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Robotic radical prostatectomy

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https://www.readbyqxmd.com/read/28922689/changing-face-of-robot-assisted-radical-prostatectomy-in-melbourne-over-12%C3%A2-years
#1
Niranjan J Sathianathen, Alastair Lamb, Nathan L Lawrentschuk, Jeremy R Goad, Justin Peters, Anthony J Costello, Declan G Murphy, Daniel A Moon
BACKGROUND: This study aims to characterize the trends in disease presentation for robot-assisted radical prostatectomy (RARP) over a 12-year period in Melbourne, Australia. METHODS: All patients undergoing an RARP between 2004 and October 2016 while under the care of six high-volume surgeons were included in this study. Data were collected prospectively regarding patient demographics and clinical details of their cancer. RESULTS: Over the 12-year time span of the study, 3075 men underwent an RARP with a median age of 63...
September 18, 2017: ANZ Journal of Surgery
https://www.readbyqxmd.com/read/28901630/role-of-robot-assisted-radical-prostatectomy-in-locally-advanced-prostate-cancer
#2
REVIEW
Takashi Saika, Noriyoshi Miura, Tetsuya Fukumoto, Yutaka Yanagihara, Yuki Miyauchi, Tadahiko Kikugawa
Locally advanced prostate cancer is regarded as a very high-risk disease with a poor prognosis. Although there is no definitive consensus on the definition of locally advanced prostate cancer, radical prostatectomy for locally advanced prostate cancer as a primary treatment or part of a multimodal therapy has been reported. Robot-assisted radical prostatectomy is currently carried out even in high-risk prostate cancer because it provides optimal outcomes. However, limited studies have assessed the role of robot-assisted radical prostatectomy in patients with locally advanced prostate cancer...
September 13, 2017: International Journal of Urology: Official Journal of the Japanese Urological Association
https://www.readbyqxmd.com/read/28895658/laparoscopic-and-robotic-assisted-versus-open-radical-prostatectomy-for-the-treatment-of-localised-prostate-cancer
#3
REVIEW
Dragan Ilic, Sue M Evans, Christie Ann Allan, Jae Hung Jung, Declan Murphy, Mark Frydenberg
BACKGROUND: Prostate cancer is commonly diagnosed in men worldwide. Surgery, in the form of radical prostatectomy, is one of the main forms of treatment for men with localised prostate cancer. Prostatectomy has traditionally been performed as open surgery, typically via a retropubic approach. The advent of laparoscopic approaches, including robotic-assisted, provides a minimally invasive alternative to open radical prostatectomy (ORP). OBJECTIVES: To assess the effects of laparoscopic radical prostatectomy or robotic-assisted radical prostatectomy compared to open radical prostatectomy in men with localised prostate cancer...
September 12, 2017: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/28893523/-therapeutic-innovations-in-urology-for-localized-prostate-cancer
#4
L Cormier, G Créhange
The management of localized prostate cancer has been marked over these last years by the importance of Active Surveillance for low risk forms. Indeed, the long follow-up and the quality of the results are now sufficient to offer this option even in relatively young people. However, the question is still under investigation concerning intermediate risk of prostate cancer. Patients' selection and follow-up management are of very high importance. Another major evolution is the robotic assistance for radical prostatectomy...
September 8, 2017: Cancer Radiothérapie: Journal de la Société Française de Radiothérapie Oncologique
https://www.readbyqxmd.com/read/28890901/performing-all-major-surgical-procedures-robotically-will-prolong-wait-times-for-surgery
#5
Brian M Shinder, Nicholas J Farber, Robert E Weiss, Thomas L Jang, Isaac Y Kim, Eric A Singer, Sammy E Elsamra
This article aimed to assess the burden of scheduling major urologic oncology procedures if all cases were performed robotically and to determine whether this would increase the time a patient would have to wait for surgery. We retrospectively determined the number of prostatectomies, radical nephrectomies, partial nephrectomies, and cystectomies at a single institution for one calendar year. A hypothetical situation was then constructed where all procedures were performed robotically. Using the allotted number of days that each surgeon was able to schedule robotic procedures, we analyzed the amount of time it would take to schedule and complete all cases...
