Does previous robot-assisted radical prostatectomy experience affect outcomes at robot-assisted radical cystectomy? Results from the international robotic cystectomy consortium

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

Research output: Contribution to journalArticle

43 Scopus citations

Abstract

Objectives: To evaluate the effect of previous robot-assisted radical prostatectomy (RARP) case volume on the outcomes of robot-assisted radical cystectomy. Little is known regarding the effect of previous robotic surgical experience on the implementation and execution of robot-assisted radical cystectomy. Methods: Using the International Robotic Cystectomy Consortium database, 496 patients were identified who had undergone robot-assisted radical cystectomy by 21 surgeons at 14 institutions from 2003 to 2009. The surgeons were divided into 4 groups according to their previous RARP experience (≤50, 51-100, 101-150, and >150 cases). The overall operative time, blood loss, lymph node yield, pathologic stage, and surgical margin status were compared among the 4 groups using chi-square analysis. Results: The mean operative time was 386 minutes (range 178-827). The mean estimated blood loss was 408 mL (range 25-3500). The operative time and blood loss were both significantly associated with previous RARP experience (P < .001). The mean lymph node count was 17.8 nodes (range 0-68). Lymph node yield and increased pathologic stage were significantly associated with previous RARP experience (P < .001). Finally, 34 (7.0%) of the 482 patients had a positive surgical margin. Margin status was not significantly associated with previous RARP experience (P = .089). Conclusions: Previous RARP case volume might affect the operative time, blood loss, and lymph node yield at robot-assisted radical cystectomy. In addition, surgeons with increased RARP experience operated on patients with more advanced tumors. Previous RARP experience, however, did not appear to affect the surgical margin status.

Original languageEnglish (US)
Pages (from-to)1111-1116
Number of pages6
JournalUrology
Volume76
Issue number5
DOIs
StatePublished - Nov 1 2010

ASJC Scopus subject areas

  • Urology

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    Hayn, M. H., Hellenthal, N. J., Hussain, A., Andrews, P. E., Carpentier, P., Castle, E., Dasgupta, P., Davis, R., Thomas, R., Khan, S., Kibel, A., Kim, H., Manoharan, M., Menon, M., Mottrie, A., Ornstein, D., Peabody, J., Pruthi, R., Palou Redorta, J., ... Guru, K. A. (2010). Does previous robot-assisted radical prostatectomy experience affect outcomes at robot-assisted radical cystectomy? Results from the international robotic cystectomy consortium. Urology, 76(5), 1111-1116. https://doi.org/10.1016/j.urology.2010.05.010