OBJECTIVE: The aim of the present study was to report our single-center initial experience in laparoscopic radical prostatectomy (LRP) with special emphasis on the complications and collateral problems and their management. MATERIAL AND METHODS: A total of 48 patients (mean age 64 years) underwent LRP in our institution between August 2014 and July 2018. Two surgeons completed a fellowship training program for LRP before. Mentored operations started after the first 10 cases. The patients were divided in two groups of 30 (group I) and 18 (group II) patients. Demographic, preoperative, peroperative, and postoperative data were collected prospectively. Anesthesiology and nurses' team performances, as well as problems and their management, were reviewed. RESULTS: The demographic data for both groups (group I vs. group II) were similar. Estimated blood loss (695.5±139.23 vs. 398±339.39 mL) and intraoperative complication rates (36.66% vs. 5.55%) were significantly (p<0.05) higher in group I. Conversion to open surgery occurred in 7 (20%) patients in group I and in 1 (5.55%) patient in group II. Continence rates at 12 (83%) months were similar in both groups. Positive surgical margins were 8.33% for pT2 and 27.1% for pT3 stages. CONCLUSION: A validated fellowship program before starting LRP and performing the first cases under mentorship are helpful. The complication and conversion rates decrease after 30 cases in addition to the improved experience also with improved cooperation with the anesthesiologist and scrub nurse.
OBJECTIVE: The aim of the present study was to report our single-center initial experience in laparoscopic radical prostatectomy (LRP) with special emphasis on the complications and collateral problems and their management. MATERIAL AND METHODS: A total of 48 patients (mean age 64 years) underwent LRP in our institution between August 2014 and July 2018. Two surgeons completed a fellowship training program for LRP before. Mentored operations started after the first 10 cases. The patients were divided in two groups of 30 (group I) and 18 (group II) patients. Demographic, preoperative, peroperative, and postoperative data were collected prospectively. Anesthesiology and nurses' team performances, as well as problems and their management, were reviewed. RESULTS: The demographic data for both groups (group I vs. group II) were similar. Estimated blood loss (695.5±139.23 vs. 398±339.39 mL) and intraoperative complication rates (36.66% vs. 5.55%) were significantly (p<0.05) higher in group I. Conversion to open surgery occurred in 7 (20%) patients in group I and in 1 (5.55%) patient in group II. Continence rates at 12 (83%) months were similar in both groups. Positive surgical margins were 8.33% for pT2 and 27.1% for pT3 stages. CONCLUSION: A validated fellowship program before starting LRP and performing the first cases under mentorship are helpful. The complication and conversion rates decrease after 30 cases in addition to the improved experience also with improved cooperation with the anesthesiologist and scrub nurse.
Authors: Samir S Awad; Shawn P Fagan; Charles Bellows; Daniel Albo; Beverly Green-Rashad; Marlen De la Garza; David H Berger Journal: Am J Surg Date: 2005-11 Impact factor: 2.565
Authors: Bhaskar K Somani; Ben Van Cleynenbreugel; Ali Gozen; Jaun Palou; Sas Barmoshe; Shekhar Biyani; Josep M Gaya; Giles Hellawell; Giovannalberto Pini; Faba R Oscar; Rafael Sanchez Salas; Petr Macek; Andreas Skolarikos; Christian Wagner; Viktor Eret; Stephen Haensel; Giampaolo Siena; Marek Schmidt; Max Klitsch; Stepan Vesely; Achilles Ploumidis; Silvia Proietti; Guido Kamphuis; Theodore Tokas; Rob Geraghty; Dominico Veneziano Journal: Eur Urol Focus Date: 2018-03-14