Positive Surgical Margins After Anterior Robot-assisted Radical Prostatectomy: Assessing the Learning Curve in a Multi-institutional Collaboration.

ABSTRACT:

Background

The learning curve for robot-assisted radical prostatectomy (RARP) remains controversial, with prior studies showing that, in contrast with evidence on open and laparoscopic radical prostatectomy, biochemical recurrence rates of experienced versus inexperienced surgeons did not differ.

Objective

To characterize the learning curve for positive surgical margins (PSMs) after RARP.

Design, setting, and participants

We analyzed the data of 13 090 patients with prostate cancer undergoing RARP by one of 74 surgeons from ten institutions in Europe and North America between 2003 and 2022.

Outcome measurements and statistical analysis

Multivariable models were used to assess the association between surgeon experience at the time of each patient's operation and

SUBMITTER: Bravi CA 

PROVIDER: S-EPMC12127505 | biostudies-literature | 2024 Aug

REPOSITORIES: biostudies-literature