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robotic assisted prostatectomy

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https://www.readbyqxmd.com/read/29774812/robot-assisted-simple-prostatectomy-by-an-extraperitoneal-approach
#1
Jens-Uwe Stolzenburg, Panagiotis Kallidonis, Iason Kyriazis, Dimitrios Kotsiris, Panteleimon Ntasiotis, Evangelos N Liatsikos
The incidence of symptomatic benign prostate hyperplasia and bladder outlet obstruction has increased during the last two decades. Most of men are treated conservatively. When medical therapy is inadequate to relief symptoms, surgical treatment is necessary. Absolute indications for surgical treatment are gross hematuria, recurrent urinary infections and retentions as well as bladder stones. With advent of minimally invasive surgery, large prostates tend to be treated either endoscopically or laparoscopically (including robotic assistance)...
May 2018: Journal of Endourology
https://www.readbyqxmd.com/read/29774808/single-port-robot-assisted-perineal-prostatectomy-and-pelvic-lymphadenectomy-step-by-step-technique-in-a-cadaveric-model
#2
Matthew J Maurice, Jihad H Kaouk
The envelope is constantly being pushed to minimize the invasiveness of prostate cancer surgery without compromising oncologic or functional outcomes. Transperitoneal robot-assisted radical prostatectomy has certainly accomplished these goals. However, it is our intent to push the envelope even further, that is, to minimize the invasiveness of already minimally invasive surgery. To accomplish this lofty goal, we borrowed the transperineal approach from open surgery and fused it with the latest robotic technology to innovate an extraperitoneal robotic prostatectomy technique that is less invasive than the traditional robotic technique...
May 2018: Journal of Endourology
https://www.readbyqxmd.com/read/29772100/radical-prostatectomy-in-t4-prostate-cancer-after-inductive-androgen-deprivation-results-of-a-single-institution-series-with-long-term-follow-up
#3
Turkan Hajili, Carsten H Ohlmann, Johannes Linxweiler, Christina Niklas, Martin Janssen, Stefan Siemer, Michael Stoeckle, Matthias Saar
OBJECTIVES: To determine the outcomes of complete surgical resection of T4 prostate cancer (PCa) after inductive androgen deprivation treatment (ADT). An inductive ADT and subsequent radical prostatectomy (RP) is not recommended by any guideline yet. PATIENTS AND METHODS: A monocentric RP database was queried for patients initially diagnosed with T4 PCa, considered as primary inoperable because of a fixed mass defined by rectal examination in combination with high PSA and/or large foci of biopsy-proven undifferentiated PCa...
May 17, 2018: BJU International
https://www.readbyqxmd.com/read/29767326/fluorescence-supported-lymphography-and-extended-pelvic-lymph-node-dissection-in-robot-assisted-radical-prostatectomy-a-prospective-randomized-trial
#4
Nina Natascha Harke, Michael Godes, Christian Wagner, Mustapha Addali, Bernhard Fangmeyer, Katarina Urbanova, Boris Hadaschik, Jorn H Witt
PURPOSE: To demonstrate the benefits of fluorescence-supported extended pelvic lymph node dissection (ePLND) compared to regular ePLND in robot-assisted radical prostatectomy. METHODS: 120 patients with intermediate- or high-risk prostate cancer were prospectively randomized (1:1): in the intervention group, indocyanine green (ICG) was injected transrectally into the prostate before docking of the robot. In both groups, ePLND was performed including additional dissection of fluorescent lymph nodes (LN) in the ICG group...
May 16, 2018: World Journal of Urology
https://www.readbyqxmd.com/read/29759661/integrity-of-the-urethral-sphincter-complex-nerve-sparing-and-long-term-continence-status-after-robotic-assisted-radical-prostatectomy
#5
Myong Kim, Myungchan Park, Sahyun Pak, Seung-Kwon Choi, Myungsun Shim, Cheryn Song, Hanjong Ahn
BACKGROUND: The applicability of the sphincter complex integral theory to robotic-assisted radical prostatectomy (RARP) is unclear, with little known about the long-term effect of sphincter complex integrity on continence. OBJECTIVE: To determine whether the preoperative anatomical and functional features of the sphincter complex and the degree of nerve-sparing affect long-term continence after RARP. DESIGN, SETTING, AND PARTICIPANTS: Prospective study of 529 patients who underwent RARP at a single tertiary center...
