Thomas E. Ahlering

Dr. Thomas E. Ahlering

University of California, Irvine Medical Center, Orange, California, USA
orcid

Research Focus & Metrics

Academic Career Length

42Years (1985-Present)

(Calculated once Scilit publication data is synced: current year − year of first publication + 1)

Representative Publications

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1 September 2012 in European Urology
Verified
Journal Article
Closed access
VFVincenzo Ficarra
Vincenzo Ficarra
GNGiacomo Novara
Giacomo Novara
Thomas E. AhleringThomas E. Ahlering
Thomas E. Ahlering
ACAnthony Costello
Anthony Costello
JEJames A. Eastham
James A. Eastham
FMFrancesco Montorsi
Francesco Montorsi

1 November 2003 in Journal of Urology
Verified
Journal Article
Closed access
Thomas E. AhleringThomas E. Ahlering
Thomas E. Ahlering
DSDouglas Skarecky
Douglas Skarecky
DLDavid Lee
David Lee
RCRalph V. Clayman
Ralph V. Clayman
For a skilled laparoscopic surgeon the learning curve for achieving proficiency with laparoscopic radical prostatectomy (LRP) is estimated at 40 to 60 cases. For the laparoscopically naïve surgeon the curve is estimated at 80 to 100 cases. The development of a robotic interface might significantly shorten the LRP learning curve for an experienced open yet naïve laparoscopic surgeon. To our knowledge we report the initial experience with robot assisted LRP of a surgeon without laparoscopic experience. Following a 1-day da Vinci (Intuitive Surgical, Mountain View, California) robotic laparoscopic training course and 2 cadaveric robotic LRPs an experienced oncologist (TEA) without laparoscopic experience performed 45 robotic LRPs. All procedures were successfully completed laparoscopically with no rectal injuries or transfusions. The learning curve to 4-hour proficiency was 12 patients and mean operating time subsequently was 3.45 hours (range 2.5 to 5.1). Mean blood loss was 145 cc (range 25 to 350), the mean postoperative day 1 decrease in hemoglobin was 2.6 mg/dl (range 1.9% to 5.1) and mean hospital stay was 36 hours (range 18 to 168). Mean Gleason score was 6.8, mean prostate volume was 50.5 gm (range 12.5 to 163) and the margin positive rate was 35.5%. Four patients (8.8%) had a total of 6 complications, which were managed conservatively. Catheterization time was 7 days (range 7 to 42). Continence (0 pads) was 33% at 1 week, 63% at 1 month and 81% at 3 months. A laparoscopically naïve yet experienced open surgeon successfully transferred open surgical skills to a laparoscopic environment in 8 to 12 cases using a robotic interface. This outcome is comparable to the reported experience of skilled laparoscopic surgeons after more than 100 LRPs.

1 April 2003 in Urology
Verified
Journal Article
Closed access
RVRoland F Van Velthoven
Roland F Van Velthoven
Thomas E. AhleringThomas E. Ahlering
Thomas E. Ahlering
APAlexandre Peltier
Alexandre Peltier
DSDouglas W Skarecky
Douglas W Skarecky
RCRalph V Clayman
Ralph V Clayman

1 September 2012 in European Urology
Verified
Journal Article
Closed access
GNGiacomo Novara
Giacomo Novara
VFVincenzo Ficarra
Vincenzo Ficarra
SMSimone Mocellin
Simone Mocellin
Thomas E. AhleringThomas E. Ahlering
Thomas E. Ahlering
PCPeter R. Carroll
Peter R. Carroll
TWTimothy G. Wilson
Timothy G. Wilson

1 September 2012 in European Urology
Verified
Journal Article
Closed access
FMFrancesco Montorsi
Francesco Montorsi
TWTimothy G. Wilson
Timothy G. Wilson
RRRaymond C. Rosen
Raymond C. Rosen
Thomas E. AhleringThomas E. Ahlering
Thomas E. Ahlering
WAWalter Artibani
Walter Artibani
AMAlexandre M. Mottrie
Alexandre M. Mottrie

1 May 2004 in Urology
Verified
Journal Article
Closed access
Thomas E. AhleringThomas E. Ahlering
Thomas E. Ahlering
DWDavid Woo
David Woo
LELouis Eichel
Louis Eichel
DLDavid I Lee
David I Lee
RERobert Edwards
Robert Edwards
DSDouglas W Skarecky
Douglas W Skarecky