ArticleIrish journal of medical science2022
Robotic-assisted radical prostatectomy-impact of a mentorship program on oncological outcomes during the learning curve.
Article in Irish journal of medical science, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.
- Does the surgeon's learning curve impact pentafecta outcomes in radical prostatectomy? a systematic review and meta-analysis.BMC urology · 2025Pooled it
- Article
- Medicolegal aspects of robotic-assisted surgery: litigation trends, complication risks, and human factors interventions.Journal of robotic surgery · 2026Review
- Effective Mentorship in Urology Fellowship Training: Qualities, Models, and Equity.Current urology reports · 2026Review
- Learning curves of 13 surgeons for robot-assisted radical prostatectomy in a single institution: role of early case density.Journal of robotic surgery · 2026Article
- Robot-Assisted Radical Prostatectomy (RARP) Trifecta Learning Curve for Surgeons with Previous Experience in Laparoscopy.Medicina (Kaunas, Lithuania) · 2024Article
- Value-Based Health Care for Prostate Cancer Centers by Implementing Specific Key Performance Indicators Using a Balanced Score Card.Healthcare (Basel, Switzerland) · 2024Article
- CUSUM learning curves: what they can and can't tell us.Surgical endoscopy · 2023Article
- Development and validation of a deep learning-based algorithm for colonoscopy quality assessment.Surgical endoscopy · 2022Article
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND AND
aimsThe learning curve for robotic-assisted radical prostatectomy (RARP) is estimated to be about 50-200 cases. This study will evaluate the benefit of a mentorship programme after completing a mini-fellowship in RARP by an experienced surgeon who previously trained in open and laparoscopic surgery.
methodsOur study was a retrospective comparative analysis of RARP performed by a single consultant urologist. A retrospective chart review of the first 120 cases was performed. The 120 patients were divided into three groups of 40 cases. For the first 40 cases, an appropriately qualified mentor was present. The peri-operative and oncological outcomes were compared between the three groups.
resultsOperative times significantly decreased with experience (250 min vs 234 min vs 225 min, p < 0.05). Complication rates, estimated blood loss, and length of stay were similar between all groups. There was a higher rate of positive margins in the final group (20% vs 17.5% vs 32.5%, p < 0.5). There was a greater number of pT3 tumours in group 3 (42%, n = 17) compared to groups 1 and 2 (20%, n = 8, and 22.5%, n = 9) which may account for the higher rate of positive margins in this group.
conclusionIn the transition of an experienced laparoscopic surgeon to robotic surgery, we showed that there is a benefit of a mentorship programme after a mini-fellowship in reducing the impact of the learning curve on patient outcomes. Ongoing mentorship may be of benefit in cases where a high volume of tumour is suspected and should be avoided in the early part of the learning curve to maximise oncological outcomes.
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