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Related Experiment Video

Updated: Jun 23, 2025

Retzius-Sparing Robot-Assisted Radical Prostatectomy
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Published on: May 19, 2022

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High-volume surgeons decrease operating time in robot-assisted radical prostatectomy: results in 1229 patients.

Antonio B Porcaro1, Alberto Bianchi2, Sebastian Gallina2

  • 1Department of Urology, A.O.U. Integrata, University of Verona, Verona, Italy - drporcaro@yahoo.com.

Minerva Urology and Nephrology
|June 26, 2024
PubMed
Summary

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Prostate Cancer Index Density, the Ratio of Percentage of Biopsy-Positive Cores to Prostate Volume, and Predicted Lethal Disease in the EAU Intermediate Prognostic Risk Class: Analysis and Implications in 651 Consecutive Patients Treated with Robot-Assisted Radical Prostatectomy at a Tertiary Referral Centre.

Cancers·2026
This summary is machine-generated.

High-volume surgeons (HVS) significantly decrease operating time (OT) for robot-assisted radical prostatectomy (RARP), regardless of patient factors or extended pelvic lymph node dissection (ePLND). This finding aids in optimizing surgical scheduling and resource allocation.

Area of Science:

  • Urology
  • Surgical Oncology
  • Robotic Surgery

Background:

  • Robot-assisted radical prostatectomy (RARP) is a standard treatment for prostate cancer.
  • Factors influencing operative time (OT) in RARP, especially with extended pelvic lymph node dissection (ePLND), require evaluation.
  • Understanding OT determinants is crucial for surgical efficiency and resource management.

Purpose of the Study:

  • To identify factors impacting operative time (OT) during robot-assisted radical prostatectomy (RARP).
  • To assess the influence of surgeon volume and extended pelvic lymph node dissection (ePLND) on RARP OT.
  • To analyze the impact of clinical and anatomical variables on RARP OT.

Main Methods:

  • A retrospective analysis of 1289 patients undergoing RARP between January 2013 and December 2021.

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  • Comparison of OT between low-volume surgeons (LVS) and high-volume surgeons (HVS).
  • Linear regression models used to assess associations between OT variations and clinical/anatomical factors, including ePLND.

    • Main Results:

    • High-volume surgeons (HVS) significantly reduced RARP OT by approximately 40-43 minutes compared to LVS.
    • This OT reduction by HVS was independent of clinical factors like BMI and PV, and anatomical factors like PW and blood loss.
    • RARP with ePLND performed by HVS also showed decreased OT, irrespective of various patient and surgical characteristics.

    Conclusions:

    • Surgeon volume is a key determinant in reducing operative time for RARP.
    • HVS performing RARP, with or without ePLND, achieve greater efficiency.
    • Optimizing surgical scheduling based on surgeon volume can improve operating room utilization, reduce costs, and enhance training opportunities.