2017: Robot Surg
https://www.readbyqxmd.com/read/28882327/erectile-function-and-oncologic-outcomes-following-open-retropubic-and-robot-assisted-radical-prostatectomy-results-from-the-laparoscopic-prostatectomy-robot-open-trial
#6
Prasanna Sooriakumaran, Giovanni Pini, Tommy Nyberg, Maryam Derogar, Stefan Carlsson, Johan Stranne, Anders Bjartell, Jonas Hugosson, Gunnar Steineck, Peter N Wiklund
BACKGROUND: Whether surgeons perform better utilising a robot-assisted laparoscopic technique compared with an open approach during prostate cancer surgery is debatable. OBJECTIVE: To report erectile function and early oncologic outcomes for both surgical modalities, stratified by prostate cancer risk grouping. DESIGN, SETTING, AND PARTICIPANTS: In a prospective nonrandomised trial, we recruited 2545 men with prostate cancer from seven open (n=753) and seven robot-assisted (n=1792) Swedish centres (2008-2011)...
September 4, 2017: European Urology
https://www.readbyqxmd.com/read/28882030/outcomes-following-robotic-assisted-laparoscopic-prostatectomy-pentafecta-and-trifecta-achievements
#7
Seyed B Jazayeri, Brittany Weissman, David B Samadi
BACKGROUND: Functional and oncologic outcomes following radical prostatectomy play a major role in patient satisfaction after treatment. This study was designed to assess the functional and oncologic outcome after robotic assisted radical prostatectomy (RARP) in a single surgeon series of patients. METHODS: A prospectively maintained database of patients undergoing robotic radical prostatectomy in a referral academic center was queried for functional and oncologic outcome...
September 7, 2017: Minerva Urologica e Nefrologica, the Italian Journal of Urology and Nephrology
https://www.readbyqxmd.com/read/28878598/bladder-neck-contracture-following-radical-retropubic-versus-robotic-assisted-laparoscopic-prostatectomy
#8
Benjamin L Spector, Nathan A Brooks, Michael E Strigenz, James A Brown
INTRODUCTION: Radical retropubic prostatectomy (RRP) and robotic-assisted laparoscopic prostatectomy (RALP) are co-standard surgical therapies for localized prostatic adenocarcinoma. These surgical modalities offer similar outcomes; however, lower rate of bladder neck contracture (BNC) is amongst the touted benefits of RALP. The differences between approaches are largely elucidated through multiple-surgeon comparisons, which can be biased by differential experience and practice patterns...
August 2017: Current Urology
https://www.readbyqxmd.com/read/28877238/effects-of-recruitment-manoeuvre-on-perioperative-pulmonary-complications-in-patients-undergoing-robotic-assisted-radical-prostatectomy-a-randomised-single-blinded-trial
#9
Eun-Su Choi, Ah-Young Oh, Chi-Bum In, Jung-Hee Ryu, Young-Tae Jeon, Hyoung-Gyun Kim
Robotic-assisted laparoscopic radical prostatectomy (RARP) needs a steep Trendelenburg position and a relatively high CO2 insufflation pressure, and patients undergoing RARP are usually elderly. These factors make intraoperative ventilatory care difficult and increase the risk of perioperative pulmonary complications. The aim was to determine the efficacy of recruitment manoeuvre (RM) on perioperative pulmonary complications in elderly patients undergoing RARP. A total of 60 elderly patients scheduled for elective RARP were randomly allocated to two groups after induction of anaesthesia; positive end expiratory pressure (PEEP) was applied during the operation without RM in the control group (group C) and after RM in the recruitment group (group R)...
2017: PloS One
https://www.readbyqxmd.com/read/28872774/prospective-randomized-non-inferiority-trial-of-pelvic-drain-placement-versus-no-pelvic-drain-placement-after-robot-assisted-radical-prostatectomy
#10
Avinash Chenam, Bertram Yuh, Ali Zhumkhawala, Nora Ruel, William Chu, Clayton Lau, Kevin Chan, Timothy Wilson, Jonathan Yamzon
OBJECTIVES: To determine if eliminating the prophylactic placement of a pelvic drain (PD) after robot-assisted radical prostatectomy (RARP) affects the incidence of early (90-day) postoperative adverse events. MATERIALS AND METHODS: In this parallel-group, blinded, non-inferiority trial, we randomized patients planning to undergo RARP to one of two arms: no drain placement (ND) or PD placement. Patients with demonstrable intra-operative leakage upon bladder irrigation were excluded...