May 11, 2018: European Urology Focus
https://www.readbyqxmd.com/read/29757580/comparison-of-renal-function-after-robot-assisted-laparoscopic-radical-prostatectomy-versus-retropubic-radical-prostatectomy
#6
Giray Ergin, Omer Gokhan Doluoglu, Mustafa Kıraç, Muhammet Fatih Kilinc, Burak Köprü, Bugra Bilge Keseroglu, Mustafa Burak Hoscan
PURPOSE: To investigate the effect of robot assisted laparoscopic radical prostatectomy (RALP) and open retropubic radical prostatectomy (RRP) on early renal function in this study. MATERIALS AND METHODS: Preoperative and postoperative urea, creatinine, Hb, eGFR values of patients who had undergone RALP and RRP with prostate cancer (PCa) diagnosis were recorded in our clinic. The percentages of change in these values are calculated. Preoperative and postoperative urea, creatinine, Hb and eGFR changes were compared with each other...
May 10, 2018: International Braz J Urol: Official Journal of the Brazilian Society of Urology
https://www.readbyqxmd.com/read/29737495/body-mass-index-is-an-independent-predictor-of-clavien-dindo-grade-3-complications-in-patients-undergoing-robot-assisted-radical-prostatectomy-with-extensive-pelvic-lymph-node-dissection
#7
Antonio Benito Porcaro, Marco Sebben, Alessandro Tafuri, Nicolò de Luyk, Paolo Corsi, Tania Processali, Marco Pirozzi, Riccardo Rizzetto, Nelia Amigoni, Daniele Mattevi, Maria A Cerruto, Matteo Brunelli, Giovanni Novella, Vincenzo De Marco, Filippo Migliorini, Walter Artibani
Robot assisted radical prostatectomy (RARP) with extensive pelvic lymph node dissection (ePLND) is an effective procedure for treating and staging prostate cancer; however, high grade complications represent a critical issue. To investigate clinical factors associated with the risk of Clavien-Dindo grade 3 complications in patients undergoing RARP with ePLND. The study included 211 consecutive patients who were operated in a period running from June 2013 to March 2017. Factors associated with grade 3 complications were evaluated by the logistic regression model...
May 8, 2018: Journal of Robotic Surgery
https://www.readbyqxmd.com/read/29736375/the-effect-of-adjunct-caudal-block-on-postoperative-analgesia-in-robot-assisted-laparoscopic-radical-prostatectomy-a-prospective-randomized-controlled-single-blinded-pilot-study-in-a-tertiary-centre
#8
Kenneth Chen, Allen Sim, Alex Ford Kan
Objective: Caudal block provides satisfactory postoperative pain relief in lower abdominal operations. This pilot study explores its safety and effect on postoperative pain control in patients who underwent robot-assisted laparoscopic radical prostatectomy (RARP). Methods: From 2013 to 2014, 40 consecutive patients were randomized into two groups - one received caudal block using ropivacaine immediately after operation, the other received standard analgesia. Primary outcome measure was pain score based on 11-point Likert scale (0-10) recorded at recovery room, and at 6, 12, 24, 48, and 72 h after operation...
April 2018: Asian Journal of Urology
https://www.readbyqxmd.com/read/29732202/can-anastomotic-urinary-leakage-in-robotic-prostatectomy-be-considered-as-a-marker-of-surgical-skill
#9
Fabrizio Dal Moro, Paolo Beltrami, Filiberto Zattoni
Introduction: The study was conducted to analyze whether the anastomotic urinary leakage (AUL) rate in robot-assisted radical prostatectomy (RARP) can be considered as a marker of surgical skill. Material and methods: Post-operative cystograms taken after RARP, performed between 2006 and 2016 at a third-level university urology center, were prospectively collected. Cystograms were scheduled for all patients on post-operative day 6, but were performed over a range from days 4 to 10 (median 6)...
