Systematic Review and Meta-analysis of Perioperative Outcomes and Complications After Robot-assisted Radical Prostatectomy

Novara, Giacomo; Ficarra, Vincenzo; Rosen, Raymond C.; Artibani, Walter; Costello, Anthony J.; Eastham, James A.; Graefen, Markus; Guazzoni, G.; Shariat, Shahrokh F.; Stolzenburg, J.U.; Poppel, Hendrik Van; Zattoni, Filiberto; Montorsi, Francesco; Mottrie, Alexandre; Wilson, Timothy G.

doi:10.1016/j.eururo.2012.05.044

Cited by 448 publications

(302 citation statements)

References 86 publications

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“…Indeed, critical analysis of RP series have collectively found the procedure to be associated with an overall complication rate of approximately 10%, although the vast majority of complications are low-grade, most commonly lymphocele/ lymphorrhea and urine leak. [21] Comorbidity status, extent of disease and surgical approach have been variously associated with perioperative outcomes. Surgeon experience may also be related to complication rates.…”

Section: Radical Therapiesmentioning

confidence: 99%

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Survivorship and Improving Quality of Life in Men with Prostate Cancer

et al. 2015

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Section: Radical Therapiesmentioning

confidence: 99%

“…Surgeon experience may also be related to complication rates. [21] Prostatic irradiation (RT) is most commonly associated with adverse effects around late rectal function/ toxicity (i.e. increased frequency and urgency of defecation, faecal incontinence and rectal bleeding).…”

Section: Radical Therapiesmentioning

confidence: 99%

Survivorship and Improving Quality of Life in Men with Prostate Cancer

et al. 2015

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“…treatments for low-risk prostate cancer include radical prostatectomy and radiotherapy, both of which are associated with significant morbidities. [5][6][7] In recent years, the concept of active surveillance (AS) has been adopted with the aim of monitoring clinically insignificant prostate cancer until disease progression, at which point radical prostatectomy or radiotherapy is considered. The ultimate objective is to delay or avoid the morbidities associated with radical treatments without compromising survival.…”

Section: Discussionmentioning

confidence: 99%

Pathological outcome for Chinese patients with low-risk prostate cancer eligible for active surveillance and undergoing radical prostatectomy: comparison of six different active surveillance protocols

et al. 2017

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“…Despite the presence of Endo-wrist ® technology in robot-assisted surgery, developing this skill has limitations in terms of complexity of steps, time restraints and related complications [12][13][14]. AR environments could promote trainees' cognitive skills and conceptual understanding and correct their misconceptions [15,16].…”

Section: Introductionmentioning

confidence: 99%

Augmented‐reality‐based skills training for robot‐assisted urethrovesical anastomosis: a multi‐institutional randomised controlled trial

et al. 2014

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ObjectiveTo validate robot‐assisted surgery skills acquisition using an augmented reality (AR)‐based module for urethrovesical anastomosis (UVA).MethodsParticipants at three institutions were randomised to a Hands‐on Surgical Training (HoST) technology group or a control group. The HoST group was given procedure‐based training for UVA within the haptic‐enabled AR‐based HoST environment. The control group did not receive any training. After completing the task, the control group was offered to cross over to the HoST group (cross‐over group). A questionnaire administered after HoST determined the feasibility and acceptability of the technology. Performance of UVA using an inanimate model on the daVinci Surgical System (Intuitive Surgical Inc., Sunnyvale, CA, USA) was assessed using a UVA evaluation score and a Global Evaluative Assessment of Robotic Skills (GEARS) score. Participants completed the National Aeronautics and Space Administration Task Load Index (NASA TLX) questionnaire for cognitive assessment, as outcome measures. A Wilcoxon rank‐sum test was used to compare outcomes among the groups (HoST group vs control group and control group vs cross‐over group).ResultsA total of 52 individuals participated in the study. UVA evaluation scores showed significant differences in needle driving (3.0 vs 2.3; P = 0.042), needle positioning (3.0 vs 2.4; P = 0.033) and suture placement (3.4 vs 2.6; P = 0.014) in the HoST vs the control group. The HoST group obtained significantly higher scores (14.4 vs 11.9; P 0.012) on the GEARS. The NASA TLX indicated lower temporal demand and effort in the HoST group (5.9 vs 9.3; P = 0.001 and 5.8 vs 11.9; P = 0.035, respectively). In all, 70% of participants found that HoST was similar to the real surgical procedure, and 75% believed that HoST could improve confidence for carrying out the real intervention.ConclusionTraining in UVA in an AR environment improves technical skill acquisition with minimal cognitive demand.

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Systematic Review and Meta-analysis of Perioperative Outcomes and Complications After Robot-assisted Radical Prostatectomy

Cited by 448 publications

References 86 publications

Survivorship and Improving Quality of Life in Men with Prostate Cancer

Survivorship and Improving Quality of Life in Men with Prostate Cancer

Pathological outcome for Chinese patients with low-risk prostate cancer eligible for active surveillance and undergoing radical prostatectomy: comparison of six different active surveillance protocols

Augmented‐reality‐based skills training for robot‐assisted urethrovesical anastomosis: a multi‐institutional randomised controlled trial

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