TY -的A2 Rutman马修盟——Slusarenco罗马。非盟,费奥多尔康斯坦丁·v . AU - Prostomolotov Artem o . AU - Sukhanov罗马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。回顾性分析2015 - 2017年的145例RARP病例。将患者分为3组:1组49例，2组50-88例，其余病例分为3组。禁尿被定义为每天至少使用一块尿垫的必要性。此外，勃起功能恢复被定义为勃起足以进行性交，而不使用磷酸二酯酶5抑制剂。术后3个月、6个月和12个月的访谈中评估了失禁和勃起功能恢复情况。首先，所有的手术都成功地进行了，没有转化或输血。平均随访时间为22个月。平均皮肤对皮肤的手术时间(OT)为220分钟。平均失血150 ml，平均住院时间8.9±3.87天。 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 -