Robot-assisted radical cystectomy (RARC) with intracorporeal neobladder - What is the effect of the learning curve on outcomes?

BJU International

Volumn 113, Issue 1, 2014, Pages 100-107

  Collins, Justin W ^a   Tyritzis, Stavros ^a   Nyberg, Tommy ^b   Schumacher, Martin C ^a,b   Laurin, Oscar ^a   Adding, Christofer ^a   Jonsson, Martin ^a   Khazaeli, Dinyar ^a   Steineck, Gunnar ^b   Wiklund, Peter ^a   Hosseini, Abolfazl ^a  

^a KAROLINSKA UNIVERSITY HOSPITAL   (Sweden)

^b KAROLINSKA INSTITUTE   (Sweden)

Author keywords

intracorporeal neobladder; learning curve; mentorship; RARC; robotic cystectomy; robotic surgery training

Indexed keywords

ADJUVANT CHEMOTHERAPY; ADULT; AGED; ARTICLE; BLADDER CANCER; BLADDER RECONSTRUCTION; CANCER MORTALITY; CANCER SURGERY; CANCER SURVIVAL; COMPARATIVE STUDY; CYSTECTOMY; FEMALE; HUMAN; INTRACORPOREAL NEOBLADDER; LEARNING CURVE; LENGTH OF STAY; LYMPH NODE DISSECTION; MAJOR CLINICAL STUDY; MALE; MEDICAL PROCEDURES; MIDDLE AGED; OPERATION DURATION; OPERATIVE BLOOD LOSS; ORTHOTOPIC URINARY DIVERSION; OUTCOME ASSESSMENT; PATIENT SAFETY; POSTOPERATIVE COMPLICATION; POSTOPERATIVE PERIOD; PRIORITY JOURNAL; PROSPECTIVE STUDY; RECURRENCE FREE SURVIVAL; ROBOT ASSISTED RADICAL CYSTECTOMY; ROBOTICS; SURGERY CONVERSION; URINARY DIVERSION; WORK EXPERIENCE;

INTRACORPOREAL NEOBLADDER; LEARNING CURVE; MENTORSHIP; RARC; ROBOTIC CYSTECTOMY; ROBOTIC SURGERY TRAINING;

AGED; ANALYSIS OF VARIANCE; BLOOD LOSS, SURGICAL; CYSTECTOMY; FEMALE; HUMANS; LEARNING CURVE; LENGTH OF STAY; MALE; MENTORS; MIDDLE AGED; OPERATIVE TIME; ROBOTICS; SURGERY, COMPUTER-ASSISTED; SURVIVAL ANALYSIS; SWEDEN; TREATMENT OUTCOME; URINARY BLADDER NEOPLASMS;

EID: 84890562965     PISSN: 14644096     EISSN: 1464410X     Source Type: Journal    
DOI: 10.1111/bju.12347     Document Type: Article

References (20)

1. Smith AB, Raynor MC, Pruthi RS,. Peri- and postoperative outcomes of robot-assisted radical cystectomy (RARC). BJU Int 2011; 108: 969-975
2. Menon M, Hemal AK, Tewari A, et al. Nerve-sparing robot-assisted radical cystoprostatectomy and urinary diversion. BJU Int 2003; 92: 232-236
3. Martin AD, Nunez RN, Castle EP,. Robot-assisted radical cystectomy versus open radical cystectomy: a complete cost analysis. Urology 2011; 77: 621-625.
4. Smith AB, Raynor M, Amling CL, et al. Multi-institutional analysis of robotic radical cystectomy for bladder cancer: perioperative outcomes and complications in 227 patients. J Laparoendosc Adv Surg Tech A 2012; 22: 17-21
5. Haber GP, Campbell SC, Colombo JR Jr, et al. Perioperative outcomes with laparoscopic radical cystectomy: 'pure laparoscopic' and 'open-assisted laparoscopic' approaches. Urology 2007; 70: 910-915
6. Jonsson MN, Adding LC, Hosseini A, et al. Robot-assisted radical cystectomy with intracorporeal urinary diversion in patients with transitional cell carcinoma of the bladder. Eur Urol 2011; 60: 1066-1073
7. Goh AC, Gill IS, Lee DJ, et al. Robotic intracorporeal orthotopic ileal neobladder: replicating open surgical principles. Eur Urol 2012; 62: 891-901
8. Dindo D, Demartines N, Pa C,. Classification of surgical complica- tions: a new proposal with evaluation in a cohort of 6336 patients and results of a survey. Ann Surg 2004; 240: 205-213
9. Davis JW, Castle EP, Pruthi RS, Ornstein DK, Guru KA,. Robot-assisted radical cystectomy: an expert panel review of the current status and future direction. Urol Oncol 2010; 28: 480-486
10. Herrell SD, Smith JA Jr,. Robotic-assisted laparoscopic prostatectomy: what is the learning curve? Urology 2005; 66 (Suppl.): 105-107
11. Hayn MH, Hellenthal NJ, Seixas-Mikelus SA, et al. Is patient outcome compromised during the initial experience with robot-assisted radical cystectomy? Results of 164 consecutive cases. BJU Int 2011; 108: 882-887
12. Hellenthal NJ, Hussain A, Andrews PE, et al. Lymphadenectomy at the time of robot-assisted radical cystectomy: results from the International Robotic Cystectomy Consortium. BJU Int 2011; 107: 642-646
13. Richards KA, Kader K, Pettus JA, Smith JJ, Hemal AK,. Does initial learning curve compromise outcomes for robot-assisted radical cystectomy? A critical evaluation of the first 60 cases while establishing a robotics program. J Endourol 2011; 25: 1553-1558
14. Li K, Lin T, Fan X, et al. Systematic review and meta-analysis of comparative studies reporting early outcomes after robot-assisted radical cystectomy versus open radical cystectomy. Cancer Treat Rev 2013; 39: 551-560
15. Herr HW, Bochner BH, Dalbagni G, Donat SM, Reuter VE, Bajorin DF,. Impact of the number of lymph nodes retrieved on outcome in patients with muscle invasive bladder cancer. J Urol 2002; 167: 1295-1298
16. Hayn MH, Hussain A, Mansour AM, et al. The learning curve of robot-assisted radical cystectomy: results from the International Robotic Cystectomy Consortium. Eur Urol 2010; 58: 197-202
17. Hayn MH, Hellenthal NJ, Hussain A, et al. Does previous robot-assisted radical prostatectomy experience affect outcomes at robot-assisted radical cystectomy? Results from the International Robotic Cystectomy Consortium. Urology 2010; 76: 1111-1116
18. Bianco FJ, Cronin AM, Klein EA, Pontes JE, Scardino PT, Vickers AJ,. Fellowship training as a modifier of the surgical learning curve. Acad Med 2010; 85: 863-868
19. Shabsigh A, Korets R, Vora KC, et al. Defining early morbidity of radical cystectomy for patients with bladder cancer using a standardized reporting methodology. Eur Urol 2009; 55: 164-174
20. Shah AD, Abaza R,. Clinical pathway for 3-day stay after robot-assisted cystectomy. J Endourol 2011; 25: 1253-1258.