Robot-assisted laparoscopic prostatectomy: analysis of an experienced open surgeon's learning curve after 300 procedures.
Identifieur interne : 003B41 ( Ncbi/Curation ); précédent : 003B40; suivant : 003B42Robot-assisted laparoscopic prostatectomy: analysis of an experienced open surgeon's learning curve after 300 procedures.
Auteurs : Nicolas Doumerc [Australie] ; Carlo Yuen [Australie] ; Richard Savdie [Australie] ; Md Bayzidur Rahman [Australie] ; Ruth Pe Benito [Australie] ; Phillip Stricker [Australie]Source :
- Journal of robotic surgery [ 1863-2483 ] ; 2010.
Abstract
To critically analyse the learning curve for a single experienced open surgeon converting to robotic surgery. From February 2006 to July 2009, 300 patients underwent a robot-assisted laparoscopic prostatectomy (RALP) by a single urologist. This study is a prospective analysis of the baseline patient and tumour characteristics, intraoperative and postoperative data, and histopathologic features. To analyse the RALP learning curve, the joinpoint regression method was used. Mean age of the patient was 61.3 years (range 46-76). Mean pre-operative PSA level was 7 ng/ml (range 0.7-41), and follow-up was 14 months (0.7-41). The mean operating time was 185 min (range 119-525). One hundred and ten cases were required to achieve 3-h proficiency. There were no conversions. The mean hospital stay was 2.8 days (range 2-7). Major complications rate was 1.3%. The blood transfusion rate was 0.6%. The overall positive surgical margin (PSM) rate was 21.3%. pT2 and pT3 PSM rate was 10 and 44%, respectively. The joinpoint regression method showed that the learning curve started to plateau for the overall PSM rate after 205 cases (95% CI 200-249). For pT2 and pT3, PSM rate, the learning curve tended to flatten after 130 and 170 cases, respectively. The analysis of an experienced open surgeon learning curve in transferring his skills to the robotic platform has shown that 3-h proficiency requires 110 cases. The overall, pT2, and pT3 PSM rate take approximately 200, 130, and 170 cases, respectively, to flatten.
DOI: 10.1007/s11701-010-0171-5
PubMed: 27628635
Links toward previous steps (curation, corpus...)
- to stream PubMed, to step Corpus: Pour aller vers cette notice dans l'étape Curation :003C06
- to stream PubMed, to step Curation: Pour aller vers cette notice dans l'étape Curation :003A61
- to stream PubMed, to step Checkpoint: Pour aller vers cette notice dans l'étape Curation :003A61
- to stream Ncbi, to step Merge: Pour aller vers cette notice dans l'étape Curation :003B41
Links to Exploration step
pubmed:27628635Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Robot-assisted laparoscopic prostatectomy: analysis of an experienced open surgeon's learning curve after 300 procedures.</title>
<author><name sortKey="Doumerc, Nicolas" sort="Doumerc, Nicolas" uniqKey="Doumerc N" first="Nicolas" last="Doumerc">Nicolas Doumerc</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Urology, St Vincent's Private Hospital, Suite 905, 438 Victoria Street, Darlinghurst, Sydney, NSW, 2010, Australia. ndoumerc@gmail.com.</nlm:affiliation>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Department of Urology, St Vincent's Private Hospital, Suite 905, 438 Victoria Street, Darlinghurst, Sydney, NSW, 2010</wicri:regionArea>
<wicri:noRegion>2010</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Yuen, Carlo" sort="Yuen, Carlo" uniqKey="Yuen C" first="Carlo" last="Yuen">Carlo Yuen</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Urology, St Vincent's Private Hospital, Suite 905, 438 Victoria Street, Darlinghurst, Sydney, NSW, 2010, Australia.</nlm:affiliation>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Department of Urology, St Vincent's Private Hospital, Suite 905, 438 Victoria Street, Darlinghurst, Sydney, NSW, 2010</wicri:regionArea>
<wicri:noRegion>2010</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Savdie, Richard" sort="Savdie, Richard" uniqKey="Savdie R" first="Richard" last="Savdie">Richard Savdie</name>
<affiliation wicri:level="1"><nlm:affiliation>Cancer Research Program, The Garvan Institute of Medical Research, Darlinghurst, Sydney, NSW, Australia.</nlm:affiliation>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Cancer Research Program, The Garvan Institute of Medical Research, Darlinghurst, Sydney, NSW</wicri:regionArea>