September 5, 2017: BJU International
https://www.readbyqxmd.com/read/28869204/safety-of-live-robotic-surgery-results-from-a-single-institution
#11
Gabriel Ogaya-Pinies, Haidar Abdul-Muhsin, Hariharan Palayapalayam-Ganapathi, Xavier Bonet, Travis Rogers, Bernardo Rocco, Rafael Coelho, Eduardo Hernandez-Cardona, Cathy Jenson, Vipul Patel
BACKGROUND: Live surgery events (LSEs) have become one of the most attended activities at surgical meetings and provide a unique opportunity for the audience to observe the decision-making process used by skilled and experienced surgeons in real time. However, there is an ongoing discussion on whether patients treated during LSE are at higher risk of complications. OBJECTIVE: To examine LSE outcomes for robot-assisted radical prostatectomy (RARP) and establish patient safety and efficacy...
August 28, 2017: European Urology Focus
https://www.readbyqxmd.com/read/28868512/corrigendum-correction-of-the-figure-robot-assisted-radical-prostatectomy-has-lower-biochemical-recurrence-than-laparoscopic-radical-prostatectomy-systematic-review-and-meta-analysis
#12
Seon Heui Lee, Hyun Ju Seo, Na Rae Lee, Soo Kyung Son, Dae Keun Kim, Koon Ho Rha
[This corrects the article on p. 152 in vol. 58.].
September 2017: Investigative and Clinical Urology
https://www.readbyqxmd.com/read/28867561/depressive-symptoms-and-low-sexual-desire-after-radical-prostatectomy-early-and-long-term-outcomes-in-a-real-life-setting
#13
Luca Boeri, Paolo Capogrosso, Eugenio Ventimiglia, Walter Cazzaniga, Filippo Pederzoli, Giorgio Gandaglia, Nadia Finocchio, Federico Dehò, Alberto Briganti, Emanuele Montanari, Francesco Montorsi, Andrea Salonia
PURPOSE: To assess the rate of and predictors of depressive symptoms (DS) and sexual desire (SD) impairment in patients who underwent either open (ORP) or robot-assisted (RARP) radical prostatectomy. MATERIALS AND METHODS: 811 patients completed the International Index of Erectile Function (IIEF) and the Beck's Inventory for Depression (BDI) preoperatively and at 6, 12, 24 and 36 months post surgery. Rates and predictors of DS and SD impairment were assessed with descriptive statistics and logistic regression models...
August 31, 2017: Journal of Urology
https://www.readbyqxmd.com/read/28862047/new-surgical-approaches-for-clinically-high-risk-or-metastatic-prostate-cancer
#14
Paolo Dell'Oglio, Armando Stabile, Giorgio Gandaglia, Emanuele Zaffuto, Nicola Fossati, Marco Bandini, Nazareno Suardi, Pierre I Karakiewicz, Shahrokh F Shariat, Francesco Montorsi, Alberto Briganti
A considerable number of individuals with prostate cancer (PCa) still harbor locally-advanced and metastatic disease. Although such men were initially not considered eligible for local treatment, the role of radical prostatectomy (RP) has been recently reassessed. Areas covered: This review analyses currently published evidences regarding new surgical approaches for clinically high-risk PCa individuals, as well as the role of cytoreductive surgery in the metastatic setting. The role of robot-assisted radical prostatectomy (RARP) and extended pelvic lymph node dissection will be evaluated with regards to perioperative, oncologic, as well as functional outcomes...
September 11, 2017: Expert Review of Anticancer Therapy
https://www.readbyqxmd.com/read/28859492/retzius-sparing-robotic-assisted-laparoscopic-radical-prostatectomy-a-safe-surgical-technique-with-superior-continence-outcomes
#15
Rashid Sayyid, William G Simpson, Caroline Lu, Martha Terris, Zachary Klaassen, Rabii Madi
PURPOSE: To report early operative outcomes and asses continence in 100 consecutive patients who underwent Retzius-sparing robotic-assisted laparoscopic radical prostatectomy Materials and Methods: This was a prospective, single-center, consecutive case series of 100 and 100 patients undergoing a Retzius-sparing and a conventional robotic-assisted laparoscopic radical prostatectomy, respectively, by a single surgeon between March 2015 and April 2017. RESULTS: Baseline patient characteristics were similar between the two groups...
