Learning curve with robotic-assisted laparoscopic radical prostatectomy: A prospective study
DC Field | Value | Language |
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dc.contributor.author | Ban, J.H. | - |
dc.contributor.author | Ko, Y.K. | - |
dc.contributor.author | Kang, S.H. | - |
dc.contributor.author | Park, H.S. | - |
dc.contributor.author | Cheon, J. | - |
dc.date.accessioned | 2021-09-09T00:30:00Z | - |
dc.date.available | 2021-09-09T00:30:00Z | - |
dc.date.created | 2021-06-17 | - |
dc.date.issued | 2009 | - |
dc.identifier.issn | 2005-6737 | - |
dc.identifier.uri | https://scholar.korea.ac.kr/handle/2021.sw.korea/121916 | - |
dc.description.abstract | Purpose: To investigate the learning curve and its characteristics in our initial experiences with robotic-assisted laparoscopic radical prostatectomy (RLRP) with a new da Vinci-S surgical system. Materials and Methods: Through inspection of the patients who underwent RLRP by a single urologic surgeon from July 2007 to May 2008, the variables related to surgery were evaluated prospectively. Results: RLRP was performed in 50 patients. The patients' mean age (range) was 63 years (50-73 years), and 11 patients had a history of previous abdominal surgery. The mean total operation time was 281.6 min (190-455 min). The mean set-up time was 18.6 min (14-30 min), and the mean console time was 219.8 min (150-400 min). The mean estimated blood loss (EBL) was 375.7ml (200-800 ml). The overall margin-positive rate was 26% (13/50); it was 11.9% (5/42) for pT2 tumors and 100% (8/8) for pT3 tumors. Minor complications occurred in 5 patients. All complications were treated effectively with only conservative management. The total operation time, set-up time, console time, and EBL significantly decreased as the number of patients treated grew (Spearman's rank correlation, p<0.05; Rho=-0.49, -0.35, -0.54, -0.75, respectively). The mean total operation time, set-up time, console time, and EBL were significantly decreased in the last 35 patients who needed no transfusion (p<0.05). Conclusions: The use of robotic surgery allowed the surgeon to complete the learning curve in a relatively short time period, with low perioperative complication rates and potentially good oncologic results, as indicated by the acceptable positive surgical margin in the patients with pathologically organ-confined disease. © The Korean Urological Association, 2009. | - |
dc.language | Korean | - |
dc.language.iso | ko | - |
dc.subject | prostate specific antigen | - |
dc.subject | abdominal surgery | - |
dc.subject | adult | - |
dc.subject | aged | - |
dc.subject | article | - |
dc.subject | blood transfusion | - |
dc.subject | cancer staging | - |
dc.subject | clinical article | - |
dc.subject | conservative treatment | - |
dc.subject | hematoma | - |
dc.subject | human | - |
dc.subject | ileus | - |
dc.subject | machine learning | - |
dc.subject | male | - |
dc.subject | operation duration | - |
dc.subject | perioperative complication | - |
dc.subject | perioperative period | - |
dc.subject | postoperative hemorrhage | - |
dc.subject | prostate tumor | - |
dc.subject | prostatectomy | - |
dc.subject | robotic assisted laparoscopic prostatectomy | - |
dc.subject | robotics | - |
dc.subject | surgical equipment | - |
dc.title | Learning curve with robotic-assisted laparoscopic radical prostatectomy: A prospective study | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | Kang, S.H. | - |
dc.contributor.affiliatedAuthor | Cheon, J. | - |
dc.identifier.doi | 10.4111/kju.2009.50.2.140 | - |
dc.identifier.scopusid | 2-s2.0-61849123599 | - |
dc.identifier.bibliographicCitation | Korean Journal of Urology, v.50, no.2, pp.140 - 147 | - |
dc.relation.isPartOf | Korean Journal of Urology | - |
dc.citation.title | Korean Journal of Urology | - |
dc.citation.volume | 50 | - |
dc.citation.number | 2 | - |
dc.citation.startPage | 140 | - |
dc.citation.endPage | 147 | - |
dc.type.rims | ART | - |
dc.type.docType | Article | - |
dc.identifier.kciid | ART001317606 | - |
dc.description.journalClass | 1 | - |
dc.description.journalRegisteredClass | scopus | - |
dc.description.journalRegisteredClass | kci | - |
dc.subject.keywordPlus | prostate specific antigen | - |
dc.subject.keywordPlus | abdominal surgery | - |
dc.subject.keywordPlus | adult | - |
dc.subject.keywordPlus | aged | - |
dc.subject.keywordPlus | article | - |
dc.subject.keywordPlus | blood transfusion | - |
dc.subject.keywordPlus | cancer staging | - |
dc.subject.keywordPlus | clinical article | - |
dc.subject.keywordPlus | conservative treatment | - |
dc.subject.keywordPlus | hematoma | - |
dc.subject.keywordPlus | human | - |
dc.subject.keywordPlus | ileus | - |
dc.subject.keywordPlus | machine learning | - |
dc.subject.keywordPlus | male | - |
dc.subject.keywordPlus | operation duration | - |
dc.subject.keywordPlus | perioperative complication | - |
dc.subject.keywordPlus | perioperative period | - |
dc.subject.keywordPlus | postoperative hemorrhage | - |
dc.subject.keywordPlus | prostate tumor | - |
dc.subject.keywordPlus | prostatectomy | - |
dc.subject.keywordPlus | robotic assisted laparoscopic prostatectomy | - |
dc.subject.keywordPlus | robotics | - |
dc.subject.keywordPlus | surgical equipment | - |
dc.subject.keywordAuthor | Laparoscopy | - |
dc.subject.keywordAuthor | Prostatectomy | - |
dc.subject.keywordAuthor | Prostatic neoplasms | - |
dc.subject.keywordAuthor | Robotics | - |
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