<wicri:noRegion>NSW</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Rahman, Md Bayzidur" sort="Rahman, Md Bayzidur" uniqKey="Rahman M" first="Md Bayzidur" last="Rahman">Md Bayzidur Rahman</name>
<affiliation wicri:level="4"><nlm:affiliation>Sydney School of Public Health, The University of Sydney, Sydney, NSW, Australia.</nlm:affiliation>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Sydney School of Public Health, The University of Sydney, Sydney, NSW</wicri:regionArea>
<orgName type="university">Université de Sydney</orgName>
<placeName><settlement type="city">Sydney</settlement>
<region type="état">Nouvelle-Galles du Sud</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Pe Benito, Ruth" sort="Pe Benito, Ruth" uniqKey="Pe Benito R" first="Ruth" last="Pe Benito">Ruth Pe Benito</name>
<affiliation wicri:level="1"><nlm:affiliation>Cancer Research Program, The Garvan Institute of Medical Research, Darlinghurst, Sydney, NSW, Australia.</nlm:affiliation>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Cancer Research Program, The Garvan Institute of Medical Research, Darlinghurst, Sydney, NSW</wicri:regionArea>
<wicri:noRegion>NSW</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Stricker, Phillip" sort="Stricker, Phillip" uniqKey="Stricker P" first="Phillip" last="Stricker">Phillip Stricker</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Urology, St Vincent's Private Hospital, Suite 905, 438 Victoria Street, Darlinghurst, Sydney, NSW, 2010, Australia.</nlm:affiliation>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Department of Urology, St Vincent's Private Hospital, Suite 905, 438 Victoria Street, Darlinghurst, Sydney, NSW, 2010</wicri:regionArea>
<wicri:noRegion>2010</wicri:noRegion>
</affiliation>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">PubMed</idno>
<date when="2010">2010</date>
<idno type="RBID">pubmed:27628635</idno>
<idno type="pmid">27628635</idno>
<idno type="doi">10.1007/s11701-010-0171-5</idno>
<idno type="wicri:Area/PubMed/Corpus">003C06</idno>
<idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">003C06</idno>
<idno type="wicri:Area/PubMed/Curation">003A61</idno>
<idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">003A61</idno>
<idno type="wicri:Area/PubMed/Checkpoint">003A61</idno>
<idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">003A61</idno>
<idno type="wicri:Area/Ncbi/Merge">003B41</idno>
<idno type="wicri:Area/Ncbi/Curation">003B41</idno>
</publicationStmt>
<sourceDesc><biblStruct><analytic><title xml:lang="en">Robot-assisted laparoscopic prostatectomy: analysis of an experienced open surgeon's learning curve after 300 procedures.</title>
<author><name sortKey="Doumerc, Nicolas" sort="Doumerc, Nicolas" uniqKey="Doumerc N" first="Nicolas" last="Doumerc">Nicolas Doumerc</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Urology, St Vincent's Private Hospital, Suite 905, 438 Victoria Street, Darlinghurst, Sydney, NSW, 2010, Australia. ndoumerc@gmail.com.</nlm:affiliation>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Department of Urology, St Vincent's Private Hospital, Suite 905, 438 Victoria Street, Darlinghurst, Sydney, NSW, 2010</wicri:regionArea>
<wicri:noRegion>2010</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Yuen, Carlo" sort="Yuen, Carlo" uniqKey="Yuen C" first="Carlo" last="Yuen">Carlo Yuen</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Urology, St Vincent's Private Hospital, Suite 905, 438 Victoria Street, Darlinghurst, Sydney, NSW, 2010, Australia.</nlm:affiliation>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Department of Urology, St Vincent's Private Hospital, Suite 905, 438 Victoria Street, Darlinghurst, Sydney, NSW, 2010</wicri:regionArea>
<wicri:noRegion>2010</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Savdie, Richard" sort="Savdie, Richard" uniqKey="Savdie R" first="Richard" last="Savdie">Richard Savdie</name>
<affiliation wicri:level="1"><nlm:affiliation>Cancer Research Program, The Garvan Institute of Medical Research, Darlinghurst, Sydney, NSW, Australia.</nlm:affiliation>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Cancer Research Program, The Garvan Institute of Medical Research, Darlinghurst, Sydney, NSW</wicri:regionArea>
