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Robotic radical prostatectomy

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https://www.readbyqxmd.com/read/28190748/modified-frailty-index-associated-with-clavien-dindo-iv-complications-in-robot-assisted-radical-prostatectomies-a-retrospective-study
#1
Isaiah Levy, Mark Finkelstein, Khawaja Hassan Bilal, Michael Palese
OBJECTIVE: To determine the effect of frailty on patient outcomes including any complication, Clavien-Dindo IV (CDIV) (intensive care unit-level) complications, and 30-day mortality for robotic-assisted radical prostatectomies (RARP) patients in comparison to other predictive indices using the modified frailty index (mFI). MATERIAL AND METHODS: Patients undergoing RARP from 2008 to 2014 for a prostate cancer-related diagnosis were queried using the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) database...
February 9, 2017: Urologic Oncology
https://www.readbyqxmd.com/read/28175930/-work-disability-after-robot-assisted-or-open-radical-prostatectomy
#2
M C Butea-Bocu, U Otto
No abstract text is available yet for this article.
February 7, 2017: Der Urologe. Ausg. A
https://www.readbyqxmd.com/read/28169123/-robot-assisted-radical-prostatectomy-what-are-the-evidences-at-the-time-of-a-specific-funding
#3
J-A Long, G Poinas, G Fiard, M Leprêtre, C Delaitre-Bonnin, X Rébillard, J-L Descotes
INTRODUCTION: Despite a decreasing number of radical prostatectomies in France, the number of robot-assisted surgeries increases. The objective of this work is to assess the interest of robotic prostatectomy before asking a specific funding from health authorities. MATERIAL AND METHODS: A systematic review of the literature on PubMed was performed. Prospective studies and meta-analyses comparing robot-assisted radical prostatectomy (RARP), laparoscopic (LRP) and open surgery (OP) were selected...
February 3, 2017: Progrès en Urologie
https://www.readbyqxmd.com/read/28160111/anatomical-retzius-space-preservation-is-associated-with-lower-incidence-of-postoperative-inguinal-hernia-development-after-robot-assisted-radical-prostatectomy
#4
K D Chang, A Abdel Raheem, G D R Santok, L H C Kim, T G H Lum, S H Lee, W S Ham, Y D Choi, K H Rha
BACKGROUND: Postoperative inguinal hernia (IH) is a non-negligible sequelae with a wide array of rates after robot-assisted laparoscopic radical prostatectomy (RALP). Our aim was to evaluate the incidence and risk factors of postoperative IH development in men undergoing RALP. METHODS: A retrospective analysis of 839 patients "541 of conventional-RALP (C-RALP), and 298 of Retzius sparing-RALP (RS-RALP)" received treatment of prostate cancer between 2005 and 2016 and met with our inclusion criteria was performed...
February 3, 2017: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://www.readbyqxmd.com/read/28153509/re-defining-and-contextualizing-the-hospital-volume-outcome-relationship-for-robotic-assisted-radical-prostatectomy-implications-for-centralization-of-care
#5
Boris Gershman, Sarah K Meier, Molly M Jeffery, Daniel M Moreira, Matthew K Tollefson, Simon P Kim, R Jeffrey Karnes, Nilay D Shah
PURPOSE: Robotic-assisted radical prostatectomy (RARP) has undergone rapid dissemination, driven in part by market forces, to become the most frequently employed surgical approach in the management of prostate cancer. Accordingly, a critical analysis of its volume-outcome relationship has important health policy implications. We therefore evaluated the association of hospital RARP volume with perioperative outcomes, and examined the distribution of hospital RARP volumes to contextualize the volume-outcome relationship...
January 30, 2017: Journal of Urology
https://www.readbyqxmd.com/read/28130703/health-related-quality-of-life-after-robot-assisted-radical-prostatectomy-compared-with-laparoscopic-radical-prostatectomy
#6
Hiroyuki Koike, Yasuo Kohjimoto, Akinori Iba, Kazuro Kikkawa, Shimpei Yamashita, Takashi Iguchi, Nagahide Matsumura, Isao Hara
The objective of this study is to compare the quality of life (QOL) outcomes between laparoscopic radical prostatectomy (LRP) and robot-assisted radical prostatectomy (RARP). Between July 2007 and July 2013, 229 patients with localized prostate cancer underwent LRP while 105 patients with localized prostate cancer underwent RARP between December 2012 and August 2014. We evaluated their QOL using the 8-item Short-Form Health Survey (SF-8) and Expanded Prostate Cancer Index of Prostate (EPIC) questionnaires at preoperative and at postoperative 3, 6 and 12 months...
