williams, Adrienne Parker, Alexander S. Impact of Fellowship Training on One-Year Outcomes of Robotic-Assisted Prostatectomy |
title | Impact of Fellowship Training on One-Year Outcomes of Robotic-Assisted Prostatectomy |
title_full | Impact of Fellowship Training on One-Year Outcomes of Robotic-Assisted Prostatectomy |
title_fullStr | Impact of Fellowship Training on One-Year Outcomes of Robotic-Assisted Prostatectomy |
title_full_unstemmed | Impact of Fellowship Training on One-Year Outcomes of Robotic-Assisted Prostatectomy |
title_short | Impact of Fellowship Training on One-Year Outcomes of Robotic-Assisted Prostatectomy |
title_sort | impact of fellowship training on one-year outcomes of robotic-assisted prostatectomy |
topic | Scientific Papers |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3481249/ https://www.ncbi.nlm.nih.gov/pubmed/23477165 http://dx.doi.org/10.4293/108680812X13291597717220 |
work_keys_str_mv | AT thieldavidd impactoffellowshiptrainingononeyearoutcomesofroboticassistedprostatectomy AT hutchinsonryan impactoffellowshiptrainingononeyearoutcomesofroboticassistedprostatectomy AT diehlnancy impactoffellowshiptrainingononeyearoutcomesofroboticassistedprostatectomy AT tavlaridesandrea impactoffellowshiptrainingononeyearoutcomesofroboticassistedprostatectomy AT williamsadrienne impactoffellowshiptrainingononeyearoutcomesofroboticassistedprostatectomy AT parkeralexanders impactoffellowshiptrainingononeyearoutcomesofroboticassistedprostatectomy |