More on the surgical learning curve for LRP

A study to appear in Lancet Oncology has reported information on the surgical learning curve associated with (non-robotic) laparoscopic radical prostatectomy (LRP). The study appears to confirm prior reports that LRP is a difficult technique to learn to do well. … READ MORE …

The weekend news reports: March 28, 2009

Today’s reports include information on:

  • Percentage of positive biopsy cores as a predictor for extraprostatic disease
  • The RALP learning curve
  • A surgical modification that improves recovery of continence
  • Radiation toxicity associated with HDR brachytherapy + EBRT

In a separate report we have dealt with a paper on the use of salvage brachytherapy for men with biochemical recurrence following first-line external beam radiation therapy. … READ MORE …

The RALP learning curve — a case example

We have regularly addressed the  “learning curve” for surgeons who adopt new methods to carry our radical prostatectomies. A recent publication from an Australian group provides specific and useful insight into “early” use of the da Vinci system to carry out robot-assisted laparoscopic prostatectomy (RALP). … READ MORE …

One surgeon’s laparosopic education

With what seems like an extraordinarily unusual willingness to unmask the flawed process of learning a new surgical technique, Eden et al. have carefully documented a 7-year learning process as the first-named author executed his first 1,000 laparoscopic radical prostatectomies, between 2000 and 2007. Eden actually carried out 83 percent of the procedures himself, and supervised the remain 17 percent. … READ MORE …