Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Clinical Trial
. 2007 Jul 9:7:11.
doi: 10.1186/1471-2490-7-11.

Approach to endoscopic extraperitoneal radical prostatectomy (EERPE): the impact of previous laparoscopic experience on the learning curve

Andreas Blana  1 , Markus Straub, Peter J Wild, Jens C Lunz, Thorsten Bach, Wolf F Wieland, Roman Ganzer
Affiliations
Clinical Trial

Approach to endoscopic extraperitoneal radical prostatectomy (EERPE): the impact of previous laparoscopic experience on the learning curve

Andreas Blana et al. BMC Urol. .

Abstract

Background: We report our approach regarding the technique of endoscopic extraperitoneal radical prostatectomy (EERPE) and analyze the learning curve of two surgeons after thorough technical training under expert monitoring. The purpose of this study was to investigate the influence of expert monitoring on the surgical outcome and whether previous laparoscopic experience influences the surgeon's learning curve.

Methods: EERPE was performed on 120 consecutive patients by two surgeons with different experience in laparoscopy. An analysis and comparison of their learning curve was made.

Results: Median operation time: 200 (110-415) minutes.

Complications: no conversion, blood transfusion (1.7%), rectal injury (3.3%). Median catheterisation time: 6 (5-45) days. Histopathological data: 55% pT2, 45% pT3 with a positive surgical margin rate of 6.1% and 46%, respectively. After 12 months, 78% of the patients were continent, 22% used 1 or more pad. Potency rate with or without PDE-5-inhibitors was 66% with bilateral and 31% with unilateral nerve-sparing, respectively. Operation time was the only parameter to differ significantly between the two surgeons.

Conclusion: EERPE can be learned within a short teaching phase. Previous laparoscopic experience is reflected by shorter operation times, not by lower complication rates or superior early oncological data.

PubMed Disclaimer

Figures

Figure 1
Figure 1
1A and 1B. Boxplots for operation time of learning phases and surgeons. KEY: S1 = Surgeon 1; S2 = Surgeon 2.
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

References

    1. Schuessler WW, Schulam PG, Clayman RV, Kavoussi LR. Laparoscopic radical prostatectomy: initial short-term experience. Urology. 1997;50:854–857. doi: 10.1016/S0090-4295(97)00543-8. - DOI - PubMed
    1. Guillonneau B, Cathelineau X, Barret E, Rozet F, Vallancien G. Laparoscopic radical prostatectomy: technical and early oncological assessment of 40 operations. Eur Urol. 1999;36:14–20. doi: 10.1159/000019921. - DOI - PubMed
    1. Raboy A, Ferzli G, Albert P. Initial experience with extraperitoneal endoscopic radical retropubic prostatectomy. Urology. 1997;50:849–853. doi: 10.1016/S0090-4295(97)00485-8. - DOI - PubMed
    1. Bollens R, Vanden BM, Roumeguere T, Damoun A, Ekane S, Hoffmann P, Zlotta AR, Schulman CC. Extraperitoneal laparoscopic radical prostatectomy. Results after 50 cases. Eur Urol. 2001;40:65–69. doi: 10.1159/000049750. - DOI - PubMed
    1. Stolzenburg JU, Rabenalt R, Tannapfel A, Liatsikos EN. Intrafascial nerve-sparing endoscopic extraperitoneal radical prostatectomy. Urology. 2006;67:17–21. doi: 10.1016/j.urology.2005.09.052. - DOI - PubMed

Publication types

LinkOut - more resources