Determining the learning curve for robot-assisted radical perineal prostatectomy in surgeons familiar with robotic retropubic prostatectomy

Authors : Yusuf İlker ÇÖMEZ, Melih BALCI, Doğukan SÖKMEN, Kamil Gökhan ŞEKER, Volkan TUĞCU

Pages : 92-99

Doi:10.33719/yud.2023;18-1-1238308

View : 9 | Download : 7

Publication Date : 2023-02-27

Article Type : Research Paper

Abstract :Objective: To investigate the learning curve for robot assisted laparoscopic radical perineal prostatectomy insert ignore into journalissuearticles values(robotic RPP); for surgeons who already perform transperitoneal robot assisted laparoscopic radical prostatectomy. Material and Methods: A total of initial 120 robotic RPP cases were analyzed for perioperative data from single surgeon performing to determine the learning curve. Perioperative all data are collected including operation time, estimated blood loss, postoperative length of stay, complications and positive surgical margin results. The consecutive patients were classified into four groups: cases 1–30 insert ignore into journalissuearticles values(Group 1);, cases 31–60 insert ignore into journalissuearticles values(Group 2);, cases 61–90 insert ignore into journalissuearticles values(Group 3); and cases 91-120 insert ignore into journalissuearticles values(Group 4);. Results: Median age of 61.4 insert ignore into journalissuearticles values(46-73); years and PSA level was 8.4 insert ignore into journalissuearticles values(2-32);. Mean operative time was 143.2 minutes, and the length of surgery progressively decreased over time insert ignore into journalissuearticles values(from group 1 to group 4; P<001);. Mean console time was 90.6 minutes and significant differences was found group 3 vs. 4 insert ignore into journalissuearticles values(p=0.047);. The mean length of stay was 1.6 days, and significantly decrease after 60 cases over time insert ignore into journalissuearticles values(P<0.001);. Mean removal of the urethral catheter significantly earlier in group 4 insert ignore into journalissuearticles values(P1vs4=0.012);. There was no statistically significant difference between the groups with respect to pathologic tumor Gleason score, positive surgical margine of the specimen and complications. Conclusions: This study suggests that surgical qualification for robotic RPP can be obtained at least after 90 cases for an experienced robotic surgeon.
Keywords : Prostatektomi, Robot yardımlı, Perineal, Öğrenme Eğrisi, Prostat Kanseri