Abstract:
OBJECTIVE:To investigate the learning curve of robotic-assisted laparoscopic radical prostatectomy (RALP) and analyze whether a surgeon's prior surgical experience has effects on the surgery. PATIENTS AND METHODS:From April 2012 to August 2015, 3 surgeons performed RALP on 355 consecutive patients with prostate cancer. Among these cases, 184 were by surgeon A with prior open experiences, 92 by surgeon B with both open and laparoscopic experiences, and 79 by surgeon C with laparoscopic experiences only. Perioperative, oncological, and functional outcomes were evaluated and compared between surgeons. Learning curve patterns were evaluated to determine the number of cases to reach plateau. RESULTS:Marked difference was observed in operative time among the 3 groups (all P <.05). Length of hospital stay was also statistically significant (all P <.001), except for that between Group B and Group C (P = .739). Continence at 1-year and 6-month postoperatively was better in Groups B and C compared with Group A (P <.001). Intraoperative blood loss, pathologic stage, positive surgical margin, biochemical recurrence-free rate, and other pathological findings showed no statistical significance between the groups. The number of cases required to reach plateau may vary for surgeons with different surgical experiences. CONCLUSION:Different early surgical background may affect the perioperative parameters of novice RALP surgeons. Previous laparoscopic experiences may provide additional advantage in learning curve parameters compared with surgeons with open experiences only. A better overall continence for laparoscopic surgeons requires further validation.
journal_name
Urologyjournal_title
Urologyauthors
Chang Y,Qu M,Wang L,Yang B,Chen R,Zhu F,Wang H,Wang Y,Lu X,Ma C,Shi Z,Dong Z,Chen H,Xu C,Sun Y,Gao Xdoi
10.1016/j.urology.2016.03.036subject
Has Abstractpub_date
2016-07-01 00:00:00pages
104-11eissn
0090-4295issn
1527-9995pii
S0090-4295(16)30050-4journal_volume
93pub_type
杂志文章相关文献
UROLOGY文献大全abstract:OBJECTIVE:To report our experience with salvage high-intensity focused ultrasound (HIFU) in patients with local failure after brachytherapy for prostate cancer. PATIENTS AND METHODS:Whole-gland HIFU was administered to prospectively recruited patients with local histologic failure after brachytherapy at 2 institutions...
journal_title:Urology
pub_type: 杂志文章,多中心研究
doi:10.1016/j.urology.2014.06.054
更新日期:2014-11-01 00:00:00
abstract:OBJECTIVES:To present our experience with elective, open, nephron-sparing surgery for renal masses in a contemporary, consecutive series. METHODS:In this retrospective study, the files of all patients who underwent elective nephron-sparing surgery between January 1996 and December 2002 at our institution were reviewed...
journal_title:Urology
pub_type: 杂志文章,评审
doi:10.1016/j.urology.2004.02.007
更新日期:2004-07-01 00:00:00
abstract::Transurethral resection of the prostate (TURP) is necessary in a significant proportion of men with a diagnosis of carcinoma of the prostate. Often, "channel" TURP (resection of visually obstructing tissue without extension to the prostatic capsule in a patient with metastatic or locally advanced disease to improve vo...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(91)80170-c
更新日期:1991-12-01 00:00:00
abstract:OBJECTIVE:To investigate the effect of hyperglycemia on the expression of the aquaporin (AQP) isoforms in the diabetic rat vagina. METHODS:Female Sprague-Dawley rats (230-240 g, n = 45) were divided into control (n = 10) and experimental (n = 35) groups. Diabetes in the experimental group was induced by intraperitonea...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2012.03.026
更新日期:2012-09-01 00:00:00
abstract:OBJECTIVE:To assess prescribing and refilling trends of narcotics in postoperative urology patients at our institution. Although the opioid epidemic remains a public health threat, no series has assessed prescribing patterns across urologic surgery disciplines following discharge. METHODS:All urologic surgeries were r...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2020.11.070
更新日期:2021-01-23 00:00:00
abstract::A growing number of studies have described an apparent synergy between systemic chemotherapy administration and the intratumoral injection of dendritic cells (DCs) in the successful treatment of murine tumors. A review of several of these studies is undertaken here and possible combinations of DC therapy and conventio...
