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https://www.readbyqxmd.com/read/29072565/positive-surgical-margin-rates-during-the-robot-assisted-laparoscopic-radical-prostatectomy-learning-curve-of-an-experienced-laparoscopic-surgeon
#1
Anthony F Adili, Julia Di Giovanni, Emma Kolesar, Nathan C Wong, Jen Hoogenes, Shawn Dason, Bobby Shayegan
INTRODUCTION: Since its introduction, robot-assisted laparoscopic radical prostatectomy (RARP) has gained widespread popularity, but is associated with a variable learning curve. Herein, we report the positive surgical margin (PSM) rates during the RARP learning curve of a single surgeon with significant previous laparoscopic radical prostatectomy (LRP) experience. METHODS: We performed a prospective cohort study of the first 400 men with prostate cancer treated with RARP by a single surgeon (BS) with significant LRP experience...
November 11, 2017: Canadian Urological Association Journal, Journal de L'Association des Urologues du Canada
https://www.readbyqxmd.com/read/29063728/laparoscopic-and-robotic-assisted-versus-open-radical-prostatectomy-for-the-treatment-of-localised-prostate-cancer-a-cochrane-systematic-review
#2
Dragan Ilic, Sue M Evans, Christie Ann Allan, Jae Hung Jung, Declan Murphy, Mark Frydenberg
To determine the effects of laparoscopic radical prostatectomy (LRP), or robotic-assisted radical prostatectomy (RARP), compared to open radical prostatectomy (ORP) in men with localised prostate cancer. We performed a comprehensive search using multiple databases (CENTRAL, MEDLINE, EMBASE) and abstract proceedings with no restrictions on the language of publication or publication status, up until 9 June 2017. We included all randomised or pseudo-randomised controlled trials with a direct comparison of LRP and RARP to ORP...
October 24, 2017: BJU International
https://www.readbyqxmd.com/read/29061068/three-layer-two-step-posterior-reconstruction-using-peritoneum-during-robot-assisted-radical-prostatectomy-to-improve-recovery-of-urinary-continence-prospective-comparative-study
#3
Souichiro Ogawa, Seiji Hoshi, Tomoyuki Koguchi, Junya Hata, Yuichi Sato, Hidenori Akaihata, Masao Kataoka, Nobuhiro Haga, Yoshiyuki Kojima
INTRODUCTION: We present our experience with a novel 3-layer 2-step posterior reconstruction (PR) technique using peritoneum during robot-assisted radical prostatectomy (RARP) to improve recovery of postoperative urinary continence. METHODS: Forty-eight patients with localized prostate cancer were enrolled in this study and were divided randomly into 2 groups, which were treated by the standard PR technique (standard PR group; n=24) or the 3-layer PR technique using peritoneum (3-layer PR group; n=24) during RARP...
October 23, 2017: Journal of Endourology
https://www.readbyqxmd.com/read/29052761/does-surgical-delay-for-radical-prostatectomy-affect-biochemical-recurrence-a-retrospective-analysis-from-a-canadian-cohort
#4
Marc Zanaty, Mansour Alnazari, Khaled Ajib, Kelsey Lawson, Mounsif Azizi, Emad Rajih, Abdullah Alenizi, Pierre-Alain Hueber, Côme Tolmier, Malek Meskawi, Fred Saad, Raisa S Pompe, Pierre I Karakiewicz, Assaad El-Hakim, Kevin C Zorn
AIM: We sought to explore the impact of surgical wait time (SWT) to robot-assisted radical prostatectomy (RARP) on biochemical recurrence (BCR). METHOD: Retrospective review of a prospectively collected database between 2006 and 2015 was conducted on all RARP cases. SWT was defined as period from prostate biopsy to surgery. Primary outcome was the impact on BCR, which was defined as two consecutive PSA ≥ 0.2 ng/dl, or salvage external beam radiation therapy and/or salvage androgen deprivation therapy...
