Document Detail


Radical perineal prostatectomy: a learning curve?
MedLine Citation:
PMID:  20882343     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
OBJECTIVE: To determine a learning curve for radical perineal prostatectomy after formal training in radical retropubic prostatectomy.
METHODS: Using the William Beaumont Hospital Prostatectomy database, we analyzed peri-operative data from two surgeons performing radical perineal prostatectomies from their initial 96 cases to determine a learning curve.
RESULTS: Over time, data between the first and last quarters showed consistent, excellent results in terms of skin time (143 SD ± 22 and 136 SD ± 24 min), blood loss (310 SD ± 120 and 335 ± 216 cc), and length of stay (1.3 SD ± 0.6 and 1.2 SD ± 0.5 days), without significant change. However, only two positive margins were obtained in the 4th quartile representing a significant change and possibly representing a learning curve.
CONCLUSIONS: These data show that excellent, reproducible results can be obtained using basic surgical principles, without incorporating expensive technology and resources.
Authors:
Fadi Eliya; Ken Kernen; Jose Gonzalez; Ken Peters; Ibrahim Ibrahim; Kaylyn Petzel
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Publication Detail:
Type:  Journal Article     Date:  2010-09-30
Journal Detail:
Title:  International urology and nephrology     Volume:  43     ISSN:  1573-2584     ISO Abbreviation:  Int Urol Nephrol     Publication Date:  2011 Mar 
Date Detail:
Created Date:  2011-03-22     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0262521     Medline TA:  Int Urol Nephrol     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  139-42     Citation Subset:  IM    
Affiliation:
Department of Urology, William Beaumont Hospital, Royal Oak, MI, USA, fadieliya@hotmail.com.
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