{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T05:49:38Z","timestamp":1790660978213,"version":"4.1.0"},"reference-count":28,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2015,10,26]],"date-time":"2015-10-26T00:00:00Z","timestamp":1445817600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Int J of Urology"],"published-print":{"date-parts":[[2016,2]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>To establish a mentoring program that allows novice surgeons to use robotics while maintaining surgical quality during robot\u2010assisted radical prostatectomy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A total of 242 cases of robot\u2010assisted radical prostatectomy for patients with localized prostate cancer were considered for this study. Each novice surgeon carried out a step\u2010by\u2010step robot\u2010assisted radical prostatectomy procedure by following technical checkpoints and time limits that were established on the basis of previous surgical performance by a mentor. If technical checkpoints could not be accomplished, or the times were being exceeded, a mentor replaced the novice surgeon to finish the operative step or the surgery. Furthermore, if total blood loss exceeded 500\u00a0mL, a mentor completed the surgery. The primary end\u2010point was the number of cases required for a new surgeon to successfully complete the entire robot\u2010assisted radical prostatectomy procedure. Clinicopathological outcomes and any cases that deviated more than the standard deviation were also analyzed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Median patient age, serum prostate\u2010specific antigen level (ng\/mL), and Gleason score at diagnosis were 68\u00a0years, 7.6 and 7, respectively. Mean console and total operative times were 184 and 237\u00a0min, respectively. Mean perioperative blood loss was 300\u00a0mL. Seven out of eight new surgeons finished the total procedure after 10.7 cases (range 8\u201312). Four cases (1.7%) exceeded perioperative total blood loss and operative time. Positive surgical margin rates for total, T2, and T3 were 22, 9.3 and 47%, respectively. Positive surgical margin localized at bladder neck 19%, lateral lobe 39%, apex 32% and peripheral fat 9.4%.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Herein we demonstrate an institutional mentoring program that effectively balances surgeon robot\u2010assisted radical prostatectomy training and surgical quality control.<\/jats:p><\/jats:sec>","DOI":"10.1111\/iju.12993","type":"journal-article","created":{"date-parts":[[2015,10,26]],"date-time":"2015-10-26T23:53:11Z","timestamp":1445903591000},"page":"160-166","source":"Crossref","is-referenced-by-count":22,"title":["Validation of an educational program balancing surgeon training and surgical quality control during robot\u2010assisted radical prostatectomy"],"prefix":"10.1111","volume":"23","author":[{"given":"Tetsuya","family":"Fujimura","sequence":"first","affiliation":[{"name":"Department of Urology Graduate School of Medicine The University of Tokyo Tokyo 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