January 27, 2017: Journal of Robotic Surgery
https://www.readbyqxmd.com/read/28122393/reality-of-nerve-sparing-and-surgical-margins-in-surgeons-early-experience-with-robot-assisted-radical-prostatectomy-in-japan
#7
Katsunori Tatsugami, Kunihiko Yoshioka, Ryoichi Shiroki, Masatoshi Eto, Yasushi Yoshino, Keiichi Tozawa, Satoshi Fukasawa, Masato Fujisawa, Atsushi Takenaka, Yasutomo Nasu, Akira Kashiwagi, Momokazu Gotoh, Toshiro Terachi
OBJECTIVE: To analyze nerve sparing performance at an early stage of robot-assisted radical prostatectomy, and the correlation between the surgeons' experience and the risk of a positive surgical margin in patients treated with robot-assisted radical prostatectomy. METHODS: Patients' records from January 2009 to March 2013 were retrospectively reviewed, and 3469 patients with localized prostate cancer were identified at 45 institutions. Individual surgeon's experience with nerve sparing was recorded as the number of nerve sparing cases among total robot-assisted radical prostatectomies beginning with the first case during which nerve sparing was carried out...
January 25, 2017: International Journal of Urology: Official Journal of the Japanese Urological Association
https://www.readbyqxmd.com/read/28120135/extraperitoneal-vs-transperitoneal-robot-assisted-radical-prostatectomy-in-patients-with-a-history-of-prior-inguinal-hernia-repair-with-mesh
#8
David Horovitz, Changyong Feng, Edward M Messing, Jean V Joseph
Robot-assisted radical prostatectomy (RARP) may be performed via an extraperitoneal (eRARP) or transperitoneal (tRARP) approach. There are no published studies comparing these two methods in patients with a history of prior inguinal hernia repair with mesh (IHRm), but the latter is often advocated in this setting. A retrospective review of patients who underwent RARP with prior IHRm who had a minimum follow-up of 3 months from July 1, 2003 to December 31, 2014 was undertaken. Of 2927 patients who underwent RARP for primary treatment of adenocarcinoma of the prostate, 286 patients had a clear history of IHRm...
January 24, 2017: Journal of Robotic Surgery
https://www.readbyqxmd.com/read/28117215/learning-curve-of-minimally-invasive-radical-prostatectomy-comprehensive-evaluation-and-cumulative-summation-analysis-of-oncological-outcomes
#9
Arjun Sivaraman, Rafael Sanchez-Salas, Dominique Prapotnich, Kaixin Yu, Fabien Olivier, Fernando P Secin, Eric Barret, Marc Galiano, François Rozet, Xavier Cathelineau
BACKGROUND AND OBJECTIVE: The primary objective was to evaluate the learning curve of minimally invasive radical prostatectomy (MIRP) in our institution and analyze the salient learning curve transition points regarding oncological outcomes. METHODS: Clinical, pathologic, and oncological outcome data were collected from our prospectively collected MIRP database to estimate positive surgical margin (PSM) and biochemical recurrence (BCR) trends during a 15-year period from 1998 to 2013...
January 20, 2017: Urologic Oncology
https://www.readbyqxmd.com/read/28116739/robotic-or-open-radical-prostatectomy-in-men-with-previous-transurethral-resection-of-prostate
#10
Mahmoud Mustafa, John W Davis, Sacit Nuri Gorgel, Louis Pisters
PURPOSE: To assess and compare the surgical, oncological and functional outcomes of robotic and open radicalprostatectomy (RP) in patients with history of transurethral resection of prostate (TURP). MATERIAL AND METHODS: Total of 48 patients with mean ± SD age of 64.5 ± 6.0 years who had undergone TURPprior to RP were included. Thirty-one (64.58%) patients underwent robotic RP (group I) and 17 patients underwentopen RP (group II). Variables evaluated included demographic characteristics, perioperative complications, functionaland oncological outcomes...
