Overcoming the Learning Curve for Robotic-assisted Laparoscopic Radical Prostatectomy

被引:34
作者
Freire, Marcos P. [1 ]
Choi, Wesley W. [1 ]
Lei, Yin [1 ]
Carvas, Fernando [1 ]
Hu, Jim C. [1 ]
机构
[1] Brigham & Womens Hosp, Div Urol, Boston, MA 02115 USA
关键词
Radical prostatectomy; Robotic surgical technique; Prostate cancer; Learning curve; BLADDER NECK PRESERVATION; POSITIVE SURGICAL MARGINS; VATTIKUTI-INSTITUTE PROSTATECTOMY; URETHROVESICAL ANASTOMOSIS; INITIAL-EXPERIENCE; APICAL DISSECTION; RETROPUBIC PROSTATECTOMY; URINARY CONTINENCE; EXTRAPERITONEAL; TRANSPERITONEAL;
D O I
10.1016/j.ucl.2009.11.005
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Robotic-assisted laparoscopic radical prostatectomy (RALP) has been rapidly adopted in the last few years despite having a prolonged learning curve. This article describes the RALP learning curve, reviews in detail the challenging steps of the operation, describes the authors' RALP technique, and concludes with tips to overcome the learning curve.
引用
收藏
页码:37 / +
页数:12
相关论文
共 74 条
[1]  
ABBOU CC, 1964, J UROLOGY, V165, P2001
[2]   Robotic radical prostatectomy: A technique to reduce pT2 positive margins [J].
Ahlering, TE ;
Eichel, L ;
Edwards, RA ;
Lee, DI ;
Skarecky, DW .
UROLOGY, 2004, 64 (06) :1224-1228
[3]   Successful transfer of open surgical skills to a laparoscopic environment using a robotic interface: Initial experience with laparoscopic radical prostatectomy [J].
Ahlering, TE ;
Skarecky, D ;
Lee, D ;
Clayman, RV .
JOURNAL OF UROLOGY, 2003, 170 (05) :1738-1741
[4]   Evaluation of Long-Term Thermal Injury Using Cautery During Nerve Sparing Robotic Prostatectomy [J].
Ahlering, Thomas E. ;
Eichel, Louis ;
Skarecky, Douglas .
UROLOGY, 2008, 72 (06) :1371-1374
[5]  
[Anonymous], 1936, J. Aeronaut. Sci, DOI [10.2514/8.155, DOI 10.2514/8.155]
[6]   Cancer-related outcome and learning curve in retropubic radical prostatectomy: "If you need an operation, the most important step is to choose the right surgeon" [J].
Artibani, Walter ;
Nouara, Giacomo .
EUROPEAN UROLOGY, 2008, 53 (05) :874-876
[7]   Positive surgical margins in robotic-assisted radical prostatectomy: Impact of learning curve on oncologic outcomes [J].
Atug, F ;
Castle, EP ;
Srivastav, SK ;
Burgess, SV ;
Thomas, R ;
Davis, R .
EUROPEAN UROLOGY, 2006, 49 (05) :866-872
[8]   Transperitoneal versus extraperitoneal robotic-assisted radical prostatectomy: Is one better than the other? [J].
Atug, Fatih ;
Castle, Erik P. ;
Woods, Michael ;
Srivastav, Sudesh K. ;
Thomas, Raju ;
Davis, Rodney .
UROLOGY, 2006, 68 (05) :1077-1081
[9]   Positive proximal (bladder neck) margin at radical prostatectomy confers greater risk of biochemical progression [J].
Aydin, H ;
Tsuzuki, T ;
Hernandez, D ;
Walsh, PC ;
Partin, AW ;
Epstein, JI .
UROLOGY, 2004, 64 (03) :551-555
[10]   Variations in morbidity after radical prostatectomy. [J].
Begg, CB ;
Riedel, ER ;
Bach, PB ;
Kattan, MW ;
Schrag, D ;
Warren, JL ;
Scardino, PT .
NEW ENGLAND JOURNAL OF MEDICINE, 2002, 346 (15) :1138-1144