journal_title:Urology
pub_type: 杂志文章,评审
doi:10.1016/j.urology.2007.06.1127
更新日期:2007-12-01 00:00:00
abstract::We report a case of traumatic testicular injury resulting in significant loss of both tunica albuginea and seminiferous tubules. Secondary to the substantial tissue loss, our approach to surgical reconstruction required a certain degree of creativity. The injury was managed by creating a single midline testis with two...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2006.05.003
更新日期:2006-10-01 00:00:00
abstract:OBJECTIVES:To obtain data concerning the incidence and management of reservoir herniation in inflatable penile prosthesis surgery in a clinical investigation. Reservoir herniation after scrotal placement of inflatable penile prosthesis is an unusual complication, and a review of the published medical reports reveals on...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/s0090-4295(00)00864-5
更新日期:2001-01-01 00:00:00
abstract:OBJECTIVES:To investigate the clinical efficacy of a caudal block compared with periprostatic local anesthesia for transrectal ultrasound-guided multicore prostate needle biopsy. METHODS:A total of 100 patients who had undergone initial prostate biopsy using a systematic five-region biopsy by a single operator were in...
journal_title:Urology
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.urology.2006.02.025
更新日期:2006-08-01 00:00:00
abstract::Three new cases of a rare benign proliferative lesion of the urothelium (nephrogenic adenoma) are hereby added to the existent 58 reported cases. All 3 lesions occurred in the bladder. Two of the 3 cases presented with a history of surgical interventions on the bladder, and the third patient had a history of chronic c...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(85)90169-4
更新日期:1985-11-01 00:00:00
abstract:OBJECTIVE:To evaluate the national patterns of urologic follow up after spinal cord injury (SCI) and the occurrence and predictors of urological complications. MATERIALS AND METHODS:This retrospective cohort study used a 5% sample of Medicare data 2007-2010. The minimum adequate urologic surveillance was defined as a ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2015.06.005
更新日期:2015-09-01 00:00:00
abstract::Iatrogenic diaphragmatic injury during laparoscopy has necessitated intracorporeal suturing and occasionally thoracostomy tube placement. We describe a technique to repair the diaphragm quickly using a novel gelatin thrombin matrix. The matrix can be administered through a trocar or hand-assist device and can rapidly ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/s0090-4295(02)01771-5
更新日期:2002-09-01 00:00:00
abstract:OBJECTIVES:To evaluate methylene blue fiber staining as a method of nerve fiber identification in an animal model, because the maintenance of organ function after surgery depends on exact intraoperative identification of the relevant nerve fibers. METHODS:Brindley electrodes were implanted bilaterally at S3 for sacral...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2003.12.020
更新日期:2004-06-01 00:00:00
abstract::A pseudoaneurysm of a primary branch of the renal artery with massive hemorrhage developed in a patient who underwent percutaneous needle renal biopsy. He was treated successfully by embolization of the artery with gelatin sponge (Gelfoam). ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(79)90508-9
更新日期:1979-09-01 00:00:00
abstract::Twenty-five patients with disseminated renal cell carcinoma have been followed for eleven months. These patients have been treated with CCNU, bleomycin, methotrexate, and platinum in various combinations. The results have been discussed in light of other studies using chemotherapeutic agents against this disease proce...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(76)90554-9
更新日期:1976-01-01 00:00:00
abstract:OBJECTIVES:To more clearly elucidate the relationship between prostate volume (PV) and prostate cancer parameters. METHODS:The Urologic Oncology Database was reviewed. A total of 3460 patients had undergone radical prostatectomy from 1988 to 2006. Of these, 2600 with complete data were included in the study and were s...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2007.05.022
更新日期:2007-10-01 00:00:00
abstract:OBJECTIVES:To examine the virtues of multiphasic helical computed tomography (CT) in the diagnosis of upper urinary tract lesions refractory to identification by intravenous urography (IVU). METHODS:A total of 86 patients (59 men and 27 women), 27 to 88 years old, with microscopic hematuria and negative IVU findings w...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/s0090-4295(02)02408-1
更新日期:2003-03-01 00:00:00
abstract:OBJECTIVES:To define and discuss the characteristics of all-terrain vehicle (ATV)-related pediatric (<16 years) genitourinary (GU) trauma. ATV collisions represent a significant and growing portion of trauma cases in rural America. ATV-related renal injuries have been reported in adults but a comprehensive review of AT...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2009.08.068
