Learning curve in robot-assisted partial nephrectomy: comparison between an expert surgeon and a team in training in single-center experiences

An important issue in robotic surgery is the training of urologists and the learning curve to perform a robot-assisted partial nephrectomy (RAPN), especially for those procedures that require vascular clamping. We retrospectively enrolled 333 patients, undergoing RAPN in the period between 01/2014 a...

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Bibliographic Details
Published in:Central European journal of urology 2021-01, Vol.74 (4), p.523-527
Main Authors: Fiorello, Nicolò, Di Benedetto, Andrea, Summonti, Daniele, Mogorovich, Andrea, Sepich, Carlo Alberto
Format: Article
Language:English
Subjects:
Cancer
Histology
Intensive care
Ischemia
Kidney cancer
Laparoscopy
Original Paper
Patients
Robotic surgery
Tumors
Urology
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Summary:An important issue in robotic surgery is the training of urologists and the learning curve to perform a robot-assisted partial nephrectomy (RAPN), especially for those procedures that require vascular clamping. We retrospectively enrolled 333 patients, undergoing RAPN in the period between 01/2014 and 12/2020. Surgical complexity, surgery duration, perioperative complications, and clamping were evaluated for each patient. Comparisons were made between an experienced surgeon and 3 urologists with initial experience in robotic surgery. Total number of RAPN was 333, of wich 172 were performed by the chief and 142 by the team. Analyzing the data, after an initial training in robotic surgery, it's possible to perform surgery of medium complexity (RENAL score 6-7) after 15 procedures performed in total independence. To proceed to high complexity tumors (RENAL score 8-9) with possible vascular clamping and warm ischemia time
ISSN:2080-4806
2080-4873
2080-4873
DOI:10.5173/ceju.2021.0185