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 Citations (Scopus)

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 1 2012

Fingerprint

Robotics
Prostatectomy
Patient Readmission
Perioperative Period
Contracture
Ambulatory Surgical Procedures
Blood Transfusion
Length of Stay
Urinary Bladder
Catheters
Quality of Life
Morbidity
Surgeons

Keywords

  • Prostatectomy
  • Prostatic neoplasms
  • Robotics
  • Training

ASJC Scopus subject areas

  • Surgery

Cite this

Impact of fellowship training on one-year outcomes of robotic-assisted prostatectomy. / Thiel, David D.; Hutchinson, Ryan; Diehl, Nancy; Tavlarides, Andrea; Williams, Adrienne; Parker, Alexander S.

In: Journal of the Society of Laparoendoscopic Surgeons, Vol. 16, No. 2, 01.04.2012, p. 195-201.

Research output: Contribution to journalArticle

Thiel, David D. ; Hutchinson, Ryan ; Diehl, Nancy ; Tavlarides, Andrea ; Williams, Adrienne ; Parker, Alexander S. / Impact of fellowship training on one-year outcomes of robotic-assisted prostatectomy. In: Journal of the Society of Laparoendoscopic Surgeons. 2012 ; Vol. 16, No. 2. pp. 195-201.
@article{98d4a0bd91ca4c19b4e0a7f6560e6b64,
title = "Impact of fellowship training on one-year outcomes of robotic-assisted prostatectomy",
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.",
keywords = "Prostatectomy, Prostatic neoplasms, Robotics, Training",
author = "Thiel, {David D.} and Ryan Hutchinson and Nancy Diehl and Andrea Tavlarides and Adrienne Williams and Parker, {Alexander S.}",
year = "2012",
month = "4",
day = "1",
doi = "10.4293/108680812X13291597717220",
language = "English (US)",
volume = "16",
pages = "195--201",
journal = "Journal of the Society of Laparoendoscopic Surgeons",
issn = "1086-8089",
publisher = "Society of Laparoendoscopic Surgeons",
number = "2",

}

TY - JOUR

T1 - Impact of fellowship training on one-year outcomes of robotic-assisted prostatectomy

AU - Thiel, David D.

AU - Hutchinson, Ryan

AU - Diehl, Nancy

AU - Tavlarides, Andrea

AU - Williams, Adrienne

AU - Parker, Alexander S.

PY - 2012/4/1

Y1 - 2012/4/1

N2 - 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.

AB - 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.

KW - Prostatectomy

KW - Prostatic neoplasms

KW - Robotics

KW - Training

UR - http://www.scopus.com/inward/record.url?scp=84869837984&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84869837984&partnerID=8YFLogxK

U2 - 10.4293/108680812X13291597717220

DO - 10.4293/108680812X13291597717220

M3 - Article

VL - 16

SP - 195

EP - 201

JO - Journal of the Society of Laparoendoscopic Surgeons

JF - Journal of the Society of Laparoendoscopic Surgeons

SN - 1086-8089

IS - 2

ER -