keyword
https://read.qxmd.com/read/38537231/pentafecta-evaluation-in-robot-assisted-radical-prostatectomy-by-risk-group
#1
JOURNAL ARTICLE
Víctor E Corona-Montes, Juan E Sánchez-Núñez, Rocío N Gómez-López, Gerardo Fernández-Noyola
OBJECTIVE: Radical prostatectomy is a therapeutic option in organ-confined prostate cancer. As the development of robotic systems progresses, the approach with this technology has begun to impact the functional and oncological outcomes of urological patients. The objective is to report the rate of pentafecta in patients undergoing robot-assisted radical prostatectomy (RARP) stratified by risk groups. METHOD: Retrospective, observational, descriptive study from 2013 to 2020 that included 112 patients undergoing RARP...
2024: Cirugia y Cirujanos
https://read.qxmd.com/read/38532371/minimally-invasive-cytoreductive-radical-prostatectomy-exploring-the-safety-and-feasibility-of-a-single-port-or-multi-port-robotic-platform
#2
JOURNAL ARTICLE
Daniel J Lama, Kyle Thomas, Simone L Vernez, Oluwatimilehin Okunowo, Clayton S Lau, Bertram E Yuh
BACKGROUND: Consolidative resection or cytoreductive radical prostatectomy (CRP) may benefit men with non-organ confined prostate cancer. We report the safety, feasibility, and outcomes of robot-assisted laparoscopic CRP using a single-port (SP) or multi-port (MP) platform. METHODS: We reviewed consecutive men with clinical node positive or metastatic castrate-sensitive prostate cancer who underwent IRB-approved CRP and extended pelvic lymph node dissection using the da Vinci SP or MP Surgical Systems (Intuitive Surgical, Sunnyvale, CA) from 2015-2022...
March 26, 2024: BMC Urology
https://read.qxmd.com/read/38523947/successful-robot-assisted-simple-prostatectomy-years-after-a-prostate-artery-embolization-a-case-report-and-review-of-the-literature
#3
Kale Moreland, Gabrielle R Yankelevich, Paul Womble
Simple prostatectomy (SP) can be utilized for patients with large prostates with lower urinary tract symptoms. Prostate artery embolization (PAE) does not have robust clinical evidence to support its use in treating urinary symptoms; however, it is an effective treatment for refractory hematuria from a prostatic source. There have been limited papers regarding preoperative PAE prior to SP. However, there are no papers regarding the feasibility of delayed SP after PAE. We present, to our knowledge, the first paper demonstrating a successful robot-assisted SP years after a PAE in a patient with a 380g prostate with recurrent refractory gross hematuria...
February 2024: Curēus
https://read.qxmd.com/read/38523901/a-novel-anterior-approach-that-involves-retzius-space-development-between-the-umbilical-ligaments-is-associated-with-a-lower-incidence-of-postoperative-inguinal-hernia-in-robotic-radical-prostatectomy
#4
JOURNAL ARTICLE
Satoshi Washino, Shozaburou Mayumi, Kimitoshi Saito, Kai Yazaki, Yuhki Nakamura, Tomoaki Miyagawa
BACKGROUND: To facilitate robotic radical prostatectomy (RP), we developed a novel anterior approach that utilizes a peritoneal incision between the umbilical ligaments to develop the Retzius space without contacting the internal inguinal rings, followed by closure of this space prior to prostatectomy and vesicourethral anastomosis. This approach could decrease the incidence of postoperative inguinal hernia (IH), similar to a Retzius-sparing RP (RS-RP). We compared the incidence of IH following this novel approach with that following conventional anterior RP and RS-RP...
