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Robotic prostatectomy

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https://www.readbyqxmd.com/read/29469070/utilization-of-pelvic-lymph-node-dissection-in-patients-undergoing-robot-assisted-radical-prostatectomy-in-india-versus-the-united-states-a-vattikuti-collective-quality-initiative-database-analysis
#1
F Abdollah, S Arora, T Jindal, P Gild, A Sood, T B Yuvaraja, R K Ahlawat, N P Gupta, M Bhandari, M Menon
BACKGROUND: The utilization and extent of pelvic lymph node dissection (PLND) varies depending on the disease and practice patterns. AIMS: This study compares practice patterns in utilization of PLND between Indian and United States (US) practices. SETTINGS AND DESIGN: We focused on 415 patients (204 India; 211 US) prostate cancer patients treated with robot-assisted radical prostatectomy, between 2015 and 2016, within the Vattikuti Collective Quality Initiative database...
April 2017: Indian Journal of Cancer
https://www.readbyqxmd.com/read/29468200/robot-assisted-perineal-radical-prostatectomy-in-a-post-kidney-transplant-recipient
#2
Volkan Tugcu, Abdulmuttalip Simsek, Ismail Yigitbasi, Mustafa Gurkan Yenice, Selcuk Sahin, Ali Ihsan Tasci
Background: After almost two decades, transabdominal robotic radical prostatectomy techniques have been fully developed and are widely practiced by many robotic urologists. Recently, a transperineal robotic radical prostatectomy, a technique not yet popular to many, was introduced as an alternative approach in patients with previous abdominal surgery. Here, we present our unique experience with robotic perineal radical prostatectomy (r-PRP) on a kidney transplant recipient. Case Presentation: A 71-year-old man who had a kidney transplant 4 months previously was diagnosed with prostate cancer (PCa) and underwent r-PRP using the da Vinci Xi robotic system...
2018: Journal of Endourology Case Reports
https://www.readbyqxmd.com/read/29463975/retropubic-laparoscopic-and-robot-assisted-radical-prostatectomy-a-comparative-analysis-of-the-surgical-outcomes-in-a-single-regional-center
#3
Lorenzo Giuseppe Luciani, Daniele Mattevi, William Mantovani, Tommaso Cai, Stefano Chiodini, Valentino Vattovani, Marco Puglisi, Daniele Tiscione, Umberto Anceschi, Gianni Malossini
Background: To compare the surgical outcomes of radical prostatectomy (RP) performed via 3 different approaches: retropubic (RRP), laparoscopic-assisted (LRP), and robot-assisted (RARP), in a single non-academic regional center by a single surgeon. Materials and Methods: The data of patients undergoing RP from 2005 to 2014 were reviewed. The standard approach changed through the years: RRP (n = 380, years 2005 to 2008), LRP (n = 240, years 2009 to 2011), and RARP (n = 262, years 2012 to 2014)...
November 2017: Current Urology
https://www.readbyqxmd.com/read/29463972/quality-of-life-following-prostatectomy-as-a-function-of-surgery-type-and-degree-of-nerve-sparing
#4
Donald S Strassberg, Suzanne M Zavodni, Paul Gardner, Christopher Dechet, Robert A Stephenson, Kelsey K Sewell
Objectives: To compare robotic-assisted laparoscopic prostatectomy with conventional retropubic radical prostatectomy in maintaining pre-surgery levels of urinary and sexual functioning and to evaluate the efficacy of nerve sparing in prostatectomies in protecting urinary functioning. Material and Methods: Patients (n = 385) receiving both surgical procedures were surveyed prior to surgery. Multiple measures, including the Expanded Prostate Cancer Index Composite, the Sexual Health Inventory for Men, and the International Prostate Symptom Score, assessed sexual and urinary function at an average of 12 months post-surgery...
November 2017: Current Urology
https://www.readbyqxmd.com/read/29458236/medical-travel-among-non-seoul-residents-to-seek-prostate-cancer-treatment-in-medical-facilities-of-seoul
#5
Jae Heon Kim, So Young Kim, Seok-Joong Yun, Jae Il Chung, Hoon Choi, Ho Song Yu, Yun-Sok Ha, In-Chang Cho, Hyung Joon Kim, Hyun Chul Chung, Jun Sung Koh, Wun-Jae Kim, Jong-Hyock Park, Ji Youl Lee
Purpose: This study aims to investigate the trend in medical travel by non-Seoul residents to Seoul for treatment of prostate cancer and also to investigate the possible factors affecting the trend. Materials and Methods: This study represents a retrospective cohort study using data from the Korean National Health Insurance System (KNHI) from 2002 to 2015. Annual trends were produced for proportions of patients who traveled according to the age group, economic status and types of treatment...
