The effect of surgical experience on perioperative and oncological outcomes after robot-assisted radical cystectomy with intracorporeal urinary diversion: Evidence from a high-volume center

Dell’Oglio, Paolo; Mazzone, Elio; Lambert, E. Warren; Vollemaere, Jonathan; Goossens, M.; Larcher, A.; Jeugt, J. Van Der; Vos, Gijs D.; Poelaert, Filip; Uvin, Pieter; Collins, Justin; Naeyer, Geert De; Schatteman, Peter; D’Hondt, Frederiek; Mottrie, A.

doi:10.1016/s1569-9056(19)32748-4

Cited by 3 publications

(2 citation statements)

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“…Specifically, the overall complication rate decreased from 31% to 17% (À14%) and the rate of Clavien-Dindo grade !2 complications significantly decreased from 20% to 6% (À14%). Of note, we limited the effect of intersurgeon variability [17,18] by reporting the outcomes for 415 patients treated by a single surgeon with extensive experience in robotic surgery. Moreover, the baseline characteristics did not differ between the two groups of patients compared in our analyses.…”

Section: Discussionmentioning

confidence: 99%

Reducing the Risk of Postoperative Complications After Robot-assisted Radical Prostatectomy in Prostate Cancer Patients: Results of an Audit and Feedback Intervention Following the Implementation of Prospective Data Collection

Rosiello

Gandaglia

Scuderi

et al. 2022

European Urology Focus

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Section: Discussionmentioning

confidence: 99%

Reducing the Risk of Postoperative Complications After Robot-assisted Radical Prostatectomy in Prostate Cancer Patients: Results of an Audit and Feedback Intervention Following the Implementation of Prospective Data Collection

Rosiello

Gandaglia

Scuderi

et al. 2022

European Urology Focus

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“…Models were adjusted using prespecified clinical covariates. Thereafter, multivariable-derived probability of LNI detection according to different SNB methods were plotted against preoperative Briganti score using locally weighted scatter-plot smoother function (18,19), after accounting for the aforementioned confounders. Third, two sets of logistic regression models were fitted to test the impact of SNB use and type on postoperative complications, after adjusting for age at surgery, neoadjuvant ADT, cT stage, cN stage, preoperative PSA and biopsy GG.…”

Section: Discussionmentioning

confidence: 99%

Diagnostic Value, Oncologic Outcomes, and Safety Profile of Image-Guided Surgery Technologies During Robot-Assisted Lymph Node Dissection with Sentinel Node Biopsy for Prostate Cancer

et al. 2021

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Rationale: Despite good sensitivity and negative predictive value, the implementation of sentinel node biopsy (SNB) in robot-assisted radical prostatectomy (RARP) with extended pelvic lymph node dissection (ePLND) for prostate cancer (PCa) is still controversial.Based on this premise, we aimed to define the added value of SNB (with different tracer modalities) to ePLND in the identification of nodal metastases. Complications rates and oncological outcomes were also assessed.Methods: From January 2006 to December 2019, prospectively collected data were retrospectively analyzed from a single institutional database regarding PCa patients all treated with RARP and ePLND with or without additional use of SNB, either with hybrid tracer indocyanine green (ICG)-99m Tc-nanocolloid (ICG-99mTc-nanocolloid) or free ICG.Multivariable logistic and Cox regression models tested the impact of adding SNB (either with hybrid tracer or free-ICG) on lymph nodal invasion detection, complications and oncological outcomes.Results: Overall, 1680 patients were included in the final analysis. 1,168 (69.5%) were in the non SNB-group, 161 (9.6%) in the ICG SNB-group and 351 (20.9%) patients in the Hybrid SNB-group. Hybrid SNB-group (OR 1.61, 95%CI 1.18-2.20, p=0.002) was an independent predictor of nodal involvement, while ICG SNB-group did not reach the independent predictor status when compared to non SNB group (OR 1.35, 95%CI 0.89-2.03, p=0.1). SNB techniques were not associated with higher rates of complications. Lastly, use of Hybrid SNB was associated with lower rates of biochemical recurrence (0.79, 95%CI 0.63-0.98) and of clinical recurrence (HR 0.76, p=0.035) compared to non SNB group. Conclusions:The implementation of hybrid sentinel node biopsy technique with ICG-99m Tc-nanocolloid in prostate cancer improves detection of positive nodes and potentially lowers recurrence rates with subsequent optimization of patient management, without harming patient safety.

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Super-Extended Robot Assisted Radical Prostatectomy in Locally Advanced Prostate Cancer

Mazzone

Briganti

Montorsi

2022

Robot-Assisted Radical Prostatectomy

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The effect of surgical experience on perioperative and oncological outcomes after robot-assisted radical cystectomy with intracorporeal urinary diversion: Evidence from a high-volume center

Cited by 3 publications

References 0 publications

Reducing the Risk of Postoperative Complications After Robot-assisted Radical Prostatectomy in Prostate Cancer Patients: Results of an Audit and Feedback Intervention Following the Implementation of Prospective Data Collection

Reducing the Risk of Postoperative Complications After Robot-assisted Radical Prostatectomy in Prostate Cancer Patients: Results of an Audit and Feedback Intervention Following the Implementation of Prospective Data Collection

Diagnostic Value, Oncologic Outcomes, and Safety Profile of Image-Guided Surgery Technologies During Robot-Assisted Lymph Node Dissection with Sentinel Node Biopsy for Prostate Cancer

Super-Extended Robot Assisted Radical Prostatectomy in Locally Advanced Prostate Cancer

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