March 2024: Prostate International
https://read.qxmd.com/read/38521614/re-first-in-human-evaluation-of-a-prostate-specific-membrane-antigen-targeted-near-infrared-fluorescent-small-molecule-for-fluorescence-based-identification-of-prostate-cancer-in-patients-with-high-risk-prostate-cancer-undergoing-robotic-assisted-prostatectomy
#5
JOURNAL ARTICLE
https://read.qxmd.com/read/38520651/the-2012-briganti-nomogram-predicts-disease-progression-in-surgically-treated-intermediate-risk-prostate-cancer-patients-with-favorable-tumor-grade-group-eventually-associated-with-some-adverse-factors
#6
JOURNAL ARTICLE
Antonio Benito Porcaro, Rossella Orlando, Andrea Panunzio, Alessandro Tafuri, Alberto Baielli, Francesco Artoni, Francesca Montanaro, Sebastian Gallina, Alberto Bianchi, Giovanni Mazzucato, Emanuele Serafin, Alessandro Veccia, Michele Boldini, Lorenzo Pierangelo Treccani, Riccardo Rizzetto, Matteo Brunelli, Filippo Migliorini, Riccardo Bertolo, Maria Angela Cerruto, Alessandro Antonelli
To evaluate the prognostic potential of the 2012 Briganti nomogram for pelvic lymph node invasion on disease progression after surgery in intermediate-risk (IR) prostate cancer (PCa) patients with favorable tumor grade (International Society of Urological Pathology grade group 1 or 2), eventually associated with adverse clinical features as PSA between 10 and 20 ng/mL and/or clinical stage T2b. All IR PCa patients treated with robot-assisted radical prostatectomy and eventually extended pelvic lymph node dissection at the Department of Urology of the Integrated University Hospital of Verona between 2013 and 2021, with the abovementioned features, and available follow-up were considered...
March 23, 2024: Journal of Robotic Surgery
https://read.qxmd.com/read/38519609/the-death-of-laparoscopy
#7
JOURNAL ARTICLE
Davide Ferrari, Tommaso Violante, Marco Novelli, Patrick P Starlinger, Rory L Smoot, Janani S Reisenauer, David W Larson
BACKGROUND: The introduction of laparoscopy in 1989 revolutionized surgical practices, reducing post-operative complications, and enhancing outcomes. Despite its benefits, limitations in laparoscopic tools have led to continued use of open surgery. Robotic-assisted surgery emerged to address these limitations, but its adoption trends and potential impact on open and laparoscopic surgery require analysis. METHODS: A retrospective analysis used the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) databases from 2012 to 2021...
March 22, 2024: Surgical Endoscopy
https://read.qxmd.com/read/38515053/extended-pelvic-lymph-node-dissection-during-robotic-prostatectomy-antegrade-versus-retrograde-technique
#8
JOURNAL ARTICLE
Giancarlo Albo, Andrea Gallioli, Francesco Ripa, Elisa De Lorenzis, Luca Boeri, Carolina Bebi, Lorenzo Rocchini, Fabrizio Longo, Stefano Paolo Zanetti, Matteo Turetti, Michela Piccoli, Emanuele Montanari
BACKGROUND: Robot-assisted radical prostatectomy (RARP) with extended lymphadenectomy (ePLND) is the gold standard for surgical treatment of prostate cancer (PCa). Recently, the en-bloc ePLND has been proposed but no studies reported on the standardization of the technique. The aim of the study is to describe different standardized en-bloc ePLND, the antegrade and the retrograde ePLND, and to compare their surgical and oncological outcomes. MATERIALS & METHODS: From January 2018 to September 2019, all patients subjected to RARP plus ePLND by one single surgeon were enrolled...
March 21, 2024: BMC Urology
https://read.qxmd.com/read/38512888/risk-classification-system-using-the-detailed-positive-surgical-margin-status-for-predicting-biochemical-recurrence-after-robot-assisted-radical-prostatectomy
#9
JOURNAL ARTICLE
Tomoya Hatayama, Keisuke Goto, Kenta Fujiyama, Akihiro Goriki, Mayumi Kaneko, Koji Mita
AIM: This study aimed to evaluate the risk classification system using the detailed positive surgical margin (PSM) status to predict biochemical recurrence (BCR) after robot-assisted radical prostatectomy (RARP). METHODS: We retrospectively analyzed 427 patients who underwent RARP between January 2016 and March 2020. We investigated risk factors for BCR using univariate and multivariate Cox proportional hazard regression models. The biochemical recurrence-free survival (BRFS) rate was assessed using the Kaplan-Meier method...
