The surgical learning curve for laparoscopic radical prostatectomy: a retrospective cohort study

Vickers, Andrew J.; Savage, Caroline; Hruza, Marcel; Tüerk, Ingolf; Koenig, Philippe; Martínez‐Piñeiro, Luis; Janetschek, G.; Guillonneau, Bertrand

doi:10.1016/s1470-2045(09)70079-8

Cited by 260 publications

(184 citation statements)

References 13 publications

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“…Lower rates of positive surgical margins for high-volume surgeons suggest that experience and careful attention to surgical details, can improve surgical cancer control [47] and lower complication rates.…”

Section: Radical Prostatectomymentioning

confidence: 99%

EAU-ESTRO-SIOG Guidelines on Prostate Cancer. Part 1: Screening, Diagnosis, and Local Treatment with Curative Intent

et al. 2017

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Section: Radical Prostatectomymentioning

confidence: 99%

EAU-ESTRO-SIOG Guidelines on Prostate Cancer. Part 1: Screening, Diagnosis, and Local Treatment with Curative Intent

et al. 2017

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“…In addition, most observational studies generally include men treated at high-volume tertiary referral centers. Since surgeon, radiotherapist, and oncology expertise, as well as hospital case volumes, affect treatment-related outcomes [18][19][20][21], results obtained in this setting might not be applicable to the general population. Unlike the majority of cancer data sets from large, highly specialized, singlecenter academic or tertiary referral institutions in the USA and Europe, registries reflect outcomes in men with PCa treated in real-world community settings.…”

Section: A Role For Pca Registriesmentioning

confidence: 99%

Prostate Cancer Registries: Current Status and Future Directions

Gandaglia¹,

Bray

Cooperberg

et al. 2016

European Urology

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Context: Disease-specific registries that enroll a considerable number of patients play a major role in prostate cancer (PCa) research. Objective: To evaluate available registries, describe their strengths and limitations, and discuss the potential future role of PCa registries in outcomes research. Evidence acquisition: We performed a literature review of the Medline, Embase, and Web of Science databases. The search strategy included the terms prostate cancer, outcomes, statistical approaches, population-based cohorts, registries of outcomes, and epidemiological studies, alone or in combination. We limited our search to studies published between January 2005 and January 2015. Evidence synthesis: Several population-based and prospective disease-specific registries are currently available for prostate cancer. Studies performed using these data sources provide important information on incidence and mortality, disease characteristics at presentation, risk factors, trends in utilization of health care services, disparities in access to treatment, quality of care, long-term oncologic and health-related quality of life outcomes, and costs associated with management of the disease. Although data from these registries have some limitations, statistical methods are available that can address certain biases and increase the internal and external validity of such analyses. In the future, improvements in data quality, collection of tissue samples, and the availability of data feedback to health care providers will increase the relevance of studies built on population-based and disease-specific registries. Conclusions: The strengths and limitations of PCa registries should be carefully considered when planning studies using these databases. Although randomized controlled trials still provide the highest level of evidence, large registries play an important and growing role in advancing PCa research and care. Patient summary: Several population-based and prospective disease-specific registries for prostate cancer are currently available. Analyses of data from these registries yield information that is clinically relevant for the management of patients with prostate cancer.

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“…The learning curve generally needed 200-250 cases for the optimal resection margin results [20,21]. Secin et al reported that the rate of decrease in PRM was more slowly for LRP than for RRP [20].…”

Section: Discussionmentioning

confidence: 99%

“…Secin et al reported that the rate of decrease in PRM was more slowly for LRP than for RRP [20]. Additionally, Vickers et al reported that PSA failure decreased to 16% after 250 patients and to 9% after 750 patients [21]. LRP may be more difficult to learn because LRP must be operated in a two-dimensional space without a direct view of surgical space, with longer instrument and diminished haptic feedback.…”

Section: Discussionmentioning

confidence: 99%

Relationship of Positive Resection Margin, Cancer Location and Learning Curve after Laparoscopic Radical Prostatectomy

Hashine¹,

Kakuda²,

Iuchi³

et al. 2017

Med Surg Urol

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The surgical learning curve for laparoscopic radical prostatectomy: a retrospective cohort study

Abstract: Background-We previously reported the learning curve for open radical prostatectomy, defined in terms of prostate cancer recurrence. We sought to characterize the learning curve for laparoscopic radical prostatectomy.

Cited by 260 publications

References 13 publications

EAU-ESTRO-SIOG Guidelines on Prostate Cancer. Part 1: Screening, Diagnosis, and Local Treatment with Curative Intent

EAU-ESTRO-SIOG Guidelines on Prostate Cancer. Part 1: Screening, Diagnosis, and Local Treatment with Curative Intent

Prostate Cancer Registries: Current Status and Future Directions

Relationship of Positive Resection Margin, Cancer Location and Learning Curve after Laparoscopic Radical Prostatectomy

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