Impact of fellowship training on one-year outcomes of robotic-assisted prostatectomy

David D. Thiel, Ryan Hutchinson, Nancy Diehl, Andrea Tavlarides, Adrienne Williams, Alexander S. Parker

Research output: Contribution to journalArticle

6 Scopus citations

Abstract

Background and Objectives: We examined 1-year functional and oncologic outcomes for robotic-assisted lapa-roscopic prostatectomy (RALP) from a single surgeon entering practice directly from fellowship training. Methods: We prospectively analyzed the first 100 RALPs performed by one fellowship-trained robotic surgeon. Data included resident involvement during the procedure, perioperative data, and surgical complications (scored using the Clavien grading system). Health-related quality of life (HRQOL) data were captured using the EPIC questionnaire at baseline (prior to surgery) and at 1-year follow-up. Results: Eighty-two patients (82%) had hospital stays of 2 days or less without any postoperative complications, ure-thral catheter removal was within 14 days of surgery, and none required readmission to the hospital. The overall positive margin rate was 21% (19% for patients with T2 disease). Clavien grades 1 through 4 complication rates, respectively, were 4%, 10%, 1%, and 1%. There were no deaths, reopera-tions, or bladder neck contractures. One patient (1%) required a blood transfusion within the 90-day perioperative period. At 1-year follow-up, 78% of patients reported wearing no pads; 41.3% of patients with baseline and 1-year follow-up data reported having intercourse. Conclusions: We provide baseline data pertaining to the morbidity, oncologic efficacy, continence results, and potency outcomes of new surgeons performing RALP.

Original languageEnglish (US)
Pages (from-to)195-201
Number of pages7
JournalJournal of the Society of Laparoendoscopic Surgeons
Volume16
Issue number2
DOIs
StatePublished - Apr 2012

Keywords

  • Prostatectomy
  • Prostatic neoplasms
  • Robotics
  • Training

ASJC Scopus subject areas

  • Surgery

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