Robot -assisted and laparoscopic radical prostatectomy learning curve

Introduction. Prostate cancer occupies a leading position in the structure of oncological morbidity and mortality. Radical prostatectomy in various modifications still remains the "gold standard" in the treatment of non-metastatic forms of this pathology. However, despite a large number of publications, there is currently no consensus on the standard for evaluating both the results of surgical treatment and the duration of the learning curve. Purpose. To conduct a systematic review of the literature devoted to the analysis of the learning curve of laparoscopic and robot-assisted radical prostatectomy. Materials and methods. A systematic review of publications of PubMed and e-library databases containing information about the learning curve of radical prostatectomy by laparoscopic (LP) and robot-assisted access (RARP) was performed. Results. 49 articles were selected over a 30-year period: 17 LP and 32 RARP. Parameters such as the time of surgery, the volume of blood loss, the duration of the inpatient period, positive surgical margin and biochemical recurrence, the frequency of complications, as well as continence and erectile function were evaluated. Conclusions. There is still no consensus on the parameters of the learning curve of LR and RARP. The desire to improve results and optimize the learning period dictates the need to introduce training programs and standardize surgical techniques.