Development of a Patient-Based Model for Estimating Operative Times for Robot-Assisted Radical Prostatectomy

Huben, Neil B.; Hussein, Ahmed A.; May, Paul; Whittum, Michelle; Krasowski, Collin; Ahmed, Youssef; Jing, Zhe; Khan, Hassan A.; Kim, Hyung L.; Schwaab, Thomas; Underwood, Willie; Kauffman, Eric; Mohler, James L.

doi:10.1089/end.2018.0249

Cited by 9 publications

(1 citation statement)

References 28 publications

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“…In addition to excessive fat in the pelvic cavity, a large prostate can also cause difficulty in visualizing the operation field during prostatectomy in obese men. As a result, prostatectomy in obese men increases wound complication 25 , intra-operative bleeding 26 , and operation time 27 . Robotic prostatectomy provides improved visualization and increases the accuracy of the procedure.…”

Section: Discussionmentioning

confidence: 99%

Differences in risk factors for biochemical recurrence after radical prostatectomy stratified by the degree of obesity: Focused on surgical methods

Suh

Yoo

Park

et al. 2020

Sci Rep

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This study aims to evaluate differences in the risk factors for biochemical recurrence (BCR) for radical prostatectomy stratified by degree of obesity, focusing on the surgical method used. All 3099 patients who underwent radical prostatectomy in two medical centres from January 2008 to March 2018 were retrospectively reviewed. Patients were divided into three groups based on body mass index: 'normal', 'overweight', and 'obese'. Risk factors associated with biochemical recurrence were compared between different degrees of obesity. We analysed the contributing risk factors of BCRfree survival using univariate and multivariable Cox hazard models. There were 378 (12.2%) and 1815 (58.6%) patients in the 'obese' and 'overweight' groups, respectively. Accordingly, 1324 patients underwent retropubic radical prostatectomy (RRP), and 1775 underwent robotic-assisted laparoscopic prostatectomy (RALP). Multivariable analysis showed that patients who underwent RALP had significantly lower BCR free survival in the 'overweight' and 'obese' groups than those who underwent RRP, with adjusted hazard ratios of 0.75 (95% CI 0.59-0.95, p-value = 0.01) and 0.55 (95% CI 0.33-0.90, p-value = 0.02), respectively. The degree of obesity was not directly associated with BCR-free survival. Robotic prostatectomy showed greater benefits in BCR-free survival than open prostatectomy in the 'overweight' and 'obese' groups.

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Section: Discussionmentioning

confidence: 99%

Differences in risk factors for biochemical recurrence after radical prostatectomy stratified by the degree of obesity: Focused on surgical methods

Suh

Yoo

Park

et al. 2020

Sci Rep

View full text Add to dashboard Cite

show abstract

Management of Challenging Cases during Robot-Assisted Laparoscopic Prostatectomy

Rodrigues

Sutherland

Patel

et al. 2022

Robotic Urologic Surgery

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Challenging Scenarios in Radical Prostatectomy: How to Ensure Similar Functional Outcomes

Razdan,

Parekh,

Razdan

2024

Urinary Continence and Sexual Function After Robotic Prostatectomy, Radiation, and Novel Therapies

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Development of a Patient-Based Model for Estimating Operative Times for Robot-Assisted Radical Prostatectomy

Abstract: We developed a methodology that can predict operative times for RARP based on patient, disease and surgeon variables. This methodology can be utilized for quality control, facilitate OR scheduling, and maximize OR efficiency.

Cited by 9 publications

References 28 publications

Differences in risk factors for biochemical recurrence after radical prostatectomy stratified by the degree of obesity: Focused on surgical methods

Differences in risk factors for biochemical recurrence after radical prostatectomy stratified by the degree of obesity: Focused on surgical methods

Management of Challenging Cases during Robot-Assisted Laparoscopic Prostatectomy

Challenging Scenarios in Radical Prostatectomy: How to Ensure Similar Functional Outcomes

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