January 18, 2017: Urology Journal
https://www.readbyqxmd.com/read/28111893/robot-assisted-partial-prostatectomy-for-anterior-cancer-a-step-by-step-guide
#11
Arnauld Villers, Vincent Flamand, Rodriguez Arquimedes, Philippe Puech, Georges-Pascal Haber, Mihir M Desai, Sebastien Crouzet, Adil Ouzzane, Inderbir S Gill
OBJECTIVES: To describe a step-by-step guide for isolated MRI-detected anterior prostate cancer (APC). PATIENTS AND METHODS: Following IRB approval, over an 8-year period, (2008-2015) 17 consenting patients were enrolled in a prospective, single-arm, single-center, IDEAL phase 2a study. Inclusion criteria comprised pre-urethral, low-intermediate risk APC diagnosed by MRI and targeted biopsies. Patient position and port placement were identical to transperitoneal robot-assited radical prostatectomy procedure...
January 23, 2017: BJU International
https://www.readbyqxmd.com/read/28097262/lessons-learned-over-a-decade-of-pediatric-robotic-ureteral-reimplantation
#12
REVIEW
Minki Baek, Chester J Koh
The da Vinci robotic system has improved surgeon dexterity, ergonomics, and visualization to allow for a minimally invasive option for complex reconstructive procedures in children. Over the past decade, robot-assisted laparoscopic ureteral reimplantation (RALUR) has become a viable minimally invasive surgical option for pediatric vesicoureteral reflux (VUR). However, higher-than-expected complication rates and suboptimal reflux resolution rates at some centers have also been reported. The heterogeneity of surgical outcomes may arise from the inherent and underestimated complexity of the RALUR procedure that may justify its reclassification as a complex reconstructive procedure and especially for robotic surgeons early in their learning curve...
January 2017: Investigative and Clinical Urology
https://www.readbyqxmd.com/read/28089387/treatment-of-men-with-high-risk-prostate-cancer-based-on-race-insurance-coverage-and-access-to-advanced-technology
#13
Robert Steven Gerhard, Dattatraya Patil, Yuan Liu, Kenneth Ogan, Mehrdad Alemozaffar, Ashesh B Jani, Omer N Kucuk, Viraj A Master, Theresa W Gillespie, Christopher P Filson
PURPOSE: We characterized factors related to nondefinitive management (NDM) of patients with high-risk prostate cancer and assessed impact from race, insurance status, and facility-level volume of technologically advanced prostate cancer treatments (i.e., intensity-modulated radiation therapy, robotic-assisted laparoscopic radical prostatectomy) on this outcome. METHODS: We identified men with high-risk localized prostate cancer (based on D׳Amico criteria) in the National Cancer Database (2010-2012)...
January 12, 2017: Urologic Oncology
https://www.readbyqxmd.com/read/28081352/removing-the-specimen-with-traction-during-robotic-radical-prostatectomy-does-not-cause-a-positive-surgical-margin
#14
Serkan Altınova, Abidin Egemen İşgören, Ziya Akbulut, Muhammet Fuat Özcan, Abdullah Erdem Canda, Ali Fuat Atmaca, Mevlana Derya Balbay
BACKGROUND/AIM: The aim of this study was to gauge whether removal of a specimen with traction during robot-assisted laparoscopic radical prostatectomy causes a positive surgical margin or not. MATERIALS AND METHODS: One hundred and sixty-nine patients with localized prostate cancer who underwent robot-assisted laparoscopic radical prostatectomy from 2009 to 2011 were included in the study. After dividing the patients into two groups, we recorded their characteristics and pre-op/post-op evaluations...
December 20, 2016: Turkish Journal of Medical Sciences
https://www.readbyqxmd.com/read/28078524/vesico-urethral-anastomosis-vua-evaluation-of-short-and-long-term-outcome-after-robot-assisted-laparoscopic-radical-prostatectomy-rarp-selective-cystogram-to-improve-outcome
#15
C Tillier, H A M van Muilekom, J Bloos-van der Hulst, N Grivas, H G van der Poel
The role of a cystogram to assess the vesico-urethral anastomosis (VUA) after robot-assisted laparoscopic radical prostatectomy (RARP) has been debated. Early catheter removal without cystogram was reported to be associated with a trend towards an increased risk of acute urinary retention (AUR). In two cohorts we studied the effects of VUA leakage on cystogram and functional outcome after RARP. Cohort A contained 1390 consecutive men that routinely underwent a cystogram after RARP. Transurethral catheter (TUC) was removed in the absence of VUA leakage or minimal leakage on subsequent repeat cystogram...
