2022
DOI: 10.1016/j.euros.2022.03.004
|View full text |Cite
|
Sign up to set email alerts
|

Learning Curve Analysis for Intracorporeal Robot-assisted Radical Cystectomy: Results from the EAU Robotic Urology Section Scientific Working Group

Help me understand this report

Search citation statements

Order By: Relevance

Paper Sections

Select...
2
1
1
1

Citation Types

3
20
0
5

Year Published

2022
2022
2024
2024

Publication Types

Select...
7
3

Relationship

0
10

Authors

Journals

citations
Cited by 25 publications
(28 citation statements)
references
References 31 publications
3
20
0
5
Order By: Relevance
“…The IRCC suggested that an acceptable level of proficiency can be achieved after 30 cases of standard RARC, based on several relatively objective confounding factors: operation time, positive surgical margin rate, LN yield, and estimated blood loss ( 29 ). In the EAU Robotic Urology Section Scientific Working group, the learning curve of multicenter surgeons (nine European high-volume centers) who performed RARC with ICUD was reported ( 30 ). The authors included 90-d major complications (MC90; Clavien–Dindo grade ≥3), 90-d overall complications (OC90, Clavien–Dindo grades 1–5), operating time (OT), estimated blood loss (EBL), and length of hospital stay (LOS) for suggesting the learning curve, and this needed 137 cases.…”
Section: Discussionmentioning
confidence: 99%
“…The IRCC suggested that an acceptable level of proficiency can be achieved after 30 cases of standard RARC, based on several relatively objective confounding factors: operation time, positive surgical margin rate, LN yield, and estimated blood loss ( 29 ). In the EAU Robotic Urology Section Scientific Working group, the learning curve of multicenter surgeons (nine European high-volume centers) who performed RARC with ICUD was reported ( 30 ). The authors included 90-d major complications (MC90; Clavien–Dindo grade ≥3), 90-d overall complications (OC90, Clavien–Dindo grades 1–5), operating time (OT), estimated blood loss (EBL), and length of hospital stay (LOS) for suggesting the learning curve, and this needed 137 cases.…”
Section: Discussionmentioning
confidence: 99%
“…For cases with a pathological stage T2 or higher, a procedural experience of 24 or more was required to achieve a PSM of <15% [ 21 ]. Wijburg et al reported that 75 surgeries needed to be performed to reach a plateau in OT, 88 for EBL, and 137 for the reduction in the frequency of serious complications [ 22 ]. Lopez et al divided 62 RARC patients with ICUD into two surgeons; the first 20 cases were treated by surgeons with experience in robotic surgery and the remaining by junior surgeons.…”
Section: Discussionmentioning
confidence: 99%
“…A study that evaluated learning curves for three groups of approximately 30 cases each of 100 patients initially introduced to RARC revealed that the transfusion rate was low and stable after approximately 30 cases [19]. On the other hand, a retrospective analysis at a high-volume hospital reported that more than 137 cases were needed to stabilize perioperative outcomes, including major complications in 90 days, highlighting the need for substantial experience [20].…”
Section: Perioperative Comparison Of Intracorporeal and Extracorporea...mentioning
confidence: 99%