Development and Implementation of an Advanced Program for Robotic Treatment of Prostate Cancer—Is Surgical Quality Transferable?
Simple Summary: Robot-assisted radical prostatectomy (RARP) is a surgical treatment option for prostate cancer. The quality of this procedure depends on the surgeon's operative volume and expertise. When implementing RARP at a new center, it is standard practice to hire a surgeon with appropriate sp...
| Publicado en: | Cancers Vol. 14; no. 21; pp. 5261 - 5270 |
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| Autores principales: | , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
MDPI
Nov2022
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=160147299&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 160147299 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 20726694 B74B jtl: Cancers issn: 20726694 maglogo: N pubinfo: dt: Nov2022 vid: 14 iid: 21 pid: 97109 pub: MDPI artinfo: ui: 160147299 160147299 160147299 10.3390/cancers14215261 160147299 ppf: 5261 ppct: 9 formats: tig: atl: Development and Implementation of an Advanced Program for Robotic Treatment of Prostate Cancer—Is Surgical Quality Transferable? aug: au: Sigle, August Jilg, Cordula A. Weishaar, Moritz Schlenker, Boris Stief, Christian Gratzke, Christian Grabbert, Markus affil: Department of Urology, Faculty of Medicine, Medical Centre, University of Freiburg, Hugstetter Str. 55, 79106 Freiburg, Germany sug: subj: Program Development Program Implementation Prostatic Neoplasms Surgery Robotic Surgical Procedures Transferability Quality Assessment Prostatectomy, Radical Treatment Outcomes Postoperative Complications Implementation Science Retrospective Design Human Male Female Middle Age Aged Data Analysis Software Descriptive Statistics Middle Aged: 45-64 years Aged: 65+ years Male Female ab: Simple Summary: Robot-assisted radical prostatectomy (RARP) is a surgical treatment option for prostate cancer. The quality of this procedure depends on the surgeon's operative volume and expertise. When implementing RARP at a new center, it is standard practice to hire a surgeon with appropriate specialty training and expertise. However, since factors other than the surgeon may play a role, the aim of this study was to evaluate the transferability of quality. We compared two different cohorts operated on by the same surgeon who offered extensive training and experience. When analyzing relevant outcome parameters such as duration of surgery, blood loss and the oncologically relevant proportion of positive surgical margins, we found that the results of the second cohort were comparable to those of the first. Thus, we conclude that the quality of RARP is transferable if a surgeon with extensive specialist training and expertise is hired. Introduction: Robot-assisted radical prostatectomy (RARP) is a surgical treatment option for prostate cancer (PC). Quality in RARP depends on the surgeon´s operative volume and expertise. When implementing RARP, it is standard practice to hire a pre-trained surgeon. The aim of our study was to investigate the transferability of quality in RARP. Patients and Methods: We analyzed two consecutive retrospective cohorts of 100 and 108 men, respectively, who underwent RARP at two different centers and on whom surgery was performed by the same surgeon. Results: There were more men with high-grade PC in Cohort 1: 25/100 (25.0%) vs. 9/108 (8.3%), p < 0.01, and infiltration of the seminal vesicles was more frequent (23/100 (23.0%) vs. 10/108 (9.2%), p < 0.01). In Cohort 2, the duration of surgery was shorter and blood loss was lower: 149 (134–174) vs. 172 min (150–196), p < 0.01 and 300 (200–400) vs. 131 (99–188) mL, p < 0.01. No difference was found in the proportion of positive surgical margins in the T2 cohort (8.8% vs. 8.2%, p = 1.00). Conclusion: The procedural and oncological outcome parameters of Cohort 2 do not appear to be inferior to the results obtained for the first cohort. The quality of RARP is transferable if a pre-trained surgeon is hired. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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