TY - JOUR A2 - Rutman, Matthew AU - Slusarenco, Roman I. AU - Mikheev, Konstantin V. AU - Prostomolotov, Artem O. AU - Sukhanov, Roman B. AU - Bezrukov，Evgeny a . PY - 2020 DA - 2020/05/26 TI -分析符合根治性前列腺切除术的学习曲线由外科医生SP - 9191830六世- 2020 AB -本研究旨在报告符合根治性前列腺切除术的学习曲线(-)由一个外科医生在腹腔镜前列腺切除术的经验。回顾性评估了2015年至2017年期间实施的145例RARP病例的记录。将患者分为三组:第一组49例，第二组50-88例，第三组50-88例。自制被定义为在一天内至少使用一个垫子。此外，勃起功能恢复被定义为无论是否使用磷酸二酯酶5型抑制剂，勃起都足以进行性交。在术后3个月、6个月和12个月的访谈中评估失禁和勃起功能恢复情况。首先，所有的手术都顺利进行，没有转换或输血。中位随访时间为22个月。此外，中位皮肤-皮肤手术时间(OT)为220分钟。 The median blood loss was 150 ml, and the mean hospital stay was 8.9 ± 3.87 days. The median prostate volume was 36 cm³. The overall positive surgical margin rate was 13.1%. Overall, 38 (26.2%) postoperative complications were observed, and 17.9% of them were graded as minor. Anastomotic leakage decreased significantly from group 1 to group 3 (26.5% and 7%, respectively). The continence recovery (0-1 pad) rates were 60.6%, 75.7%, and 84.9% at 3, 6, and 12 months after surgery, respectively. Subsequently, the erectile function recovery rates were 50.9% and 65.4% at 6 and 12 months after surgery, respectively. In conclusion, there are several types of learning curves for RARP. First, the shallowest learning curve was observed for the OT. Regarding the analysis of “advanced learning curve,” demonstrating the improvement of OT and blood loss is considered insufficient. Therefore, additional oncological and functional results that require a longer period of investigation are required. SN - 1687-6369 UR - https://doi.org/10.1155/2020/9191830 DO - 10.1155/2020/9191830 JF - Advances in Urology PB - Hindawi KW - ER -