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https://www.readbyqxmd.com/read/28922689/changing-face-of-robot-assisted-radical-prostatectomy-in-melbourne-over-12%C3%A2-years
#1
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
#2
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
#3
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
#4
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
#5
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
#6
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
#7
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: To assess the rate of and predictors of depressive symptoms (DS) and sexual desire (SD) impairment in patients who underwent either open (ORP) or robot-assisted (RARP) radical prostatectomy. MATERIALS AND METHODS: 811 patients completed the International Index of Erectile Function (IIEF) and the Beck's Inventory for Depression (BDI) preoperatively and at 6, 12, 24 and 36 months post surgery. Rates and predictors of DS and SD impairment were assessed with descriptive statistics and logistic regression models...
August 31, 2017: Journal of Urology
https://www.readbyqxmd.com/read/28862047/new-surgical-approaches-for-clinically-high-risk-or-metastatic-prostate-cancer
#8
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...
September 11, 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-rarp
#9
Stephen Williams, Blanca Morales, Linda My Huynh, Kathryn E Osann, Douglas Skarecky, Tom Ahlering
PURPOSE: To compare the recovery of erections and potency following the transection of APAs in men undergoing robot-assisted radical prostatectomy (RARP) as compared to men with normal vascular anatomy. 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 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 pre-operative status, and two Expanded Prostate Cancer Index (EPIC) questions: 1) are erections firm enough for penetration and 2) are they satisfactory? RESULTS: 231 (33...
August 31, 2017: Journal of Endourology
https://www.readbyqxmd.com/read/28853623/predischarge-predictors-of-readmissions-and-postdischarge-complications-in-robot-assisted-radical-prostatectomy
#10
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...
August 30, 2017: Journal of Endourology
https://www.readbyqxmd.com/read/28834084/does-robot-assisted-radical-prostatectomy-benefit-prostate-cancer-patients-with-bone-oligometastases
#11
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 perioperative and oncologic outcomes of robot-assisted radical prostatectomy (RARP) in oligometastatic prostate cancer (PCa). PATIENTS AND METHODS: We retrospectively reviewed the records of 79 oligometastatic PCa patients treated with RARP or 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. Oligometastatic disease was defined as the presence of five or fewer hot spots detected by preoperative bone scan...
August 21, 2017: BJU International
https://www.readbyqxmd.com/read/28831728/robotic-radical-prostatectomy-with-concomitant-repair-of-inguinal-hernia-is-it-safe
#12
Travis Rogers, Eduardo Parra-Davila, Flavio Malcher, Carlos Hartmann, Bernardo Mastella, Guiherme de Araújo, Gabriel Ogaya-Pinies, Carlos Ortiz-Ortiz, Eduardo Hernandez-Cardona, Vipul Patel, Leandro Totti Cavazzola
Robotic radical prostatectomy (RARP) is well established as a safe and effective treatment for prostate cancer. According to published studies, patients undergoing RARP are at increased risk of being diagnosed with an inguinal hernia after RARP and are four times more likely to have an inguinal hernia repair (IHR) following RARP. Several studies have demonstrated the effectiveness and safety of IHR during RARP. Overall, it has been observed that IHR adds on average, 12-15 min in total surgical time and there were no significant differences between RARP with or without IHR with respect to postoperative complications...
August 22, 2017: Journal of Robotic Surgery
https://www.readbyqxmd.com/read/28798829/does-surgical-delay-for-radical-prostatectomy-affect-patient-pathological-outcome-a-retrospective-analysis-from-a-canadian-cohort
#13
Marc Zanaty, Mansour Alnazari, Kelsey Lawson, Mounsif Azizi, Emad Rajih, Abdullah Alenizi, Pierre-Alain Hueber, Malek Meskawi, Cedric Lebacle, Thierry Lebeau, Serge Benayoun, Pierre I Karakiewicz, Assaad El-Hakim, Kevin C Zorn
INTRODUCTION: We sought to assess the impact of surgical wait time (SWT) to robot-assisted radical prostatectomy (RARP) on final pathological outcome. METHODS: A retrospective review of RARP patient records operated between 2006 and 2015 was conducted. SWT was defined as period from prostate biopsy to surgery. Primary outcome was the impact on postoperative Cancer of the Prostate Risk Assessment (CAPRA-S) score. Patients were stratified according to D'Amico risk categories...
August 2017: Canadian Urological Association Journal, Journal de L'Association des Urologues du Canada
https://www.readbyqxmd.com/read/28780722/validation-and-head-to-head-comparison-of-three-nomograms-predicting-probability-of-lymph-node-invasion-of-prostate-cancer-in-patients-undergoing-extended-and-or-sentinel-lymph-node-dissection
#14
Nikolaos Grivas, Esther Wit, Corinne Tillier, Erik van Muilekom, Floris Pos, Alexander Winter, Henk van der Poel
PURPOSE: The updated Winter nomogram is the only nomogram predicting lymph node invasion (LNI) in prostate cancer (PCa) patients based on sentinel node (SN) dissection (sLND). The aim of the study was to externally validate the Winter nomogram and examine its performance in patients undergoing extended pelvic lymph node dissection (ePLND), ePLND combined with SN biopsy (SNB) and sLND only. The results were compared with the Memorial Sloan Kettering Cancer Center (MSKCC) and updated Briganti nomograms...
