The Australian laparoscopic non robotic radical prostatectomy experience – analysis of 2943 cases (<scp>USANZ</scp> supplement)

Louie-Johnsun, Mark; Handmer, Marcus; Calopedos, Ross; Chabert, Charles; Cohen, Ronald J.; Gianduzzo, Troy; Kearns, Paul; Moon, Daniel; Ooi, Jason; Shannon, Tom; Sofield, David; Tan, Andrew

doi:10.1111/bju.13610

Cited by 11 publications

(6 citation statements)

References 37 publications

(65 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…One such custodian for urologists is the BJU International journal which centralises quality evidence-based urological knowledge. For example, this journal has key papers in the myriad of localised and systemic [13] treatment of prostate cancer, such as active surveillance [14], robotic prostatectomy [15], brachytherapy [16], and even alternative treatments like phytotherapy [17]. In the same way, reputable organisations can summarise evidence-based knowledge into a centralised online library in simple language so that our patients do not have to sift through the ocean of unsorted information on the Internet.…”

Section: Discussionmentioning

confidence: 99%

Quality of Health Information on the Internet for Prostate Cancer

Chang

Abouassaly

Lawrentschuk

2018

Advances in Urology

View full text Add to dashboard Cite

Introduction To compare (1) the quality of prostate cancer health information on the Internet, (2) the difference in quality between websites appearing earlier or later in the search, and (3) the sources of sponsorship for each of these websites. Materials and methods The top 150 listed websites on the Google search engine for each of the 11 search terms related to prostate cancer were analysed. Quality was assessed on whether the website conforms to the principles of the Health On the Net Foundation. Each of these websites was then reviewed to determine the main source of sponsorship. Statistical analysis was performed to determine if the proportion of HON accreditation varied among the different cohorts of listed websites and among the 11 search terms used. Results In total, 1650 websites were analysed. Among these, 10.5% websites were HON-accredited. The proportion of HON-accredited websites for individual search terms ranged from 3.3% to 19.3%. In comparison with the search term of “Prostate cancer,” four search terms had statistically significant odds ratio of the rate of HON accreditation. Websites 51–150 were statistically less likely to have HON accreditation than websites 1–50. The top three website sponsors were journal/universities (28.8%), commercial (28.1%), and physician/surgeon (26.9%). Conclusions The lack of validated and unbiased websites for prostate cancer is concerning especially with increasing use of the Internet for health information. Websites sponsored or managed by the government and national departments were most likely to provide impartial health information for prostate cancer. We need to help our patients identify valid and unbiased online health resources.

show abstract

Section: Discussionmentioning

confidence: 99%

Quality of Health Information on the Internet for Prostate Cancer

Chang

Abouassaly

Lawrentschuk

2018

Advances in Urology

View full text Add to dashboard Cite

show abstract

“…We wished to describe the local learning curve in Australia for Fellowship‐trained LRP surgeons, by examining a subset of a larger Australian LRP series …”

Section: Discussionmentioning

confidence: 99%

“…Potency and continence rates are not addressed in this study because not all contributing surgeons had data, although limited results are reported in the descriptive publication of this series …”

Section: Discussionmentioning

confidence: 99%

The Australian laparoscopic radical prostatectomy learning curve

Handmer

Chabert²,

Cohen

et al. 2017

ANZ Journal of Surgery

Self Cite

View full text Add to dashboard Cite

Background International estimates of the laparoscopic radical prostatectomy (LRP) learning curve extend to as many as 1000 cases, but is unknown for Fellowship‐trained Australian surgeons. Methods Prospectively collected data from nine Australian surgeons who performed 2943 consecutive LRP cases was retrospectively reviewed. Their combined initial 100 cases (F100, n = 900) were compared to their second 100 cases (S100, n = 782) with two of nine surgeons completing fewer than 200 cases. Results The mean age (61.1 versus 61.1 years) and prostate specific antigen (7.4 versus 7.8 ng/mL) were similar between F100 and S100. D'Amico's high‐, intermediate‐ and low‐risk cases were 15, 59 and 26% for the F100 versus 20, 59 and 21% for the S100, respectively. Blood transfusions (2.4 versus 0.8%), mean blood loss (413 versus 378 mL), mean operating time (193 versus 163 min) and length of stay (2.7 versus 2.4 days) were all lower in the S100. Histopathology was organ confined (pT2) in 76% of F100 and 71% of S100. Positive surgical margin (PSM) rate was 18.4% in F100 versus 17.5% in the S100 (P = 0.62). F100 and S100 PSM rates by pathological stage were similar with pT2 PSM 12.2 versus 9.5% (P = 0.13), pT3a PSM 34.8 versus 40.5% (P = 0.29) and pT3b PSM 52.9 versus 36.4% (P = 0.14). Conclusion There was no significant improvement in PSM rate between F100 and S100 cases. Perioperative outcomes were acceptable in F100 and further improved with experience in S100. Mentoring can minimize the LRP learning curve, and it remains a valid minimally invasive surgical treatment for prostate cancer in Australia even in early practice.

show abstract

“…One argument of the advocates of RARP is the reduced length of hospitalization and therefore improved quality of life for the patient [ 8 ]. However, there are also other studies that show similar perioperative, oncological, and functional outcomes for laparoscopic RP compared to open and robotic RP if surgeons were high volume surgeons [ 17 ].…”

Section: Discussionmentioning

confidence: 99%

The Effect of Evolving Strategies in the Surgical Management of Organ-Confined Prostate Cancer: Comparison of Data from 2005 to 2014 in a Multicenter Setting

et al. 2017

View full text Add to dashboard Cite

IntroductionThe objective of this study was to evaluate changes of patient characteristics and surgical techniques in radical prostatectomy in Germany within the last decade.MethodsData from 44 German prostate cancer centers were included in the study. Patients’ characteristics (age, initial PSA value), surgical techniques (open vs. minimally invasive approaches), perioperative parameters (operating time, rate of nerve-sparing (NS) radical prostatectomies (RPs), hospitalization time, catheter indwelling time, surgical margin status, number of dissected lymph nodes (LN)), and pathological findings (tumor stage, Gleason score) were analyzed.ResultsData from 11,675 patients who underwent RP between 2005 and 2014 were analyzed. The rate of open RP approaches decreased by 1.7% (p = 0.0164), the rate of minimally invasive approaches increased by 1.8% (p = 0.0164). Robot-assisted RPs (RARP) increased by 4.6% (p < 0.0001). The number of NS procedures and pelvic lymphadenectomy (LA) increased by 4.5% (p < 0.0001) and 4.7% (p < 0.0001), respectively. Catheter indwelling time and hospitalization time decreased by 1 day (p < 0.0001). No change in the rate of positive surgical margins (p = 0.5061) and the ratio of positive lymph nodes removed (p = 0.4628) was observed. The number of Gleason ≤6 tumors decreased significantly (p < 0.0001).ConclusionsThe number of RARP has significantly increased over the past decade and there is a trend towards surgeries on more advanced tumors with higher yields of lymph nodes dissected. At the same time, the rate of nerve-sparing procedures has significantly increased.

show abstract

The Australian laparoscopic non robotic radical prostatectomy experience – analysis of 2943 cases (USANZ supplement)

Cited by 11 publications

References 37 publications

Quality of Health Information on the Internet for Prostate Cancer

Quality of Health Information on the Internet for Prostate Cancer

The Australian laparoscopic radical prostatectomy learning curve

The Effect of Evolving Strategies in the Surgical Management of Organ-Confined Prostate Cancer: Comparison of Data from 2005 to 2014 in a Multicenter Setting

Contact Info

Product

Resources

About