March 21, 2024: Asia-Pacific Journal of Clinical Oncology
https://read.qxmd.com/read/38512711/development-of-machine-learning-algorithm-to-predict-the-risk-of-incontinence-after-robot-assisted-radical-prostatectomy
#10
JOURNAL ARTICLE
Daniele Amparore, Sabrina De Cillis, Eugenio Alladio, Michele Sica, Federico Piramide, Paolo Verri, Enrico Checcucci, Alberto Piana, Alberto Quarà, Edoardo Cisero, Matteo Manfredi, Michele Di Dio, Cristian Fiori, Francesco Porpiglia
Introduction: Predicting postoperative incontinence beforehand is crucial for intensified and personalized rehabilitation after robot-assisted radical prostatectomy. Although nomograms exist, their retrospective limitations highlight artificial intelligence (AI)'s potential. This study seeks to develop a machine learning algorithm using robot-assisted radical prostatectomy (RARP) data to predict postoperative incontinence, advancing personalized care. Materials and Methods: In this propsective observational study, patients with localized prostate cancer undergoing RARP between April 2022 and January 2023 were assessed...
March 21, 2024: Journal of Endourology
https://read.qxmd.com/read/38506964/modified-retzius-sparing-robot-assisted-radical-prostatectomy-for-cases-with-anterior-tumor-a-propensity-score-matched-analysis
#11
JOURNAL ARTICLE
Jiajun Qian, Yao Fu, Giancarlo Marra, Feifei Zhang, Xiao Wu, Danyan Li, Linfeng Xu, Xuefeng Qiu, Weidong Gan, Hongqian Guo
OBJECTIVE: To compare the outcomes between a modified Retzius-sparing robot-assisted radical prostatectomy (mRS-RARP) technique and conventional robot-assisted radical prostatectomy (Con-RARP) technique for cases with anterior prostate cancer (PCa), especially positive surgical margin (PSM) rates and urinary continence (UC). PATIENTS AND METHODS: We retrospectively included 193 mRS-RARP and 473 Con-RARP consecutively performed by a single surgeon for anterior PCa...
March 20, 2024: World Journal of Urology
https://read.qxmd.com/read/38506238/erectile-dysfunction-criteria-of-131-350-patients-after-open-laparoscopic-and-robotic-radical-prostatectomy
#12
JOURNAL ARTICLE
Tomás Bernardo Costa Moretti, Luís Alberto Magna, Leonardo Oliveira Reis
PURPOSE: Comparing post-radical prostatectomy erectile function rates among different techniques has always been a challenge in urology. This difficulty is due to the heterogeneity of studies, mainly in relation to the type of erectile function classification criteria used. The aim is to apply a new evidence-gathering methodology, called reverse systematic review, to compare erectile function rates among retropubic radical prostatectomy, laparoscopic radical prostatectomy, and robot-assisted radical prostatectomy, considering the diversity of classification criteria...
March 20, 2024: Andrology
https://read.qxmd.com/read/38505583/prostate-cancer-risk-stratification-via-enose-urine-odor-analysis-a-preliminary-report
#13
JOURNAL ARTICLE
Gianluigi Taverna, Fabio Grizzi, Carmen Bax, Lorenzo Tidu, Matteo Zanoni, Paolo Vota, Cinzia Mazzieri, Maria Chiara Clementi, Giovanni Toia, Mohamed A A A Hegazi, Beatrice Julia Lotesoriere, Rodolfo Hurle, Laura Capelli
INTRODUCTION: Prostate cancer (PCa) is known for its highly diverse clinical behavior, ranging from low-risk, slow-growing tumors to aggressive and life-threatening forms. To avoid over-treatment of low-risk PCa patients, it would be very important prior to any therapeutic intervention to appropriately classify subjects based on tumor aggressiveness. Unfortunately, there is currently no reliable test available for this purpose. The aim of the present study was to evaluate the ability of risk stratification of PCa subjects using an electronic nose (eNose) detecting PCa-specific volatile organic compounds (VOCs) in urine samples...
