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Haxhimolla H, Maré A. Establishing a teaching unit in laparoscopic radical prostatectomy: An Australian experience. JOURNAL OF CLINICAL UROLOGY 2017. [DOI: 10.1177/2051415816671466] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Objective: The aim of this project was to examine the role of surgical mentorship on the perioperative and oncological outcomes of patients undergoing laparoscopic radical prostatectomy (LRP) performed by two urologists inexperienced in the procedure. Methods: Forty-one (41) consecutive LRP cases were performed for clinically localised prostate cancer between December 2006 and June 2008 at a single centre. The surgical mentor approach was used with an experienced LRP surgeon being present for all cases that were performed by two urologists training in LRP. Data was retrospectively reviewed to assess morbidity and oncological outcomes of patients undergoing LRP by the team of trainees. Results: No LRP cases were converted to open and no major intraoperative complications were noted. Mean intraoperative blood loss was 493 ml (range 150–1000 ml) with the mean operative time being 220 minutes (range 100–315 minutes). The overall positive margin rate was only 12% (five out of 41 cases). Conclusion: LRP teaching units can be established with appropriate mentor supervision and can result in good oncological outcomes and minimal morbidity that compares favourably to robotic-assisted radical prostatectomy (RARP).
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Affiliation(s)
- H Haxhimolla
- Department of Urology, The Canberra Hospital, Australia
- National Capital Private Hospital, Australia
- Australian National University, Australia
| | - A Maré
- Department of Urology, The Canberra Hospital, Australia
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Handmer M, Chabert C, Cohen R, Gianduzzo T, Kearns P, Moon D, Ooi J, Shannon T, Sofield D, Tan A, Louie-Johnsun M. The Australian laparoscopic radical prostatectomy learning curve. ANZ J Surg 2017; 88:100-103. [DOI: 10.1111/ans.14025] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/09/2016] [Revised: 03/06/2017] [Accepted: 03/14/2017] [Indexed: 11/28/2022]
Affiliation(s)
- Marcus Handmer
- Department of Urology; The University of Newcastle, Gosford Hospital; Gosford New South Wales Australia
| | - Charles Chabert
- Department of Urology; Pindara Gold Coast Private Hospital; Gold Coast Queensland Australia
| | - Ronald Cohen
- Department of Pathology; Uropath Pty Ltd; Perth Western Australia Australia
- School of Pathology and Laboratory Medicine; The University of Western Australia; Perth Western Australia Australia
| | - Troy Gianduzzo
- School of Medicine; University of Queensland; Brisbane Queensland Australia
- Department of Urology; The Wesley Hospital; Brisbane Queensland Australia
| | - Paul Kearns
- Department of Urology; Geelong Hospital; Geelong Victoria Australia
- Department of Urology; St John of God Hospital; Melbourne Victoria Australia
- Department of Urology; Barwon Health University Hospital; Geelong Victoria Australia
| | - Daniel Moon
- Department of Urology; Epworth HealthCare; Melbourne Victoria Australia
| | - Jason Ooi
- Department of Surgery; The University of Melbourne; Melbourne Victoria Australia
- Urology Unit; Western Hospital; Melbourne Victoria Australia
- Department of Urology; St Vincent's Private Hospital; Melbourne Victoria Australia
| | - Tom Shannon
- Department of Urology; Hollywood Private Hospital; Nedlands Western Australia Australia
| | - David Sofield
- Department of Urology; Bethesda Hospital; Perth Western Australia Australia
| | - Andrew Tan
- Department of Urology; Royal Perth Hospital; Perth Western Australia Australia
| | - Mark Louie-Johnsun
- Department of Urology; The University of Newcastle, Gosford Hospital; Gosford New South Wales Australia
- Department of Urology; Gosford Private Hospital; Gosford New South Wales Australia
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Louie-Johnsun MW, Handmer MM, Calopedos RJS, Chabert C, Cohen RJ, Gianduzzo TRJ, Kearns PA, Moon DA, Ooi J, Shannon T, Sofield D, Tan AHH. The Australian laparoscopic non robotic radical prostatectomy experience - analysis of 2943 cases (USANZ supplement). BJU Int 2016; 118 Suppl 3:43-48. [DOI: 10.1111/bju.13610] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/22/2022]
Affiliation(s)
- Mark William Louie-Johnsun
- Department of Urology; Gosford, Wyong and Gosford Private Hospitals and University of Newcastle; Gosford NSW Australia
| | - Marcus M. Handmer
- Department of Urology; Gosford, Wyong and Gosford Private Hospitals and University of Newcastle; Gosford NSW Australia
| | - Ross John Spero Calopedos
- Department of Urology; Gosford, Wyong and Gosford Private Hospitals and University of Newcastle; Gosford NSW Australia
| | - Charles Chabert
- Department of Urology; Pindara Private Hospital; Benowa Qld Australia
| | - Ronald J. Cohen
- Department of Pathology; Uropath and University of Western Australia; Perth WA Australia
| | | | - Paul A. Kearns
- Department of Urology; St John of God Hospital and University Hospital Barwon Health; Geelong Vic. Australia
| | - Daniel A. Moon
- Department of Urology; Epworth Healthcare; Melbourne Vic. Australia
| | - Jason Ooi
- Department of Urology; St Vincents Private Hospital; East Melbourne Vic. Australia
| | - Tom Shannon
- Department of Urology; Hollywood Private Hospital; Perth WA Australia
| | - David Sofield
- Department of Urology; Bethesda Hospital; Perth WA Australia
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O'Neil LM, Walsh S, Cohen RJ, Lee S. Prostate carcinoma with positive margins at radical prostatectomy: role of tumour zonal origin in biochemical recurrence. BJU Int 2015. [DOI: 10.1111/bju.13173] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- Luke M. O'Neil
- School of Medicine; University of Notre Dame; Fremantle Australia
| | - Shane Walsh
- Uropath Pty Ltd; Perth Western Australia Australia
- West Australian Urologic Research Organisation; Perth Western Australia Australia
| | - Ronald J. Cohen
- Uropath Pty Ltd; Perth Western Australia Australia
- School of Pathology and Laboratory Medicine; Faculty of Medicine and Dentistry; University of Western Australia; Perth Western Australia Australia
- West Australian Urologic Research Organisation; Perth Western Australia Australia
| | - Stephen Lee
- Uropath Pty Ltd; Perth Western Australia Australia
- School of Pathology and Laboratory Medicine; Faculty of Medicine and Dentistry; University of Western Australia; Perth Western Australia Australia
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