更新日期:2010-05-01 00:00:00
abstract:OBJECTIVES:To evaluate, in a cross-sectional study, the relationships among physical activity, sexual functioning, and treatment type for 111 men who had undergone radiotherapy for localized prostate cancer within the past 18 months. Physical activity preserves the sexual functioning capacity of older men. However, lit...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2004.11.029
更新日期:2005-05-01 00:00:00
abstract:OBJECTIVE:To describe epidemiologic patterns, stage at presentation, histology, and treatment differences associated with Hispanic men diagnosed with testicular germ cell tumor (TGCT). Hispanics are the fastest growing demographic in the United States and reports suggest that the incidence of TGCT is rising most rapidl...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2017.08.059
更新日期:2018-02-01 00:00:00
abstract::Less than 5%-7% of germ cell tumors are extragonadal, with the central nervous system being the most common location in children, followed by retroperitoneum and mediastinum. Only 10% of mediastinal tumors are malignant and one-third of these are pure seminomas (germinomas). We report the case of a 9-year-old boy with...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2017.08.038
更新日期:2017-12-01 00:00:00
abstract:OBJECTIVE:To study the expression profiles of 5 microRNAs in tissue and serum of patients with clear cell renal cell cancer (ccRCC) and evaluate their diagnostic and prognostic potential. MATERIALS AND METHODS:We prospectively analyzed 30 patients of histologically proven ccRCC and collected 3 mL of serum preoperative...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2017.03.013
更新日期:2017-06-01 00:00:00
abstract::Transcaval ureter is a rare congenital anomaly characterized by an inferior cava vein duplication producing a vascular ring around the right ureter, usually determining hydroureteronephrosis. The knowledge of this vascular anomaly on imaging examinations permits to avoid erroneous diagnosis of retroperitoneal masses o...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2015.03.029
更新日期:2015-07-01 00:00:00
abstract::In 83 patients with non-neurologic, nonoperated vesicoureteral reflux the relation between enuresis and nephropathy was analyzed. The material showed that in spite of identical age, sex distribution, previous history of recurrent urinary tract infections, and the number of refluxing units, patients with enuresis showe...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(85)90156-6
更新日期:1985-11-01 00:00:00
abstract::Henoch-Schönlein purpura (HSP) with involvement of the testes is extremely rare. Here, we present a pediatric case of HSP involving testicular ischemic necrosis in an 8-year-old child. Ultrasonography plays an important role not only in the differential diagnosis at onset, but also in the assessment of treatment respo...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2017.05.005
更新日期:2017-09-01 00:00:00
abstract::We report a case of autosomal recessive polycystic kidney disease (ARPKD). A presumptive diagnosis was made after a late-term prenatal ultrasound revealed hypoplastic lungs, massive polycystic kidneys, and oligohydramnios. A full-term baby girl was delivered vaginally. Respiratory distress required intubation. Twelve ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/s0090-4295(99)00362-3
更新日期:1999-12-01 00:00:00
abstract::Urinary incontinence occurring during orgasm in women is an infrequently volunteered symptom. We studied 3 such patients to understand the mechanism behind such leakage. Urodynamic studies were performed prior to and during orgasm. It was found that during orgasm, there was involuntary bladder contraction with simulta...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(88)90160-4
更新日期:1988-03-01 00:00:00
abstract:INTRODUCTION:Fibroepithelial polyps of the ureter, usually of congenital or inflammatory origin, are rare entities. These polyps are often solitary, but cases of multiple polyps have also been reported. Treatment of these entities has evolved with emerging surgical techniques and technologies. SURGICAL TECHNIQUE:We de...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2005.08.020
更新日期:2006-02-01 00:00:00
abstract:OBJECTIVE:To evaluate the relationship between changes in weight, waist circumference (WC), metabolic syndrome (MetS), and prostate growth over 5 years in the adult population. MATERIALS AND METHODS:Data were collected from 1088 adult men (age ≥40 years) without history of prostate cancer who underwent more than 2 gen...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2016.09.044
更新日期:2017-05-01 00:00:00
abstract::A patient with spontaneous ureteral rupture in the absence of obstruction or calculus disease is presented. In addition to ureteral rupture this patient also had a penile squamous cell carcinoma and infected inguinal lymph nodes. A review of the literature discloses that all reported cases with spontaneous rupture of ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(87)90078-1
更新日期:1987-03-01 00:00:00