October 20, 2017: World Journal of Urology
https://www.readbyqxmd.com/read/29032582/national-cohort-study-comparing-severe-medium-term-urinary-complications-following-radical-prostatectomy-robot-assisted-versus-laparoscopic-versus-retropubic-open-radical-prostatectomy
#5
A Sujenthiran, J Nossiter, M Parry, S C Charman, A Aggarwal, H Payne, P Dasgupta, N W Clarke, J van der Meulen, P Cathcart
OBJECTIVES: Despite the rapid adoption of robot-assisted radical prostatectomy (RARP), there is little evidence about the occurrence of medium-term urinary complications with this type of surgery compared to laparoscopic (LRP) or retropubic open radical prostatectomy (ORP). The aim of this study was to evaluate the occurrence of severe urinary complications within two years of surgery in men undergoing RARP, LRP or ORP. PATIENTS AND METHODS: Population-based cohort study of men who underwent RARP (n=4,947), LRP (n= 5,479), or ORP (n=6,873) between 2008 and 2012 in the English National Health Service (NHS) using national cancer registry records linked to Hospital Episodes Statistics - an administrative database of admissions to NHS hospitals...
October 15, 2017: BJU International
https://www.readbyqxmd.com/read/28978229/the-impact-of-lateral-bladder-neck-preservation-on-urinary-continence-recovery-after-robot-assisted-radical-prostatectomy
#6
Takeshi Hashimoto, Kunihiko Yoshioka, Tatsuo Gondo, Kazuki Hasama, Yosuke Hirasawa, Jun Nakashima, Masaaki Tachibana, Yoshio Ohno
OBJECTIVE: Urinary incontinence is one of the most bothersome adversities after robot-assisted radical prostatectomy (RARP). The aim of this study was to investigate the urinary continence recovery and the effect of various surgical techniques. MATERIALS AND METHODS: We previously reported that posterior rhabdosphincter reconstruction and nerve-sparing were independent predictors of urinary continence recovery 1 month after catheter removal in 199 patients who underwent RARP...
November 3, 2017: Journal of Endourology
https://www.readbyqxmd.com/read/28973504/no-clinical-significance-of-the-time-interval-between-biopsy-and-robotic-assisted-radical-prostatectomy-for-patients-with-clinically-localized-prostate-cancer-on-biochemical-recurrence-a-propensity-score-matching-analysis
#7
Yosuke Hirasawa, Makoto Ohori, Toru Sugihara, Takeshi Hashimoto, Naoya Satake, Tatsuo Gondo, Yoshihiro Nakagami, Kazunori Namiki, Kunihiko Yoshioka, Jun Nakashima, Masaaki Tachibana, Yoshio Ohno
Purpose: To investigate the impact of the time interval (TI) between prostate biopsy and robot-assisted radical prostatectomy (RARP) on the risk of biochemical recurrence (BCR). Methods: We retrospectively reviewed the medical records of 793 consecutive patients who were treated with RARP at our institution. Patients were divided into three groups, according to TI, to compare BCR-free survival (BCRFS) rates: Group 1 (n = 196), TI < 3 months; Group 2 (n = 513), 3 ≤ TI < 6 months; Group 3 (n = 84), TI ≥ 6 months...
September 8, 2017: Japanese Journal of Clinical Oncology
https://www.readbyqxmd.com/read/28967058/topical-alprostadil-vitaros%C3%A2-in-the-treatment-of-erectile-dysfunction-after-non-nerve-sparing-robot-assisted-radical-prostatectomy
#8
Pier Andrea Della Camera, Simone Morselli, Gianmartin Cito, Giovanni Tasso, Nicola Laruccia, Andrea Cocci, Antonio Ruffo, Mauro Gacci, Sergio Serni, Marco Carini, Alessandro Natali
OBJECTIVE: The aim of the study is the evaluation of the efficacy and safety of the treatment with topical alprostadil (Vitaros©) in post-robot assisted radical prostatectomy (RARP) rehabilitation therapy of patients with erectile dysfunction (ED). METHODS: Seventy-four patients were enrolled and underwent non-nerve-sparing RARP. Inclusion criteria: age <75, preoperatively International Index of Erectile Function (IIEF-5) >16, erection hardness score (EHS) ≥2, weekly sexual intercourse ≥1, affirmative answers to Sexual Encounter Profile Question (SEP-Q) 2 and SEP-Q3, Charlson Comorbidity Index (CCI) ≤5, Eastern Cooperative Oncology Group (ECOG) performance status ≤1, no moderate/severe cardiovascular disease...