2024: Frontiers in Oncology
https://read.qxmd.com/read/38505160/surgical-approach-affecting-long-term-urinary-continence-status-after-robot-assisted-laparoscopic-prostatectomy-prospectively-evaluated-using-self-reported-functional-status-expanded-prostate-cancer-index-composite-epic-26
#14
JOURNAL ARTICLE
Mathias Reichert, Arne Strauß, Joost Wilhelm Voß, Hans Christoph von Knobloch, Hannah Maria Neuenhofer, Annemarie Uhlig, Lutz Trojan, Mirjam Naomi Mohr
PURPOSE: The aim of the study was to examine the influence of the surgical approach for robot-assisted laparoscopic prostatectomy (RALP) on long-term urinary continence status in the era of self-reported functional status measures using the Expanded Prostate Cancer Index Composite 26. MATERIALS AND METHODS: This is a prospective evaluation of 232 patients undergoing RALP between September, 2019 and September, 2020. Urinary continence status and postoperative incontinence (pad usage) were evaluated 12 months after RALP using Expanded Prostate Cancer Index Composite 26 questionnaires...
March 2024: Current Urology
https://read.qxmd.com/read/38498357/rarpkb-a-knowledge-guide-decision-support-platform-for-personalized-robot-assisted-surgery-in-prostate-cancer
#15
JOURNAL ARTICLE
Jiakun Li, Tong Tang, Erman Wu, Jing Zhao, Hui Zong, Rongrong Wu, Weizhe Feng, Ke Zhang, Dongyue Wang, Yawen Qin, Zheng Shen, Yi Qin, Shumin Ren, Chaoying Zhan, Lu Yang, Qiang Wei, Bairong Shen
BACKGROUND: Robot-assisted radical prostatectomy (RARP) has emerged as a pivotal surgical intervention for the treatment of prostate cancer. However, the complexity of clinical cases, heterogeneity of prostate cancer, and limitations in physician expertise pose challenges to rational decision-making in RARP. To address these challenges, we aimed to organize the knowledge of previously complex cohorts and establish an online platform named the RARP Knowledge Base (RARPKB) to provide reference evidence for personalized treatment plans...
March 18, 2024: International Journal of Surgery
https://read.qxmd.com/read/38498237/hinotori-tm-vs-da-vinci-%C3%A2-propensity-score-matched-analysis-of-surgical-outcomes-of-robot-assisted-radical-prostatectomy
#16
JOURNAL ARTICLE
Yasuo Kohjimoto, Shimpei Yamashita, Sohei Iwagami, Satoshi Muraoka, Takahito Wakamiya, Isao Hara
hinotori™ is a recently developed surgical robot system. The present study aims to compare intraoperative and postoperative outcomes of robot-assisted radical prostatectomy (RARP) by the hinotori™ system compared with those of the longer-established da Vinci® system. This study includes 100 consecutive patients who underwent RARP by da Vinci® and 60 patients who underwent RARP by hinotori™. To minimize imbalances of patient demographics between the two groups, 1:1 propensity score-matching was performed, and 43 patients each were assigned to the da Vinci® and hinotori™ groups after matching...
