Learning curves for urological procedures: a systematic review

  title={Learning curves for urological procedures: a systematic review},
  author={Hamid Abboudi and Mohammed Shamim Khan and Khurshid A. Guru and Saied Froghi and Gunter De Win and Hendrik Van Poppel and Prokar Dasgupta and Kamran Ahmed},
  journal={BJU International},
OBJECTIVE To determine the number of cases a urological surgeon must complete to achieve proficiency for various urological procedures. [] Key Method Studies pertaining to learning curves of urological procedures were included. Two reviewers independently identified potentially relevant articles. Procedure name, statistical analysis, procedure setting, number of participants, outcomes and learning curves were analysed.
Contemporary practice and technique‐related outcomes for radical prostatectomy in the UK: a report of national outcomes
To determine current radical prostatectomy practice in the UK and compare surgical outcomes between techniques, a large number of patients are treated with either a single or two techniques.
The influence of learning curve of robot‐assisted laparoscopy on oncological outcomes in early‐stage cervical cancer: an observational cohort study
To investigate the learning curve of robot‐assisted laparoscopy in early‐stage cervical cancer and quantify impact on oncological outcomes, a large number of patients with confirmed or suspected cervical cancer have had robot-assisted surgery.
Impact of surgeon volume on the morbidity and costs of radical cystectomy in the USA: a contemporary population‐based analysis
To evaluate the relationship between surgeon volume of radical cystectomy (RC) and postoperative morbidity, and to assess the economic burden of bladder cancer in the USA.
Comparison of laparoscopic pyelolithotomy and retrograde intrarenal surgery in the management of large renal pelvic stones
To compare the clinical outcomes of laparoscopic pyelolithotomy (LP) and retrograde intrarenal surgery (RIRS) in the management of large renal pelvic stones, a comparison study is conducted with real-time data over a 12-week period.
Supervisor volume affects oncological outcomes of trainees performing open radical prostatectomy
This work aimed to compare the oncological outcomes from ORP when a urology trainee as primary operator and is supervised by a high‐ or low‐volume consultant urologist.
Assessing the relative influence of hospital and surgeon volume on short‐term mortality after radical cystectomy
To assess the relationship between surgeon (SV) and hospital volume (HV) on mortality after radical cystectomy (RC), a large number of patients with a history of cancer were referred for surgery.
Is surgery a never‐ending learning process?
The authors have conducted a methodologically consistent systematic review on the literature focused on the learning curve of some urological procedures, including mainly radical prostatectomy, robot-assisted partial nephrectomy and percutaneous nephrolitotomy.
Robotic radical cystectomy with intracorporeal urinary diversion: beyond the initial experience.
The learning curve, technical points, and unique complications associated with ICUD are described, which indicate that intracorporeal urinary diversion is becoming increasingly utilized.
Systematic review: the learning curve for robot-assisted radical cystectomy. What do we know?
Based on the relevant assessment criteria, the RARC learning curve length varies from 10 to 50 cases, the most common criteria for evaluating the learning experience include operation time and the lymph node yield.


The Learning Curve for Robot-Assisted Radical Cystectomy
The authors found that the learning curve for robotassisted radical cystectomy is constantly evolving to improve oncologic outcomes.
Should experienced open prostatic surgeons convert to robotic surgery? The real learning curve for one surgeon over 3 years
Study Type – Therapy (case series)
Level of Evidence 4
Transition From Laparoscopic to Robotic Partial Nephrectomy: the Learning Curve for an Experienced Laparoscopic Surgeon
The transition from laparoscopic partial nephrectomy to robotic partial nephrectomy was found to be too rapid for an experienced laparoscopic surgeon.
Learning curve for radical retropubic prostatectomy.
During the initial RP learning curve, a significant reduction in the operative time is found; blood transfusion during the procedures and positive surgical margin rate were stable in the series.
The Learning Curve for Flank Percutaneous Nephrolithotomy for Kidney Calculi: A Single Surgeon's Experience
Flank PCNL can be used to remove renal stones effectively while overcoming the disadvantages of the existing prone position PCNL, and the clinical experience reported here suggests that flank PCNL is a safe and feasible technique.
Evaluation of the learning curve for percutaneous nephrolithotomy.
An improvement in operation duration was observed, and absence of complications was achieved after 45 cases, and the improvement in stone clearance was observed up to the last subjects.