August 31, 2017: Journal of Endourology
https://www.readbyqxmd.com/read/28859491/analysis-of-accessory-pudendal-artery-transection-on-erections-during-robot-assisted-radical-prostatectomy-rarp
#16
Stephen Williams, Blanca Morales, Linda My Huynh, Kathryn E Osann, Douglas Skarecky, Tom Ahlering
PURPOSE: To compare the recovery of erections and potency following the transection of APAs in men undergoing robot-assisted radical prostatectomy (RARP) as compared to men with normal vascular anatomy. METHODS: A total of 880 consecutive patients who underwent RARP from January 1, 2007 to December 31, 2014 were included with prospectively collected data in cross-sectional analysis. Erectile function was assessed preoperatively and postoperatively at 3, 6, 12 and 24 months using the International Index of Erectile Function (IIEF)-5, a percent erection fullness compared to pre-operative status, and two Expanded Prostate Cancer Index (EPIC) questions: 1) are erections firm enough for penetration and 2) are they satisfactory? RESULTS: 231 (33...
August 31, 2017: Journal of Endourology
https://www.readbyqxmd.com/read/28853623/predischarge-predictors-of-readmissions-and-postdischarge-complications-in-robot-assisted-radical-prostatectomy
#17
Leilei Xia, Benjamin L Taylor, Jose E Pulido, Phillip Mucksavage, David I Lee, Thomas J Guzzo
BACKGROUND AND OBJECTIVE: Robot-assisted radical prostatectomy (RARP) has become the preferred surgical treatment for localized prostate cancer in the United States. Little is reported about the association between predischarge outcomes and postdischarge outcomes following RARP. The objective of this study was to explore the predischarge predictors of readmissions and postdischarge complications in RARP. MATERIALS AND METHODS: The National Surgery Quality Improvement Program (NSQIP) database was used to identify prostate cancer patients who underwent elective RARP from 2012 to 2014...
August 30, 2017: Journal of Endourology
https://www.readbyqxmd.com/read/28851579/re-robot-assisted-laparoscopic-prostatectomy-versus-open-radical-retropubic-prostatectomy-early-outcomes-from-a-randomised-controlled-phase-3-study
#18
https://www.readbyqxmd.com/read/28834084/does-robot-assisted-radical-prostatectomy-benefit-prostate-cancer-patients-with-bone-oligometastases
#19
Won Sik Jang, Myung Soo Kim, Won Sik Jeong, Ki Don Chang, Kang Su Cho, Won Sik Ham, Koon Ho Rha, Sung Joon Hong, Young Deuk Choi
OBJECTIVE: To investigate perioperative and oncologic outcomes of robot-assisted radical prostatectomy (RARP) in oligometastatic prostate cancer (PCa). PATIENTS AND METHODS: We retrospectively reviewed the records of 79 oligometastatic PCa patients treated with RARP or ADT between 2005 and 2015 at our institution. Of these 79 patients, 38 were treated with RARP and 41 were treated with ADT without local therapy. Oligometastatic disease was defined as the presence of five or fewer hot spots detected by preoperative bone scan...
August 21, 2017: BJU International
https://www.readbyqxmd.com/read/28831728/robotic-radical-prostatectomy-with-concomitant-repair-of-inguinal-hernia-is-it-safe
#20
Travis Rogers, Eduardo Parra-Davila, Flavio Malcher, Carlos Hartmann, Bernardo Mastella, Guiherme de Araújo, Gabriel Ogaya-Pinies, Carlos Ortiz-Ortiz, Eduardo Hernandez-Cardona, Vipul Patel, Leandro Totti Cavazzola
Robotic radical prostatectomy (RARP) is well established as a safe and effective treatment for prostate cancer. According to published studies, patients undergoing RARP are at increased risk of being diagnosed with an inguinal hernia after RARP and are four times more likely to have an inguinal hernia repair (IHR) following RARP. Several studies have demonstrated the effectiveness and safety of IHR during RARP. Overall, it has been observed that IHR adds on average, 12-15 min in total surgical time and there were no significant differences between RARP with or without IHR with respect to postoperative complications...
August 22, 2017: Journal of Robotic Surgery
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