February 20, 2018: Cancer Research and Treatment: Official Journal of Korean Cancer Association
https://www.readbyqxmd.com/read/29450803/a-rare-case-of-acute-presentation-of-trocar-site-hernia-from-robot-assisted-laparoscopic-partial-nephrectomy
#6
Zi Qin Ng, Richard Pemberton, Patrick Tan
Trocar site hernia is not a common acute complication encountered after robot-assisted surgery, especially in the urological cohort of patients. A few case reports of small bowel obstruction secondary to incarceration by trocar site hernia have been described in gynaecological surgery and prostatectomies. As the clinical presentation is non-specific, late diagnosis has significant implication on morbidity and mortality. Here, we present a rare case of a patient with recent robot-assisted laparoscopic partial nephrectomy for a renal cell carcinoma presented with features of impending bowel obstruction secondary to incarcerated small bowel in the trocar site...
February 15, 2018: Journal of Robotic Surgery
https://www.readbyqxmd.com/read/29448809/utilizing-machine-learning-and-automated-performance-metrics-to-evaluate-robot-assisted-radical-prostatectomy-performance-and-predict-outcomes
#7
Andrew Hung, Jian Chen, Zhengping Che, Tanachat Nilanon, Anthony Jarc, Micha Titus, Paul Oh, Inderbir Singh Gill, Yan Liu
Purpose Surgical performance is critical for clinical outcomes. We present a novel machine learning (ML) method of processing automated performance metrics (APMs) to evaluate surgical performance and predict clinical outcomes after robot-assisted radical prostatectomy (RARP). Methods We trained three ML algorithms utilizing APMs directly from robot system data (training material) and hospital length of stay (LOS; training label) (≤2 days and >2days) from 78 RARP cases, and selected the algorithm with the best performance...
February 16, 2018: Journal of Endourology
https://www.readbyqxmd.com/read/29448807/mri-prior-to-robotic-assisted-radical-prostatectomy-rarp-useful-addition-to-the-scouting-report-but-does-this-supersede-robotic-quarterbacks-changing-the-play-with-intra-operative-audibles
#8
https://www.readbyqxmd.com/read/29446205/surgeon-led-prostate-cancer-lymph-node-staging-pathologic-outcomes-stratified-by-robot-assisted-dissection-templates-and-patient-selection
#9
Muammer Altok, Kara Babaian, Mary F Achim, Grace C Achim, Patricia Troncoso, Surena F Matin, Brian F Chapin, John W Davis
OBJECTIVES: To evaluate the peri-operative, pathologic, and oncologic outcomes from surgeon led pathologic staging of pelvic lymph node metastases at the time of robot-assisted radical prostatectomy (RARP). PATIENTS AND METHODS: Over the 6-year period of 2006-2012, three distinct pelvic lymph node dissection strategies were utilized in chronologic order at a single cancer referral hospital. Strategies were characterized by both a 1) omission of PLND versus inclusion decision threshold, and 2) standard versus extended templates for patients selected for PLND...
February 15, 2018: BJU International
https://www.readbyqxmd.com/read/29440957/outcomes-of-robotic-assisted-radical-prostatectomy-for-patients-in-two-extreme-age-groups-50-years-vs-65-years
#10
Radu-Tudor Coman, Nicolae Crisan, Iulia Andras, Gabriela Bud, Deliu-Victor Matei, Ottavio DE Cobelli, Ioan Coman, Ioan-Stelian Bocsan
Background and aims: To assess the outcomes of robotic radical prostatectomy in two different age subgroups of pre-operatively potent patients: younger than 50 years and older than 65 years. Methods: We included in the present study a number of 202 patients with prostate cancer divided into two groups: 99 patients older than 65 years (group 1) and 103 patients younger than 50 years (group 2). Results: More than half of the younger patients were low-risk vs 57% of the older patients who were high-risk...
