The trifecta outcome in 300 consecutive cases of robotic-assisted laparoscopic radical prostatectomy according to D'Amico risk criteria

Ou, Yen‐Chuan; Yang, Chih-Hui; Wang, J.; Hung, Shao-Wen; Cheng, Chen-Li; Tewari, Ashutosh; Patel, Vipul

doi:10.1016/j.ejso.2012.10.003

Cited by 60 publications

(35 citation statements)

References 28 publications

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“…We performed the RALP procedure as described previously 9101213. A transperitoneal approach was made, using six trocar ports of a conventional four-arm da Vinci Robotic System (Intuitive Surgical, Sunnyvale, CA, USA).…”

Section: Methodsmentioning

confidence: 99%

“…Perioperative complications were recorded according to modifications of the Clavien system. Specimens were fixed, coated with Indian ink, and cut into systemic stepwise sections at 4 mm intervals 91013. PSM was defined as the presence of tumor tissue on the inked surface of the specimen.…”

Section: Methodsmentioning

confidence: 99%

“…We also published the trifecta outcome in 300 consecutive cases of RALP according to D’Amico risk criteria. The PSM was 37% and BCR was 13.7% at a mean follow-up of 30.6 months, and the series included more high-risk patients (the incidence of low, intermediate, and high was 21.2%, 29.3%, and 49.3%, respectively) 10. The objective of this study was to analyze the surgical learning curve for cancer control in the initial 250 cases and subsequent 250 cases of RALP performed by a single surgeon in Taiwan, China.…”

Section: Introductionmentioning

confidence: 97%

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The surgical learning curve for robotic-assisted laparoscopic radical prostatectomy: experience of a single surgeon with 500 cases in Taiwan, China

Yang

Chang

et al. 2014

Asian J Androl

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To analyze the learning curve for cancer control from an initial 250 cases (Group I) and subsequent 250 cases (Group II) of robotic-assisted laparoscopic radical prostatectomy (RALP) performed by a single surgeon. Five hundred consecutive patients with clinically localized prostate cancer received RALP and were evaluated. Surgical parameters and perioperative complications were compared between the groups. Positive surgical margin (PSM) and biochemical recurrence (BCR) were assessed as cancer control outcomes. Patients in Group II had significantly more advanced prostate cancer than those in Group I (22.2% vs 14.2%, respectively, with Gleason score 8–10, P= 0.033; 12.8% vs 5.6%, respectively, with clinical stage T3, P= 0.017). The incidence of PSM in pT3 was decreased significantly from 49% in Group I to 32.6% in Group II. A meaningful trend was noted for a decreasing PSM rate with each consecutive group of 50 cases, including pT3 and high-risk patients. Neurovascular bundle (NVB) preservation was significantly influenced by the PSM in high-risk patients (84.1% in the preservation group vs 43.9% in the nonpreservation group). The 3-year, 5-year, and 7-year BCR-free survival rates were 79.2%, 75.3%, and 70.2%, respectively. In conclusion, the incidence of PSM in pT3 was decreased significantly after 250 cases. There was a trend in the surgical learning curve for decreasing PSM with each group of 50 cases. NVB preservation during RALP for the high-risk group is not suggested due to increasing PSM.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 97%

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The surgical learning curve for robotic-assisted laparoscopic radical prostatectomy: experience of a single surgeon with 500 cases in Taiwan, China

Yang

Chang

et al. 2014

Asian J Androl

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“…It has been reported that the erectile dysfunction and incontinence rates are similar between the D'Amico risk classification groups [18]. However, the present analysis revealed that even in the low-risk patients, higher width of prostate, soft-tissue width and IFI resulted in trifecta failure.…”

Section: Discussionmentioning

confidence: 47%

“…For the D'Amico risk classification, increased risk is associated with higher mortality and positive surgical margin rates [17][18][19]. It has been reported that the erectile dysfunction and incontinence rates are similar between the D'Amico risk classification groups [18].…”

Section: Discussionmentioning

confidence: 98%

Impact of pelvic biometric measurements, visceral and subcutaneous adipose tissue areas on trifecta outcome and surgical margin status after open radical retropubic prostatectomy

Ongün¹,

Demir²,

Gezer

et al. 2014

Scandinavian Journal of Urology

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Erectile Function Outcomes after Robot‐Assisted Radical Prostatectomy: Is It Superior to Open Retropubic or Laparoscopic Approach?

Isgoren

Saitz

Şerefoğlu

2014

Sexual Medicine Reviews

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The trifecta outcome in 300 consecutive cases of robotic-assisted laparoscopic radical prostatectomy according to D'Amico risk criteria

Cited by 60 publications

References 28 publications

The surgical learning curve for robotic-assisted laparoscopic radical prostatectomy: experience of a single surgeon with 500 cases in Taiwan, China

The surgical learning curve for robotic-assisted laparoscopic radical prostatectomy: experience of a single surgeon with 500 cases in Taiwan, China

Impact of pelvic biometric measurements, visceral and subcutaneous adipose tissue areas on trifecta outcome and surgical margin status after open radical retropubic prostatectomy

Erectile Function Outcomes after Robot‐Assisted Radical Prostatectomy: Is It Superior to Open Retropubic or Laparoscopic Approach?

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