2018: Central European Journal of Urology
https://www.readbyqxmd.com/read/29727912/postoperative-complications-of-contemporary-open-and-robot-assisted-laparoscopic-radical-prostatectomy-using-standardized-reporting-systems
#10
Raisa S Pompe, Burkhard Beyer, Alexander Haese, Felix Preisser, Uwe Michl, Thomas Steuber, Markus Graefen, Hartwig Huland, Pierre I Karakiewicz, Derya Tilki
OBJECTIVES: To analyze time trends and contemporary rates of postoperative complications after RP and to compare the complication profile of ORP and RALP using standardized reporting systems. MATERIALS & METHODS: Retrospective analysis of 13,924 RP patients in a single institution (2005 to 2015). Complications were collected during hospital stay and via standardized questionnaire 3 months after and grouped into eight schemes. Since 2013, the revised Clavien-Dindo classification was used (n = 4,379)...
May 4, 2018: BJU International
https://www.readbyqxmd.com/read/29722948/-transperitoneal-versus-extraperitoneal-robot-assisted-radical-prostatectomy-for-localized-prostate-cancer
#11
Chen-Zhao Hua, Zhong-Lin Cai, Wen-Juan Li, Chuan Zhou, Xu-Pan Wei, Hai-di Lü, Feng-Hai Zhou
Objective: To compare the clinical effects of transperitoneal (Tp) versus extraperitoneal (Ep) robot-assisted radical prostatectomy (RARP) in the treatment of localized prostate cancer. METHODS: We searched PubMed, EMBASE, Web of Science, EBSCO, Cochrane Library, Wanfang, CNKI, and CBM for the articles comparing the clinical effect Tp-RARP with that of Ep-RARP in the treatment of localized prostate cancer published from January 2000 to November 2016. All the articles must meet the inclusion criteria, that is, dealing with at least one of the following aspects: operation time, intraoperative blood loss, postoperative catheterization time, length of bed confinement, perioperative complications, positive surgical margins, bowel-related complications, postoperative anastomotic leakage, and postoperative urinary continence...
June 2017: Zhonghua Nan Ke Xue, National Journal of Andrology
https://www.readbyqxmd.com/read/29715138/comparing-image-guided-targeted-biopsies-to-radical-prostatectomy-specimens-for-accurate-characterization-of-the-index-tumor-in-prostate-cancer
#12
Francesco Porpiglia, Stefano DE Luca, Enrico Checcucci, Diletta Garrou, Matteo Manfredi, Fabrizio Mele, Angela Pecoraro, Roberto Passera, Enrico Bollito, Cristian Fiori
AIM: To evaluate the accuracy of multiparametric magnetic resonance-transrectal ultrasound fusion targeted biopsy (TBx) in the characterization of the index tumor, as confirmed by association with radical prostatectomy (RP) specimens. PATIENTS AND METHODS: A total of 152 patients with TBx-confirmed prostate cancer (PCa) underwent robot-assisted RP. Stained whole-mount histological sections were used as the reference standard. All lesions with a volume >0.5 ml and/or pathological Gleason score (GS) >6 were defined as clinically significant PCa...
May 2018: Anticancer Research
https://www.readbyqxmd.com/read/29702157/pediatric-robotic-prostatectomy-and-pelvic-lymphadenectomy-for-embryonal-rhabdomyosarcoma
#13
Deepak K Agarwal, Tanner S Miest, Candace F Granberg, Igor Frank, Patricio C Gargollo
We present the first published case of a pediatric robot-assisted prostatectomy and pelvic lymphadenectomy for refractory prostatic embryonal rhabdomyosarcoma. The patient is a 7 year old male who had been treated with three cycles of chemotherapy and radiation, who underwent prostatectomy and lymphadenectomy for a recurrent mass. Surgery was uncomplicated and yielded negative surgical margins. We highlight the surgical technique and feasibility of utilizing robotic surgery for pediatric prostatectomy.
April 24, 2018: Urology
https://www.readbyqxmd.com/read/29697691/-intestinal-obstruction-in-early-postoperative-period-after-robot-assisted-prostatectomy
#14
A O Vasiliyev, A A Shiryaev, A V Govorov, K B Kolontarev, P I Rasner, V V Dyakov, I V Semenyakin, D Yu Pushkar
No abstract text is available yet for this article.
