Robotic-assisted radical prostatectomy with preceptor’s assistance: the training experience and outcomes in South America

Rocha, Marcos Flávio Holanda; Neto, Jurandir Maraes Picanço; Filgueira, Pedro Henrique de Oliveira; Coelho, Rafael F.; Moschovas, Marcio Covas; Patel, Vipul

doi:10.1007/s11701-021-01233-4

Cited by 10 publications

(13 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Furthermore, RARP services are not equitably distributed across South America, as the majority of nations, excluding Brazil, Argentina, Chile, and Colombia, face limited access to this advanced surgical intervention. This discrepancy is primarily attributed to the scarcity of research and the limited dissemination of RARP techniques within the region 11–14 …”

Section: Advancements and Pitfalls In Rarp Delivery In South Americamentioning

confidence: 99%

Challenges and opportunities in prostate cancer surgery in South America: Insights into robot‐assisted radical prostatectomies—A perspective

Bharadwaj,

Wireko,

Adebusoye

et al. 2023

Health Science Reports

View full text Add to dashboard Cite

Background and AimsProstate cancer imposes a significant health burden, particularly in South America with its high incidence and mortality rates. This article explores the emergence of robot‐assisted radical prostatectomy (RARP) as a potential solution in the region.MethodsThis study relies on a comprehensive review of relevant literature. The analysis highlights the advantages of RARP, identifies impediments to its implementation, and proposes strategies to overcome these barriers.ResultsRARP demonstrates notable benefits, including improved functional outcomes, reduced complications, and minimized incisions. However, the integration of RARP in South America is hindered by challenges such as regional disparities, financial limitations, and data gaps. Limited healthcare infrastructure and a scarcity of skilled professionals further compound the issues.ConclusionDespite its potential, RARP faces obstacles to widespread adoption in South America. Strategic solutions encompassing technology investment, healthcare infrastructure enhancement, and workforce training are imperative. Overcoming these challenges can establish RARP as a crucial tool in managing prostate cancer in the region, ultimately enhancing patient care and treatment outcomes.

show abstract

Section: Advancements and Pitfalls In Rarp Delivery In South Americamentioning

confidence: 99%

Challenges and opportunities in prostate cancer surgery in South America: Insights into robot‐assisted radical prostatectomies—A perspective

Bharadwaj,

Wireko,

Adebusoye

et al. 2023

Health Science Reports

View full text Add to dashboard Cite

show abstract

“…However, the advent of robotic surgery changed the standard treatment. But even with the advantages of this technology over the open and laparoscopic approaches, erectile outcomes remain a challenge for patients and surgeons (3)(4)(5)(6). Recent studies have described that, in addition to the surgical technique, some important factors are associated with erectile dysfunction (ED) following robotic-assisted radical prostatectomy (RARP).…”

Section: Introductionmentioning

confidence: 99%

Neurovascular bundle preservation in robotic-assisted radical prostatectomy: How I do it after 15.000 cases

Moschovas¹,

Patel²

2022

Int. braz j urol.

Self Cite

View full text Add to dashboard Cite

Despite the neuroanatomy knowledge of the prostate described initially in the 1980's and the robotic surgery advantages in terms of operative view magnification, potency outcomes following robotic-assisted radical prostatectomy still challenge surgeons and patients due to its multifactorial etiology. Recent studies performed in our center have described that, in addition to the surgical technique, some important factors are associated with erectile dysfunction (ED) following robotic-assisted radical prostatectomy (RARP). These include preoperative Sexual Health Inventory for Men (SHIM) score, age, preoperative Gleason score, and Charlson Comorbidity Index (CCI). After performing 15,000 cases, in this article we described our current Robotic-assisted Radical Prostatectomy technique with details and considerations regarding the optimal approach to neurovascular bundle preservation.

show abstract

“…In a study, Clermont et al34 have shown that standardized institutional operative protocol together with proficient proctorship, contribute to a shorter learning curve with fewer cases required to reach proficiency for TAMIS for local excision of rectal neoplasm. Similarly, for robotic-assisted radical prostatectomy, Rocha et al15 have shown that training supervised with a proctor resulted in acceptable operative time, complication rates, and functional and oncological outcomes for trainees similar to that in literature. Similar observations have been made by Chou et al35 and Zahid et al36…”

Section: Discussionmentioning

confidence: 72%

“…In recent publications for urological and robotic surgery, this proctored training has been shown to be very effective. 15 We have been following proctored preceptorship for teaching laparoscopic surgery, especially laparoscopic cholecystectomy, to our residents. Trainee surgeons perform surgery under the direct supervision of a proctor acting as a cameraman who guides the trainee throughout the procedure, and surgery is taken over by the proctor wherever required, thereby preventing complications and keeping the incidence of BDI almost negligible.…”

mentioning

confidence: 99%

Use of Critical View of Safety and Proctored Preceptorship in Preventing Bile Duct Injury During Laparoscopic Cholecystectomy—Experience of 3726 Cases From a Tertiary Care Teaching Institute

Bansal¹,

Krishna²,

Jain³

et al. 2022

Surgical Laparoscopy, Endoscopy &Amp; Percutaneous Techniques

View full text Add to dashboard Cite

Introduction: Bile duct injury (BDI) continues to occur despite technological advances and improvements in surgical training over the past 2 decades. This study was conducted to audit our data on laparoscopic cholecystectomies performed over the past 2 decades to determine the role of Critical View of Safety (CVS) and proctored preceptorship in preventing BDI and postoperative complications. Materials and Methods: All patients undergoing elective laparoscopic cholecystectomy were analyzed retrospectively. The data were obtained from a prospectively maintained database from January 2004 to December 2019. Proctored preceptorship was used in all cases. Intraoperative details included the number of patients where CVS was defined, number of BDI and conversions. Postoperative outcomes, including hospital stay, morbidity, and bile duct stricture, were noted. Results: Three thousand seven hundred twenty-six patients were included in the final analysis. Trainee surgeons performed 31.6% of surgeries and 9.5% of these surgeries were taken over by the senior surgeon. A CVS could be delineated in 96.6% of patients. The major BDI rate was only 0.05%. Conclusion: This study reiterates the fact that following the basic tenets of safe laparoscopic cholecystectomy, defining and confirming CVS, and following proctored preceptorship are critical in preventing major BDI.

show abstract

Robotic-assisted radical prostatectomy with preceptor’s assistance: the training experience and outcomes in South America

Cited by 10 publications

References 27 publications

Challenges and opportunities in prostate cancer surgery in South America: Insights into robot‐assisted radical prostatectomies—A perspective

Challenges and opportunities in prostate cancer surgery in South America: Insights into robot‐assisted radical prostatectomies—A perspective

Neurovascular bundle preservation in robotic-assisted radical prostatectomy: How I do it after 15.000 cases

Use of Critical View of Safety and Proctored Preceptorship in Preventing Bile Duct Injury During Laparoscopic Cholecystectomy—Experience of 3726 Cases From a Tertiary Care Teaching Institute

Contact Info

Product

Resources

About