September 22, 2017: Urologia
https://www.readbyqxmd.com/read/28964658/a-decade-of-robot-assisted-radical-prostatectomy-training-time-based-metrics-and-qualitative-grading-for-fellows-and-residents
#9
Muammer Altok, Mary F Achim, Surena F Matin, Curtis A Pettaway, Brian F Chapin, John W Davis
OBJECTIVES: As modern urology residency and fellowship training in robot-assisted surgery evolves toward standardized curricula (didactics, dry/wet-laboratory exercises, and surgical assistance), additional tools are needed to evaluate on-console performance. At the start of our robotics program in 2006, we set-up a time- and quality-based evaluation program and aim to consolidate this data into a simple set of metrics for self-evaluation. MATERIALS AND METHODS: Using our index procedure of robot-assisted radical prostatectomy (RARP), we prospectively collected data on 2,215 cases over 10 years from 6 faculty surgeons and 94 trainees (43 urologic oncology fellows and 51 urology residents)...
September 27, 2017: Urologic Oncology
https://www.readbyqxmd.com/read/28922689/changing-face-of-robot-assisted-radical-prostatectomy-in-melbourne-over-12%C3%A2-years
#10
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/28895658/laparoscopic-and-robotic-assisted-versus-open-radical-prostatectomy-for-the-treatment-of-localised-prostate-cancer
#11
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/28882030/outcomes-following-robotic-assisted-laparoscopic-prostatectomy-pentafecta-and-trifecta-achievements
#12
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/28877238/effects-of-recruitment-manoeuvre-on-perioperative-pulmonary-complications-in-patients-undergoing-robotic-assisted-radical-prostatectomy-a-randomised-single-blinded-trial
#13
RANDOMIZED CONTROLLED TRIAL
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
#14
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
#15
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/28867561/depressive-symptoms-and-low-sexual-desire-after-radical-prostatectomy-early-and-long-term-outcomes-in-a-real-life-setting
#16
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: We assessed the rate and predictors of depressive symptoms and impaired sexual desire in patients who underwent open or robot-assisted radical prostatectomy. MATERIALS AND METHODS: A total of 811 patients completed IIEF (International Index of Erectile Function) and BDI (Beck Depression Inventory) preoperatively, and 6, 12, 24 and 36 months postoperatively. Rates and predictors of depressive symptoms and impaired sexual desire were assessed with descriptive statistics and logistic regression models...
September 1, 2017: Journal of Urology
https://www.readbyqxmd.com/read/28862047/new-surgical-approaches-for-clinically-high-risk-or-metastatic-prostate-cancer
#17
REVIEW
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...
November 2017: Expert Review of Anticancer Therapy
https://www.readbyqxmd.com/read/28859491/analysis-of-accessory-pudendal-artery-transection-on-erections-during-robot-assisted-radical-prostatectomy
#18
Stephen B Williams, Blanca E Morales, Linda M Huynh, Kathryn Osann, Douglas W Skarecky, Thomas E Ahlering
PURPOSE: To compare the recovery of erections and potency following the transection of accessory pudendal arteries (APAs) in men undergoing robot-assisted radical prostatectomy (RARP) compared with men with normal vascular anatomy. MATERIALS AND 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 (EF) 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 preoperative status, and two Expanded Prostate Cancer Index (EPIC) questions: (1) are erections firm enough for penetration and (2) are they satisfactory? RESULTS: Two hundred thirty-one (33...
November 2017: Journal of Endourology
https://www.readbyqxmd.com/read/28853623/predischarge-predictors-of-readmissions-and-postdischarge-complications-in-robot-assisted-radical-prostatectomy
#19
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...
September 2017: Journal of Endourology
https://www.readbyqxmd.com/read/28834084/does-robot-assisted-radical-prostatectomy-benefit-patients-with-prostate-cancer-and-bone-oligometastases
#20
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 the peri-operative and oncological outcomes of robot-assisted radical prostatectomy (RARP) in patients with oligometastatic prostate cancer (PCa). PATIENTS AND METHODS: We retrospectively reviewed the records of 79 patients with oligometastatic PCa treated with RARP or androgen deprivation therapy (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...
August 21, 2017: BJU International
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