2018: Khirurgiia
https://www.readbyqxmd.com/read/29682612/salvage-pelvic-lymph-node-dissection-after-fluciclovine-positron-emission-tomography-computed-tomography-detected-prostate-cancer-recurrence
#15
Madeline Cancian, Jorge Pereira, Joseph F Renzulli
Background: Multiple new systemic agents have been targeted to metastatic prostate cancer, with decreased progression of disease but no cure. Surgical management of metastatic disease has been gaining interest, primarily in the setting of high-risk prostatectomies. However, metastasis-directed surgical intervention has been employed in rare scenarios, especially in oligometastatic disease. We report here on a salvage robot-assisted pelvic lymph node dissection for a solitary metastatic site. Case Presentation: A 63-year-old Hispanic man who was initially treated with prostatectomy for intermediate risk cancer developed rapid biochemical recurrence...
2018: Journal of Endourology Case Reports
https://www.readbyqxmd.com/read/29680952/functional-outcomes-of-robot-assisted-radical-prostatectomy-in-patients-eligible-for-active-surveillance
#16
Marc Zanaty, Khaled Ajib, Kevin Zorn, Assaad El-Hakim
OBJECTIVE: To assess the outcome of low risk prostate cancer (PCa) patients who were candidates for active surveillance (AS) but had undergone robot-assisted radical prostatectomy (RARP). METHOD: We reviewed our prospectively collected database of patients operated by RARP between 2006 and 2014. Low D'Amico risk patients were selected. Oncological outcomes were reported based on pathology results and biochemical failure. Functional outcomes on continence and potency were reported at 12 and 24 months...
April 21, 2018: World Journal of Urology
https://www.readbyqxmd.com/read/29677873/re-quality-of-life-psychological-functioning-and-treatment-satisfaction-of-men-who-have-undergone-penile-prosthesis-surgery-following-robot-assisted-radical-prostatectomy
#17
https://www.readbyqxmd.com/read/29677867/re-assessing-the-impact-of-surgeon-experience-on-urinary-continence-recovery-after-robot-assisted-radical-prostatectomy-results-of-four-high-volume-surgeons
#18
https://www.readbyqxmd.com/read/29676063/development-and-internal-validation-of-a-side-specific-multiparametric-mri-based-nomogram-for-the-prediction-of-extracapsular-extension-of-prostate-cancer
#19
Alberto Martini, Akriti Gupta, Sara C Lewis, Shivaram Cumarasamy, Kenneth G Haines, Alberto Briganti, Francesco Montorsi, Ash K Tewari
OBJECTIVES: To develop a nomogram for predicting side-specific extracapsular extension (ECE) for planning nerve sparing radical prostatectomy (NSRP). MATERIALS AND METHODS: We retrospectively analyzed data from 561 patients who underwent robot-assisted radical prostatectomy between February 2014 and October 2015. To develop a side-specific predictive model, we considered the prostatic lobes separately. Four variables were included: PSA, highest ipsilateral biopsy Gleason grade, highest ipsilateral percentage core involvement and ECE on multiparametric MRI (mpMRI)...
April 19, 2018: BJU International
https://www.readbyqxmd.com/read/29675476/peritoneal-tuberculosis-after-robot-assisted-laparoscopic-prostatectomy-with-extended-lymph-node-dissection
#20
Suruga Saito, Katsuhiro Ito, Keiyu Matsumoto, Motofumi Tajima, Takayuki Goto, Haruki Ito, Yumi Manabe, Mutsuki Mishina, Hiroshi Okuno
Background: Peritoneal tuberculosis (TB) is a relatively uncommon presentation of extrapulmonary TB. Early diagnosis of peritoneal TB is difficult because of its nonspecific clinical manifestation such as abdominal pain, fever, or ascites. Especially early after surgery of abdomen or pelvis, these symptoms can be misdiagnosed as septic peritonitis. There are few reports of peritoneal TB as a postoperative complication of laparoscopic surgery. Here, we describe a first case of peritoneal TB after robot-assisted laparoscopic prostatectomy (RALP) with extended lymph node dissection...
2018: Journal of Endourology Case Reports
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