“Robotic fatigue?” – The impact of case order on positive surgical margins in robotic-assisted laparoscopic prostatectomy

“Robotic fatigue?” – The impact of case order on positive surgical margins in robotic-assisted laparoscopic prostatectomy

Bukavina L; Mishra K; Mahran A; Fernstrum A; Ray III Al; Markt S; Schumacher F; Conroy B; Abouassaly R; MacLennan G; Smith G; Ferry E; Wong D; Lotan Y; Chaparala H; Sharp D; Alazem K; Moinzadeh A; Adamic B; Zagaja G; Kang P; Lawry H; Lee B; Calaway A; Ponsky L

Urologic Oncology: Seminars And Original Investigations

2021

2021-06-01

Highlights •Case Sequence of robotic prostatectomy was not associated with worse surgical outcomes including surgical margin rate.•Factors associated with increased rate of positive surgical margin include higher pre-operative PSA, higher percent tumor involvement, extra prostatic extension, and presence of seminal vesicle invasion.•Second case of the day did experience statistically higher blood loss compared to the first prostatectomy of the day.•Overall, a trend for a higher positive surgical margin rate in second case of the day was observed, a finding that was variable amongst institutions.

Prostate cancer; Outcomes; Fatigue; Robotic-assisted surgery; Task performance and analysis

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365-365

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