January 12, 2017: Journal of Robotic Surgery
https://www.readbyqxmd.com/read/28078523/simple-vs-six-branches-autologous-suburethral-sling-during-robot-assisted-radical-prostatectomy-to-improve-early-urinary-continence-recovery-prospective-randomized-study
#16
Andrea Cestari, Matteo Ferrari, Mattia Sangalli, Matteo Zanoni, Massimo Ghezzi, Fabio Fabbri, Francesco Sozzi, Carolina Lolli, Vincenzo Dell'Acqua, Patrizio Rigatti
We have recently described the use of a retropubic suburethral autologous sling created and placed during robotic radical prostatectomy (RARP). In this study, we assess the effectiveness of newly designed six-branches compared to two-branches suburethral autologous sling in improving early urinary continence (UC) recovery. 120 patients submitted to RARP were prospectively randomized according to the intraoperative positioning of six-branches (group 1, n = 60) or two-branches autologous sling (group 2, n = 60) obtained by different configuration of a same tract of vas deferens removed...
January 11, 2017: Journal of Robotic Surgery
https://www.readbyqxmd.com/read/28075516/quantifying-severe-urinary-complications-after-radical-prostatectomy-the-development-and-validation-of-a-surgical-performance-indicator-using-hospital-administrative-data
#17
Arunan Sujenthiran, Susan C Charman, Matthew Parry, Julie Nossiter, Ajay Aggarwal, Prokar Dasgupta, Heather Payne, Noel W Clarke, Paul Cathcart, Jan van der Meulen
OBJECTIVES: To develop and validate a surgical performance indicator based on severe urinary complications that require an intervention within 2 years of radical prostatectomy (RP), identified in hospital administrative data. PATIENTS AND METHODS: Men who underwent RP between 2008 and 2012 in England were identified using hospital administrative data. A transparent coding framework based on procedure codes was developed to identify severe urinary complications which were grouped into 'stricture', 'incontinence' and 'other'...
January 11, 2017: BJU International
https://www.readbyqxmd.com/read/28075160/can-we-accomplish-better-oncological-results-with-robot-assisted-radical-prostatectomy
#18
Ali Riza Kural, Can Obek, Tünkut Doğanca
Surgical removal with radical prostatectomy has been a cornerstone for the treatment of prostate cancer and is associated with level one evidence for survival advantage compared to watchful waiting. Since the first structured robotic program was launched in 2000, robot-assisted radical prostatectomy (RARP) has had a rapid diffusion and surpassed its open (ORP) and laparoscopic (LRP) counterparts in the United States and is progressively expanding in other countries. Interestingly, this common acceptance of RARP was initially driven in the paucity of robust clinical evidence...
January 11, 2017: Journal of Endourology
https://www.readbyqxmd.com/read/28073298/extraperitoneal-vs-transperitoneal-robot-assisted-radical-prostatectomy-in-the-setting-of-prior-abdominal-or-pelvic-surgery
#19
David Horovitz, Changyong Feng, Edward M Messing, Jean Volny Joseph
INTRODUCTION: During Robotic-Assisted Radical Prostatectomy (RARP), the prostate may be approached extraperiteoneally (eRARP) or transperitoneally (tRARP). The former avoids the abdominal cavity which might be of benefit in patients who have had prior abdominal or pelvic surgery (PAPS). Our objective was to compare the outcomes of patients with PAPS undergoing either technique. METHODS: A retrospective review of patients treated with RARP from July 1, 2003-Dec. 31, 2014 with a minimum follow-up of 3 months was undertaken...
January 10, 2017: Journal of Endourology
https://www.readbyqxmd.com/read/28070166/biochemical-recurrence-prediction-in-high-risk-prostate-cancer-patients-following-robot-assisted-radical-prostatectomy
#20
Noriya Yamaguchi, Tetsuya Yumioka, Hideto Iwamoto, Toshihiko Masago, Shuichi Morizane, Masashi Honda, Takehiro Sejima, Atsushi Takenaka
BACKGROUND: High-risk prostate cancer treatment has been controversial. Some high-risk prostate cancer patients fail to respond to radical prostatectomy only. Thus, we aimed to investigate the predictive factors for biochemical recurrence (BCR) and identify patients who could achieve sufficient therapeutic effect by radical prostatectomy only. METHODS: Of 264 medical records reviewed, 141 low-intermediate-risk and 100 high-risk prostate cancer patients, excluding those who had received neoadjuvant hormone therapy, were analyzed...
December 2016: Yonago Acta Medica
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