<wicri:noRegion>NSW</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Rahman, Md Bayzidur" sort="Rahman, Md Bayzidur" uniqKey="Rahman M" first="Md Bayzidur" last="Rahman">Md Bayzidur Rahman</name>
<affiliation wicri:level="4"><nlm:affiliation>Sydney School of Public Health, The University of Sydney, Sydney, NSW, Australia.</nlm:affiliation>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Sydney School of Public Health, The University of Sydney, Sydney, NSW</wicri:regionArea>
<orgName type="university">Université de Sydney</orgName>
<placeName><settlement type="city">Sydney</settlement>
<region type="état">Nouvelle-Galles du Sud</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Pe Benito, Ruth" sort="Pe Benito, Ruth" uniqKey="Pe Benito R" first="Ruth" last="Pe Benito">Ruth Pe Benito</name>
<affiliation wicri:level="1"><nlm:affiliation>Cancer Research Program, The Garvan Institute of Medical Research, Darlinghurst, Sydney, NSW, Australia.</nlm:affiliation>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Cancer Research Program, The Garvan Institute of Medical Research, Darlinghurst, Sydney, NSW</wicri:regionArea>
<wicri:noRegion>NSW</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Stricker, Phillip" sort="Stricker, Phillip" uniqKey="Stricker P" first="Phillip" last="Stricker">Phillip Stricker</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Urology, St Vincent's Private Hospital, Suite 905, 438 Victoria Street, Darlinghurst, Sydney, NSW, 2010, Australia.</nlm:affiliation>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Department of Urology, St Vincent's Private Hospital, Suite 905, 438 Victoria Street, Darlinghurst, Sydney, NSW, 2010</wicri:regionArea>
<wicri:noRegion>2010</wicri:noRegion>
</affiliation>
</author>
</analytic>
<series><title level="j">Journal of robotic surgery</title>
<idno type="ISSN">1863-2483</idno>
<imprint><date when="2010" type="published">2010</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc><textClass></textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en">To critically analyse the learning curve for a single experienced open surgeon converting to robotic surgery. From February 2006 to July 2009, 300 patients underwent a robot-assisted laparoscopic prostatectomy (RALP) by a single urologist. This study is a prospective analysis of the baseline patient and tumour characteristics, intraoperative and postoperative data, and histopathologic features. To analyse the RALP learning curve, the joinpoint regression method was used. Mean age of the patient was 61.3 years (range 46-76). Mean pre-operative PSA level was 7 ng/ml (range 0.7-41), and follow-up was 14 months (0.7-41). The mean operating time was 185 min (range 119-525). One hundred and ten cases were required to achieve 3-h proficiency. There were no conversions. The mean hospital stay was 2.8 days (range 2-7). Major complications rate was 1.3%. The blood transfusion rate was 0.6%. The overall positive surgical margin (PSM) rate was 21.3%. pT2 and pT3 PSM rate was 10 and 44%, respectively. The joinpoint regression method showed that the learning curve started to plateau for the overall PSM rate after 205 cases (95% CI 200-249). For pT2 and pT3, PSM rate, the learning curve tended to flatten after 130 and 170 cases, respectively. The analysis of an experienced open surgeon learning curve in transferring his skills to the robotic platform has shown that 3-h proficiency requires 110 cases. The overall, pT2, and pT3 PSM rate take approximately 200, 130, and 170 cases, respectively, to flatten.</div>
</front>
</TEI>
</record>
Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Asie/explor/AustralieFrV1/Data/Ncbi/Curation
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 003B41 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Ncbi/Curation/biblio.hfd -nk 003B41 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien |wiki= Wicri/Asie |area= AustralieFrV1 |flux= Ncbi |étape= Curation |type= RBID |clé= pubmed:27628635 |texte= Robot-assisted laparoscopic prostatectomy: analysis of an experienced open surgeon's learning curve after 300 procedures. }}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/Ncbi/Curation/RBID.i -Sk "pubmed:27628635" \ | HfdSelect -Kh $EXPLOR_AREA/Data/Ncbi/Curation/biblio.hfd \ | NlmPubMed2Wicri -a AustralieFrV1
![]() | This area was generated with Dilib version V0.6.33. | ![]() |