Does Previous Robot-assisted Radical Prostatectomy Experience Affect Outcomes at Robot-assisted Radical Cystectomy? Results from the International Robotic Cystectomy Consortium

Hayn, Matthew H.; Hellenthal, Nicholas J.; Hussain, Abid; Andrews, Paul; Carpentier, Paul; Castle, Erik P.; Dasgupta, Prokar; Davis, Rodney; Thomas, Raju; Khan, Shamim; Kibel, Adam S.; Kim, Hyung L.; Manoharan, Murugesan; Menon, Mani; Mottrie, Alexandre; Ornstein, David K.; Peabody, James O.; Pruthi, Raj S.; Redorta, Joan Palou; Vira, Manish; Schanne, Francis; Stricker, Hans; Wiklund, Peter; Wilding, Greg; Guru, Khurshid A.

doi:10.1016/j.urology.2010.05.010

Cited by 48 publications

(34 citation statements)

References 17 publications

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“…Specifically, RARP experience was stratified into four groups: <50, 51-100, 101-150, and >150 cases. RARC operative time, blood loss, and lymph node yield were all significantly associated with prior RARP experience (all p values <0.001), with the most experienced RARP surgeons experiencing lower blood loss but longer operative time and lower lymph node yield [72].…”

Section: Perioperative Outcomes After Robot-assisted Radical Cystectomymentioning

confidence: 93%

“…Most of the surgical series were retrospective, single-center studies, with the exception of some prospective studies [8,9,29,32,33,48,62,63,67,69,71,73,77] and some multi-institutional collaboration papers [19,24,26,30,38,39,43,45,72] (LOE 4). Only three of the comparative studies were randomized [78][79][80] (LOE 2b); all other comparative studies were nonrandomized, whether prospective or retrospective (LOE 4).…”

Section: Quality Of the Studies And Level Of Evidencementioning

confidence: 99%

“…Hayn et al evaluated the impact of previous experience with robot-assisted radical prostatectomy (RARP) on RARC outcome [72]. Specifically, RARP experience was stratified into four groups: <50, 51-100, 101-150, and >150 cases.…”

Section: Perioperative Outcomes After Robot-assisted Radical Cystectomymentioning

confidence: 99%

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Systematic Review and Cumulative Analysis of Perioperative Outcomes and Complications After Robot-assisted Radical Cystectomy

et al. 2015

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Context: Although open radical cystectomy (ORC) is still the standard approach, laparoscopic radical cystectomy (LRC) and robot-assisted radical cystectomy (RARC) have gained popularity.Objective: To report a systematic literature review and cumulative analysis of perioperative outcomes and complications of RARC in comparison with ORC and LRC.Evidence acquisition: Medline, Scopus, and Web of Science databases were searched using a free-text protocol including the terms robot-assisted radical cystectomy or da Vinci radical cystectomy or robot* radical cystectomy. RARC case series and studies comparing RARC with either ORC or LRC were collected. Cumulative analysis was conducted.

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Section: Perioperative Outcomes After Robot-assisted Radical Cystectomymentioning

confidence: 93%

Section: Quality Of the Studies And Level Of Evidencementioning

confidence: 99%

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Systematic Review and Cumulative Analysis of Perioperative Outcomes and Complications After Robot-assisted Radical Cystectomy

et al. 2015

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“…Notably, Richards et al [38], Schumacher et al [39], and the IRCC [68] did not demonstrate decreasing surgical margin rates with sequential case number. In a study of the role of previous robot-assisted radical prostatectomy (RARP) experience on RARC outcomes, there was a trend toward increased positive margins with increasing RARP volumes, but it did not reach statistical significance (p = 0.089) [61]. The authors chiefly attributed this situation to the performance of RARC on patients with higher risk (higher than T3) disease.…”

Section: Pathologic Informationmentioning

confidence: 98%

“…Exceptions included prospective studies [8,22,28,35,36,43,52,59,64,66,81,87] and some multi-institutional retrospective collaboration studies [16,23,25,30,45,48,54,61,68]. Only two of the comparative studies were randomized [74,83] (LOE 2b); all other comparative studies were nonrandomized, whether prospective or retrospective (LOE 4).…”

Section: Evidence Synthesismentioning

confidence: 99%

Systematic Review and Cumulative Analysis of Oncologic and Functional Outcomes After Robot-assisted Radical Cystectomy

et al. 2015

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Context: Although open radical cystectomy (ORC) is still the standard approach, laparoscopic radical cystectomy (LRC) and robot-assisted radical cystectomy (RARC) are increasingly performed.Objective: To report on a systematic literature review and cumulative analysis of pathologic, oncologic, and functional outcomes of RARC in comparison with ORC and LRC.Evidence acquisition: Medline, Scopus, and Web of Science databases were searched using a free-text protocol including the terms robot-assisted radical cystectomy or da Vinci radical cystectomy or robot* radical cystectomy. RARC case series and studies comparing RARC with either ORC or LRC were collected. A cumulative analysis was conducted.Evidence synthesis: The searches retrieved 105 papers, 87 of which reported on pathologic, oncologic, or functional outcomes. Most series were retrospective and had small case numbers, short follow-up, and potential patient selection bias. The lymph node yield during lymph node dissection was 19 (range: 3-55), with half of the series following an extended template (yield range: 11-55). The lymph node-positive rate was 22%. The performance of lymphadenectomy was correlated with surgeon and institutional volume. Cumulative analyses showed no significant difference in lymph node yield between RARC and ORC. Positive surgical margin (PSM) rates were 5.6% (1-1.5% in pT2 disease and 0-31% in pT3 and higher disease). PSM rates did not appear to decrease with sequential case numbers. Cumulative analyses showed no significant difference in rates of surgical margins between RARC and ORC or RARC and LRC.Neoadjuvant chemotherapy use ranged from 0% to 31%, with adjuvant chemotherapy used in 4-22% of patients. Only six series reported a mean follow-up of >36 mo. Three-year disease-free survival (DFS), cancer-specific survival (CSS), and overall survival (OS) rates were 53-74%, 68-83%, and 72-80%, respectively. The 5-yr DFS, CSS, and OS rates were 53-74%, 66-80%, and 39-66%, respectively. Similar to ORC, disease of higher pathologic stage or evidence of lymph node involvement was associated with worse survival. Very limited data were available with respect to functional outcomes. The 12-mo continence rates with continent diversion were 83-100% in men for daytime continence and 66-76% for nighttime continence. In one series, potency was recovered in 63% of patients who were evaluable at 12 mo. Conclusions

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Factors affecting the adequacy of lymph node yield in prophylactic unilateral central neck dissection for papillary thyroid carcinoma

Lang

Yih

Shek

et al. 2012

Journal of Surgical Oncology

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Does Previous Robot-assisted Radical Prostatectomy Experience Affect Outcomes at Robot-assisted Radical Cystectomy? Results from the International Robotic Cystectomy Consortium

Cited by 48 publications

References 17 publications

Systematic Review and Cumulative Analysis of Perioperative Outcomes and Complications After Robot-assisted Radical Cystectomy

Systematic Review and Cumulative Analysis of Perioperative Outcomes and Complications After Robot-assisted Radical Cystectomy

Systematic Review and Cumulative Analysis of Oncologic and Functional Outcomes After Robot-assisted Radical Cystectomy

Factors affecting the adequacy of lymph node yield in prophylactic unilateral central neck dissection for papillary thyroid carcinoma

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