March 18, 2024: Journal of Robotic Surgery
https://read.qxmd.com/read/38492003/implementation-of-single-port-robotic-urologic-surgery-experience-at-a-large-academic-center
#17
JOURNAL ARTICLE
Francesco Ditonno, Antonio Franco, Leslie Claire Licari, Eugenio Bologna, Celeste Manfredi, David O Katz, Jonathan H Huang, Kalyan C Latchamsetty, Christopher L Coogan, Edward E Cherullo, Alexander K Chow, Srinivas Vourganti, Riccardo Autorino
The Single-Port (SP) robotic system is increasingly being implemented in the United States, allowing for several minimally invasive urologic procedures to be performed. The present study aims to describe our single-center experience since the adoption of the SP platform. We retrospectively collected and analyzed consecutive SP cases performed at a major teaching hospital in the Midwest (Rush University Medical Center) from December 2020 to December 2023. Demographic variables were collected. Surgical and pathological outcomes were analyzed in the overall cohort and for each type of procedure...
March 16, 2024: Journal of Robotic Surgery
https://read.qxmd.com/read/38491207/extraperitoneal-robot-assisted-laparoscopic-prostatectomy-with-versius-system-single-centre-experience
#18
JOURNAL ARTICLE
F Dibitetto, C Fede Spicchiale, R Castellucci, S Sansalone, A Akhundov, L Defidio, M De Dominicis
INTRODUCTION: Versius Surgical System (CMR Surgical, Cambridge, UK) is a novel tele-operated robotic surgical system designed to assist surgeons for minimally invasive surgery which is gaining momentum in the world of robotic surgery. We describe our single centre experience with Versius and report the advantages and challenges posed by this new robotic system in a series of 53 extraperitoneal robotic assisted laparoscopic prostatectomies (eRALP) for prostate cancer (PCa). MATERIALS AND METHODS: Data of 53 eRALP performed with Versius in our centre were collected and analysed, Descriptive statistics were used to report our results...
March 15, 2024: Prostate Cancer and Prostatic Diseases
https://read.qxmd.com/read/38490802/how-surgeons-think-to-avoid-error-a-case-study-of-the-neurovascular-bundle-sparing-during-a-robotic-prostatectomy
#19
JOURNAL ARTICLE
Avril Lusty, Janet Alexanian, Simon Kitto, Tim Wood, Luke T Lavallée, Chris Morash, Ilias Cagiannos, Rodney H Breau, Isabelle Raîche
OBJECTIVE: To illustrate how experts efficiently navigate a "slowing down moment" to obtain optimal surgical outcomes using the neurovascular bundle sparing during a robotic prostatectomy as a case study. DESIGN: A series of semistructured interviews with four expert uro-oncologists were completed using a cognitive task analysis methodology. Cognitive task analysis, CTA, refers to the interview and extraction of a general body of knowledge. Each interview participant completed four 1 to 2-hour semistructured CTA interviews...
April 2024: Journal of Surgical Education
https://read.qxmd.com/read/38483586/prognostic-factors-among-patients-with-pathological-grade-group-5-prostate-cancer-based-on-robot-associated-radical-prostatectomy-specimens-from-a-large-japanese-cohort-msug94
#20
JOURNAL ARTICLE
Takeshi Sasaki, Shin Ebara, Tomoyuki Tatenuma, Yoshinori Ikehata, Akinori Nakayama, Makoto Kawase, Masahiro Toide, Tatsuaki Yoneda, Kazushige Sakaguchi, Jun Teishima, Kazuhide Makiyama, Hiroshi Kitamura, Kazutaka Saito, Takuya Koie, Fumitaka Koga, Shinji Urakami, Takahiro Inoue
PURPOSE: There are no definitive prognostic factors for patients with pathological Grade Group 5 (pGG 5) prostate cancer (PCa) undergoing robot-associated radical prostatectomy (RARP). This study aimed to explore the prognostic factors among patients with pGG 5 PCa in a large Japanese cohort (MSUG94). METHODS: This retrospective, multi-institutional cohort study was conducted between 2012 and 2021 at ten centers in Japan and included 3195 patients. Patients with clinically metastatic PCa (cN1 or cM1) and those receiving neoadjuvant and/or adjuvant therapy were excluded...
March 14, 2024: World Journal of Urology
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