PURPOSE: We present the rapid implementation of a robot-assisted surgery program by one of the largest health maintenance organizations (HMOs) in the United States. MATERIALS AND METHODS: A core group of 10 urologists were offered access to a new da Vinci S surgical system. A core group of five ancillary staff was assembled and trained at an Intuitive Surgical-designated training site. An experienced robotic surgeon acted as a proctor. Data regarding patient demographics, preoperative parameters, operative times, pathologic outcomes, and EPIC-26 quality-of-life questionnaires were collected prospectively and reviewed. All procedures were recorded on digital video disc as part of a quality assurance protocol. The core group reviewed complications monthly and received feedback on surgical techniques and pathologic outcomes. RESULTS: A total of 100 robot-assisted laparoscopic radical prostatectomies were performed from August to October 2008. The patient demographics, preoperative parameters, operative times, and pathologic outcomes of these first 100 procedures are outlined. CONCLUSIONS: We demonstrate the rapid implementation of an efficient multisurgeon HMO-based robot-assisted prostatectomy program with promising initial outcomes.
PURPOSE: We present the rapid implementation of a robot-assisted surgery program by one of the largest health maintenance organizations (HMOs) in the United States. MATERIALS AND METHODS: A core group of 10 urologists were offered access to a new da Vinci S surgical system. A core group of five ancillary staff was assembled and trained at an Intuitive Surgical-designated training site. An experienced robotic surgeon acted as a proctor. Data regarding patient demographics, preoperative parameters, operative times, pathologic outcomes, and EPIC-26 quality-of-life questionnaires were collected prospectively and reviewed. All procedures were recorded on digital video disc as part of a quality assurance protocol. The core group reviewed complications monthly and received feedback on surgical techniques and pathologic outcomes. RESULTS: A total of 100 robot-assisted laparoscopic radical prostatectomies were performed from August to October 2008. The patient demographics, preoperative parameters, operative times, and pathologic outcomes of these first 100 procedures are outlined. CONCLUSIONS: We demonstrate the rapid implementation of an efficient multisurgeon HMO-based robot-assisted prostatectomy program with promising initial outcomes.
Authors: Brian Kim; Allen Chang; Jennifer Kaswick; Armen Derboghossians; Howard Jung; Jeff Slezak; Melanie Wuerstle; Stephen G Williams; Gary W Chien Journal: Can Urol Assoc J Date: 2013 Nov-Dec Impact factor: 1.862
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Authors: Joshua Montroy; Ehab Elzayat; Chris Morash; Brian Blew; Luke T Lavallée; Ilias Cagiannos; James Watterson; Jeffrey S Oake; Michael Fungkeefung; Calvin Thompson; Robert Weber; Rodney H Breau Journal: Can Urol Assoc J Date: 2017-12-01 Impact factor: 1.862
Authors: Anil A Thomas; Armen Derboghossians; Allen Chang; Rajiv Karia; David S Finley; Jeff Slezak; Steven J Jacobsen; Gary W Chien Journal: J Robot Surg Date: 2012-10-10
Authors: Anil A Thomas; Brian Kim; Armen Derboghossians; Allen Chang; David S Finley; Gary W Chien; Jeffrey Slezak; Steven J Jacobsen Journal: Urol Ann Date: 2014-04