Trainees do not negatively impact the institutional learning curve for robotic prostatectomy as characterized by operative time, estimated blood loss, and positive surgical margin rate.

Trainees do not negatively impact the institutional learning curve for robotic prostatectomy as characterized by operative time, estimated blood loss, and positive surgical margin rate. Research Abstract Details 

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Trainees do not negatively impact the institutional learning curve for robotic prostatectomy as characterized by operative time, estimated blood loss, and positive surgical margin rate. Abstract Text:

Florian R Schroeck,Chiquita A Palha de Sousa,Ross A Kalman,Maitri S Kalia,Sean A Pierre,George E Haleblian,Leon Sun,Judd W Moul,David M Albala,Florian R Schroeck,Chiquita A Palha de Sousa,Ross A Kalman,Maitri S Kalia,Sean A Pierre,George E Haleblian,Leon Sun,Judd W Moul,David M Albala,

OBJECTIVES: We evaluated the learning curves and perioperative outcomes of an experienced laparoscopic surgeon and his trainees to assess our structured teaching program. METHODS: We retrieved 383 patients undergoing robot-assisted laparoscopic prostatectomy (RALP) from our database. Trainees completed a structured teaching program and were categorized as early (days 0 to 232), mid (days 566 to 797), and late (days 825 to 1218) according to the time period in which they were working with the mentor. We compared operative times, estimated blood loss (EBL), and positive surgical margin (PSM) rates between the trainees and the mentor (Mann-Whitney and Chi-square test). Association of EBL, body mass index (BMI), and prostate weight with operative time was evaluated in multivariate linear regression analysis. RESULTS: Median operative times of the early, mid, and late trainees (258, 220, and 200 minutes) significantly decreased and were similar to the corresponding senior surgeon's (254, 242, and 180 minutes). Operative times decreased with lower BMI, EBL, and prostate weight (P = 0.006, P <0.001, and P <0.001, respectively). Overall, EBL (150 mL vs. 150 mL, P = 0.215) and PSM rates (20% vs. 18.6%, P = 0.741) did not differ between the mentor and the trainees. CONCLUSIONS: A structured teaching program for RALP is effective and trainees are able to adopt the increased efficiency and skills of their mentor. Lower BMI, EBL, and prostate weight were associated with shorter operative times. Trainees performing the procedure did not negatively affect EBL and positive surgical margin rate.

Trainees do not negatively impact the institutional learning curve for robotic prostatectomy as characterized by operative time, estimated blood loss, and positive surgical margin rate. Publishing Authors By Initials

FR Schroeck,CA de Sousa,RA Kalman,MS Kalia,SA Pierre,GE Haleblian,L Sun,JW Moul,DM Albala,FR Schroeck,CA Palha de Sousa,RA Kalman,MS Kalia,SA Pierre,GE Haleblian,L Sun,JW Moul,DM Albala,

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Trainees do not negatively impact the institutional learning curve for robotic prostatectomy as characterized by operative time, estimated blood loss, and positive surgical margin rate. Journal Published:

PUBLICATION TYPE: Journal Article

Journal: Urology

VOLUME: 71

Page Numbers: 597-601

Journal Abbreviation: Urology

ISSN: 1527-9995

DAY: 4

MONTH: Apr

YEAR: 2008

Trainees do not negatively impact the institutional learning curve for robotic prostatectomy as characterized by operative time, estimated blood loss, and positive surgical margin rate. Information

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LANGUAGE: eng

NlmUniqueID: 366151

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Grant and Affiliation Information for Trainees do not negatively impact the institutional learning curve for robotic prostatectomy as characterized by operative time, estimated blood loss, and positive surgical margin rate.

AFFILIATION: Division of Urologic Surgery and Duke Prostate Center (DPC), Department of Surgery, Duke University Medical Center, Durham, North Carolina.

Country: United States

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MEDLINETA: Urology

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