2018: Clujul Medical (1957)
https://www.readbyqxmd.com/read/29429803/re-a-randomized-study-of-intraoperative-autologous-retropubic-urethral-sling-on-urinary-control-after-robotic-assisted-radical-prostatectomy
#11
Riccardo Lombardo, J L H Ruud Bosch, Fiona C Burkhard, Andrea Tubaro
No abstract text is available yet for this article.
February 8, 2018: European Urology
https://www.readbyqxmd.com/read/29427005/multicenter-evaluation-of-guideline-adherence-for-pelvic-lymph-node-dissection-in-patients-undergoing-open-retropubic-vs-laparoscopic-or-robot-assisted-radical-prostatectomy-according-to-the-recent-german-s3-guideline-on-prostate-cancer
#12
Angelika Borkowetz, Johannes Bruendl, Martin Drerup, Jonas Herrmann, Hendrik Isbarn, Burkhard Beyer
PURPOSE: Pelvic lymph node dissection (PLND) is recommended for patients with prostate cancer (PCa) and significant risk for nodal metastases. This study aimed to assess guideline adherence regarding PLND according to the German S3 guideline as example for a national but highly used guideline on prostate cancer and to compare the rate of complications different approaches for radical prostatectomy (RP). METHODS: Patients undergoing open (RRP), laparoscopic (LARP) or robot-assisted (RARP) RP in six centers in Germany and Austria were included...
February 9, 2018: World Journal of Urology
https://www.readbyqxmd.com/read/29425663/sexual-rehabilitation-after-nerve-sparing-radical-prostatectomy-free-of-charge-phosphodiesterase-type-5-inhibitor-administration-improves-compliance-to-treatment
#13
Giampaolo Siena, Andrea Mari, Aude Canale, Nicola Mondaini, Andrea Chindemi, Isabella Greco, Omar Saleh, Sergio Serni, Giulio Nicita, Andrea Minervini, Marco Carini
BACKGROUND: In December 2006, the region of Tuscany (Italy) authorized the free-of-charge provision of phosphodiesterase type 5 inhibitors (PDE5I) for all patients with Tuscan citizenship who undergo nerve-sparing radical prostatectomy (NSRP). OBJECTIVE: To compare sexual rehabilitation outcomes in patients with low risk of erectile dysfunction and minimal comorbidities who received PDE5Is free of charge (PDE5I-F) with those who paid for PDE5Is (PDE5I-P) after bilateral NSRP...
February 2018: Journal of Sexual Medicine
https://www.readbyqxmd.com/read/29421921/robot-assisted-radical-prostatectomy-a-step-by-step-guide
#14
Linda My Huynh, Tom Ahlering
Radical prostatectomy has been performed as an open surgery for quite some time with good success, however as minimally invasive surgery has evolved, it has become possible to perform radical prostatectomies laparoscopically. Recent leaps in technology with the advent of Intuitive Surgical Inc.'s da Vinci robot have taken radical prostatectomy past laparoscopy to an all new level of success. In the hands of a skilled surgeon like Dr. Ahlering, of UC Irvine Medical in Orange County, this new tool allows the radical prostatectomy to be performed minimally invasively with greater precision and ease to both the patient and the surgeon than ever before...
February 8, 2018: Journal of Endourology
https://www.readbyqxmd.com/read/29415565/effect-of-mannitol-on-ultrasonographically-measured-optic-nerve-sheath-diameter-as-a-surrogate-for-intracranial-pressure-during-robot-assisted-laparoscopic-prostatectomy-with-pneumoperitoneum-and-the-trendelenburg-position
#15
In-Jung Jun, Myong Kim, Joonho Lee, Se-Ung Park, Jai-Hyun Hwang, Jun Hyuk Hong, Young-Kug Kim
INTRODUCTION: Carbon dioxide pneumoperitoneum and the steep Trendelenburg position during robot-assisted laparoscopic prostatectomy (RALP) can increase the intracranial pressure (ICP). Mannitol is widely used to treat increased ICP. However, no studies to date have specifically evaluated the effect of mannitol on ICP in patients undergoing RALP. Ultrasonographic measurement of the optic nerve sheath diameter (ONSD) is considered a reliable technique to noninvasively evaluate the ICP. Therefore, this study compared ONSDs as a surrogate for ICP before and after mannitol administration in prostate cancer patients undergoing RALP...
