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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...

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Autores principales: Thiel, David D., Hutchinson, Ryan, Diehl, Nancy, Tavlarides, Andrea, Williams, Adrienne, Parker, Alexander S.
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
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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.
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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
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