August 5, 2017: European Journal of Nuclear Medicine and Molecular Imaging
https://www.readbyqxmd.com/read/28765067/development-and-validation-of-objective-performance-metrics-for-robot-assisted-radical-prostatectomy-a-pilot-study
#15
Andrew J Hung, Jian Chen, Anthony Jarc, David Hatcher, Hooman Djaladat, Inderbir S Gill
PURPOSE: We explore and validate objective surgeon performance metrics using a novel recorder ("dVLogger") to directly capture surgeon manipulations on the da Vinci robot. We present the initial construct and concurrent validation study of objective metrics during pre-selected steps of robot-assisted radical prostatectomy (RARP). METHODS: Kinematic and events data were recorded for expert (≥100 cases) and novice (<100 cases) surgeons performing bladder mobilization (BM), seminal-vesicle dissection (SVD), anterior vesicourethral anastomosis (AA) and right pelvic lymphadenectomy (RLD)...
July 29, 2017: Journal of Urology
https://www.readbyqxmd.com/read/28753822/five-year-outcomes-for-a-prospective-randomised-controlled-trial-comparing-laparoscopic-and-robot-assisted-radical-prostatectomy
#16
Francesco Porpiglia, Cristian Fiori, Riccardo Bertolo, Matteo Manfredi, Fabrizio Mele, Enrico Checcucci, Stefano De Luca, Roberto Passera, Roberto Mario Scarpa
BACKGROUND: The literature is lacking randomised controlled trials comparing robot-assisted (RARP) and laparoscopic (LRP) radical prostatectomy, especially for follow-up >1 yr. OBJECTIVE: To report 5-yr outcomes for our previously published prospective randomised study comparing RARP and LRP. DESIGN, SETTING, AND PARTICIPANTS: From January 2010 to January 2011, 120 patients with organ-confined prostate cancer were enrolled and randomly assigned to RARP or LRP...
November 23, 2016: European Urology Focus
https://www.readbyqxmd.com/read/28753802/oncologic-outcomes-after-robot-assisted-radical-prostatectomy-a-large-european-single-centre-cohort-with-median-10-year-follow-up
#17
Prabhakar Rajan, Anna Hagman, Prasanna Sooriakumaran, Tommy Nyberg, Anna Wallerstedt, Christofer Adding, Olof Akre, Stefan Carlsson, Abolfazl Hosseini, Mats Olsson, Lars Egevad, Fredrik Wiklund, Gunnar Steineck, N Peter Wiklund
BACKGROUND: Robot-assisted radical prostatectomy (RARP) for prostate cancer (PCa) treatment has been widely adopted with limited evidence for long-term (>5 yr) oncologic efficacy. OBJECTIVE: To evaluate long-term oncologic outcomes following RARP. DESIGN, SETTING, AND PARTICIPANTS: Prospective cohort study of 885 patients who underwent RARP as monotherapy for PCa between 2002 and 2006 in a single European centre and followed up until 2016...
November 2, 2016: European Urology Focus
https://www.readbyqxmd.com/read/28747618/comprehensive-approach-for-post-prostatectomy-incontinence-in-the-era-of-robot-assisted-radical-prostatectomy
#18
Nobuhiro Haga, Ruriko Takinami, Ryo Tanji, Akifumi Onagi, Kanako Matsuoka, Tomoyuki Koguchi, Hidenori Akaihata, Junya Hata, Soichiro Ogawa, Masao Kataoka, Yuichi Sato, Kei Ishibashi, Ken Aikawa, Yoshiyuki Kojima
Robot-assisted radical prostatectomy (RARP) has enabled steady and stable surgical procedures due to both meticulous maneuvers and magnified, clear, 3-dimensional vision. Therefore, better surgical outcomes have been expected with RARP than with other surgical modalities. However, even in the RARP era, post-prostatectomy incontinence has a relatively high incidence as a bothersome complication. To overcome post-prostatectomy incontinence, it goes without saying that meticulous surgical procedures and creative surgical procedures, i...
August 9, 2017: Fukushima Journal of Medical Science
https://www.readbyqxmd.com/read/28747519/the-impact-of-adding-sentinel-node-biopsy-to-extended-pelvic-lymph-node-dissection-on-the-biochemical-recurrence-of-prostate-cancer-patients-treated-with-robot-assisted-radical-prostatectomy
#19
Nikolaos Grivas, Esther Wit, Teele Kuusk, Gijs KleinJan, Maarten Donswijk, Fijs van Leeuwen, Henk van der Poel
The benefit of adding sentinel node biopsy (SNB) to extended pelvic lymph node dissection (ePLND), remains controversial. Aim of our study was to evaluate biochemical recurrence (BCR) after robot-assisted radical prostatectomy (RARP) and ePLND in prostate cancer (PCa) patients, stratified by the application of SNB. The results were compared with the predictions of the updated Memorial Sloan Kettering Cancer Center (MSKCC) nomogram. Methods: Between January 2006 and November 2016, 920 patients underwent RARP with ePLND combined with or without SNB (184 and 736 patients, respectively)...
July 26, 2017: Journal of Nuclear Medicine: Official Publication, Society of Nuclear Medicine
https://www.readbyqxmd.com/read/28741376/rate-of-symptomatic-lymphocele-formation-after-extraperitoneal-vs-transperitoneal-robot-assisted-radical-prostatectomy-and-bilateral-pelvic-lymphadenectomy
#20
David Horovitz, Xiang Lu, Changyong Feng, Edward M Messing, Jean V Joseph
INTRODUCTION AND OBJECTIVE: With the peritoneum acting as a natural surface for lymphatic reabsorption, transperitoneal robot-assisted radical prostatectomy (tRARP) is thought to be associated with a lower incidence of symptomatic lymphoceles (SLs) compared with its extraperitoneal counterpart (eRARP) when bilateral pelvic lymph node dissection (BPLND) is performed. In this study, we aim to determine if there is a difference in SL formation and characteristics between the two approaches...
August 30, 2017: Journal of Endourology
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