February 7, 2018: Journal of Endourology
https://www.readbyqxmd.com/read/29402756/a-novel-approach-for-apical-dissection-during-robot-assisted-radical-prostatectomy-the-collar-technique
#16
Lorenzo Bianchi, Filippo Maria Turri, Alessandro Larcher, Ruben De Groote, Peter De Bruyne, Vincent De Coninck, Marijn Goossens, Frederiek D'Hondt, Geert De Naeyer, Peter Schatteman, Alexandre Mottrie
BACKGROUND: Apical dissection in robot-assisted radical prostatectomy (RARP) affects not only cancer control, but also continence recovery. OBJECTIVE: To describe a novel approach for apical dissection, the collar technique, to reduce apical positive surgical margins (PSMs). DESIGN, SETTING, AND PARTICIPANTS: A total of 189 consecutive patients (81 in the control group, 108 in the collar technique group) underwent RARP at a single center. PRIMARY OUTCOME: rates of apical PSMs; secondary outcome: urinary continence...
February 2, 2018: European Urology Focus
https://www.readbyqxmd.com/read/29398264/is-comparison-of-robotic-to-open-radical-prostatectomy-still-relevant
#17
EDITORIAL
Svetlana Avulova, Joseph A Smith
No abstract text is available yet for this article.
February 2, 2018: European Urology
https://www.readbyqxmd.com/read/29388382/variability-and-interpretation-of-communication-taxonomy-during-robot-assisted-surgery-do-we-all-speak-the-same-language
#18
Sana Raheem, Youssef E Ahmed, Ahmed A Hussein, Amanda Johnson, Lora Cavuoto, Paul May, Adam Cole, Derek Wang, Basim Ahmad, Adam Hassanah, Khurshid A Guru
INTRODUCTION: To investigate and analyze the different ways surgeons communicate with bedside assistants during robot-assisted surgery (RAS). METHODS: We retrospectively reviewed video and audio recordings of 26 RAS (23 prostatectomies and 3 cystectomies). Three cameras and 8 lapel microphones were utilized to record the OR environment. We identified 5 common tasks and categorized them into specific, nonspecific, and unclear categories. We also determined the frequency, time to execute the task, inconveniences, and acknowledgments associated with each category...
February 1, 2018: BJU International
https://www.readbyqxmd.com/read/29388311/the-baus-radical-prostatectomy-audit-2014-2015-an-update-on-current-practice-and-outcomes-by-centre-and-surgeon-case-volume
#19
Sinan Khadhouri, Catherine Miller, Sarah Fowler, Luke Hounsome, Alan McNeill, Jim Adshead, John S McGrath
OBJECTIVES: To describe contemporary radical prostatectomy (RP) practice using the British Association of Urological Surgeons (BAUS) data and audit project and to observe differences in practice in relation to surgeon or centre case volume. PATIENTS AND METHODS: Data on 13,920 Radical Prostatectomy (RP) procedures performed by 178 surgeons across 86 centres were recorded on the BAUS data and audit platform between 1st January 2014 and 31st December 2015. This equates to approximately 95% of total RPs performed over this period when compared to HES (Hospital Episode Statistics) data...
February 1, 2018: BJU International
https://www.readbyqxmd.com/read/29385948/the-narrow-vesicourethral-angle-measured-on-postoperative-cystography-can-predict-urinary-incontinence-after-robot-assisted-laparoscopic-radical-prostatectomy
#20
Motohiko Sugi, Hidefumi Kinoshita, Takashi Yoshida, Hisanori Taniguchi, Takao Mishima, Kenji Yoshida, Masaaki Yanishi, Yoshihiro Komai, Masato Watanabe, Tadashi Matsuda
OBJECTIVE: Radical prostatectomy is associated with complications including urinary incontinence. A significant association between specific features of the vesicourethral anastomosis and urinary incontinence after radical prostatectomy has been demonstrated. The aim of this study was to identify the most useful predictor of postoperative urinary incontinence after robot-assisted laparoscopic radical prostatectomy (RALP) according to the features of the vesicourethral anastomosis as determined by postoperative cystography...
February 1, 2018: Scandinavian Journal of Urology
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