title: Impact of fellowship training on one-year outcomes of robotic-assisted prostatectomy.
abstract: OBJECTIVE
  We examined 1-year functional and oncologic outcomes for robotic-assisted laparoscopic prostatectomy (RALP) from a single surgeon entering practice directly from fellowship training.
  
  
  METHODS
  We prospectively analyzed the first 100 RALPs performed by one fellowship-trained robotic surgeon. Data included resident involvement during the procedure, perioperative data, and surgical complications (scored using the Clavien grading system). Health-related quality of life (HRQOL) data were captured using the EPIC questionnaire at baseline (prior to surgery) and at 1-year follow-up.
  
  
  RESULTS
  Eighty-two patients (82%) had hospital stays of 2 days or less without any postoperative complications, urethral catheter removal was within 14 days of surgery, and none required readmission to the hospital. The overall positive margin rate was 21% (19% for patients with T2 disease). Clavien grades 1 through 4 complication rates, respectively, were 4%, 10%, 1%, and 1%. There were no deaths, reoperations, or bladder neck contractures. One patient (1%) required a blood transfusion within the 90-day perioperative period. At 1-year follow-up, 78% of patients reported wearing no pads; 41.3% of patients with baseline and 1-year follow-up data reported having intercourse.
  
  
  CONCLUSIONS
  We provide baseline data pertaining to the morbidity, oncologic efficacy, continence results, and potency outcomes of new surgeons performing RALP.
authors.affiliation: Department of Urology, Mayo Clinic, Jacksonville, Florida 32224, USA Thiel.David@mayo.edu
authors.forename: David D
authors.initials: DD
authors.lastname: Thiel
authors.forename: Ryan
authors.initials: R
authors.lastname: Hutchinson
authors.forename: Nancy
authors.initials: N
authors.lastname: Diehl
authors.forename: Andrea
authors.initials: A
authors.lastname: Tavlarides
authors.forename: Adrienne
authors.initials: A
authors.lastname: Williams
authors.forename: Alexander S
authors.initials: AS
authors.lastname: Parker
mesh_terms: D000368:Aged; D006801:Humans; D008297:Male; D008875:Middle Aged; D002983:Clinical Competence; D005257:Fellowships and Scholarships; D011183:Postoperative Complications / Q000453:epidemiology; D011468:Prostatectomy / Q000009:adverse effects / Q000193:education / Q000379:methods; D011471:Prostatic Neoplasms / Q000473:pathology / Q000601:surgery; D011788:Quality of Life; D012371:Robotics / Q000193:education; D011795:Surveys and Questionnaires; D016896:Treatment Outcome; D014549:Urinary Incontinence / Q000453:epidemiology; D014572:Urology / Q000193:education