Laparoscopic radical prostatectomy—an analysis of factors affecting operating time

Although laparoscopic radical prostatectomy (LRP) is accomplished within 2 to 3 hours by experienced surgeons, less is known about the operating times (OTs) for recently trained surgeons or the influence of additional factors. As of November 2001 at our institution, two senior surgeons had each perf...

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Bibliographic Details
Published in:Urology (Ridgewood, N.J.) N.J.), 2003-08, Vol.62 (2), p.314-318
Main Authors: El-Feel, Ahmed, Davis, John W, Deger, Serdar, Roigas, Jan, Wille, Andreas H, Schnorr, Dietmar, Loening, Stefan, Hakiem, Amr Abdel, Tuerk, Ingolf A
Format: Article
Language:English
Subjects:
Abdomen - surgery
Adult
Aged
Androgen Antagonists - therapeutic use
Biological and medical sciences
Body Mass Index
Clinical Competence - statistics & numerical data
Humans
Laparoscopy - methods
Laparoscopy - statistics & numerical data
Male
Medical sciences
Middle Aged
Organ Size
Prospective Studies
Prostate - drug effects
Prostate - pathology
Prostate - surgery
Prostatectomy - methods
Prostatectomy - statistics & numerical data
Prostatic Neoplasms - drug therapy
Prostatic Neoplasms - pathology
Prostatic Neoplasms - surgery
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the genital tract and mammary gland
Time Factors
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Summary:Although laparoscopic radical prostatectomy (LRP) is accomplished within 2 to 3 hours by experienced surgeons, less is known about the operating times (OTs) for recently trained surgeons or the influence of additional factors. As of November 2001 at our institution, two senior surgeons had each performed more than 100 cases of LRP and two junior surgeons had each performed fewer than 30. We prospectively studied the next 100 consecutive LRPs to assess the factors influencing the OT. Transperitoneal LRPs were performed by two senior (n = 62) and two junior surgeons (n = 38) with random case assignment. We assessed body mass index, prostate size, prior abdominal surgery, androgen deprivation, surgeon experience, procedures in addition to LRP, lymph node dissection, nerve sparing, and sural nerve grafting as potential predictors of the OT. Prostate weight, androgen deprivation, and prior abdominal surgery did not significantly affect the OT, but grade 1 obesity increased the OT by an average of 38 minutes. The mean OT by surgeon experience was 214 minutes for seniors and 347 minutes for juniors ( P
ISSN:0090-4295
1527-9995
DOI:10.1016/S0090-4295(03)00250-4