1,828 results match your criteria Laparoscopic and Robotic Radical Prostatectomy

Transvesical versus extraperitoneal single-port robotic radical prostatectomy: a matched-pair analysis.

World J Urol 2022 Jun 19. Epub 2022 Jun 19.

Glickman Urological and Kidney Institute, Cleveland Clinic, 9500 Euclid Avenue, Cleveland, OH, Q1044195, USA.

Objective: To compare our initial perioperative and postoperative outcomes of the single-port (SP) transvesical radical prostatectomy (TVRP) approach with the single-port extraperitoneal radical prostatectomy (ERP) approach.

Materials And Methods: Initial consecutive seventy-eight patients underwent SP TVRP between December 2020 and October 2021. Patients with extensive previous abdominal surgeries, or low- to intermediate-risk prostate cancer were selected. Read More

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Strategies to improve cost effectiveness of robotic assisted laparoscopic radical prostatectomy in emerging economies.

J Robot Surg 2022 Jun 6. Epub 2022 Jun 6.

Department of Urology, Hospital Universitario Fundación Santa Fe de Bogotá and Universidad de los Andes School of Medicine, Carrera 7 No. 118-09, Unidad Renal, piso 3, 110111, Bogotá, D.C, Colombia.

To assess the cost-effectiveness of the robotic-assisted laparoscopic radical prostatectomy (RALRP) compared to open radical prostatectomy (ORP) for localized prostate cancer from a healthcare perspective in Colombia. A systematic review was conducted in Embase, Scopus, Web of Science, PubMed, and Cochrane CENTRAL databases, to identify relevant publications up to January 2020 to summarize clinical outcomes related to effectiveness of robot-assisted and open radical prostatectomy. A tree decision model was designed given the clinical outcomes and possibilities of complication and success. Read More

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The safety and feasibility of simultaneous robotic repair of an inguinal hernia during robotic-assisted laparoscopic prostatectomy: a systematic review and meta-analysis.

Scand J Urol 2022 Jun 6:1-9. Epub 2022 Jun 6.

Department of Urology and Nephrology, Darent Valley Hospital, Dartford, United Kingdom.

Purpose: This study intended to assess the safety and feasibility of performing concurrent robotic-assisted laparoscopic prostatectomy (RALP) and robotic inguinal hernia repair (RIHR).

Method: We systematically searched the PubMed, Embase and Cochrane Library database up to the year 2020 to identify studies that assessed patients who underwent RALP and RIHR in the same settings.

Results: Thirteen studies were considered suitable for a systematic review and seven for Meta-analysis. Read More

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Management about intravesical histological transformation of prostatic mucinous carcinoma after radical prostatectomy: A case report.

World J Clin Cases 2022 May;10(14):4654-4660

Department of Urology, Institute of Urology, West China Hospital of Sichuan University, Chengdu 610041, Sichuan Province, China.

Background: Prostatic mucinous carcinoma (MC) and prostatic signet ring cell carcinoma are two variants of prostate cancer. MC has a higher overall survival time among all variants, while signet ring cell carcinoma is associated with lower survival time relative to other carcinomas. Only a small proportion of prostatic MC may contain signet ring cells. Read More

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Comparison of Core Body Temperatures in Patients Administered Remimazolam or Propofol during Robotic-Assisted and Laparoscopic Radical Prostatectomy.

Medicina (Kaunas) 2022 May 23;58(5). Epub 2022 May 23.

Department of Obstetrics and Gynecology, Wonkwang University School of Medicine Hospital, 895 Muwang-ro, Iksan 54538, Korea.

Different types of anesthetics affect thermoregulatory mechanisms, such as the redistribution of body temperature, loss of skin heat, or inhibition of thermoregulatory vasoconstriction. Therefore, we compared remimazolam with propofol in terms of core body temperature in patients undergoing robotic-assisted and laparoscopic radical prostatectomy. Ninety patients were randomly assigned to either the propofol-remifentanil (PR) group or the remimazolam-remifentanil (RR) group. Read More

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[Diagnostic Accuracy of Transperineal MRI-Ultrasound Fusion Biopsy at the Introduction Period].

Hinyokika Kiyo 2022 Apr;68(4):99-105

The Department of Urology, Kyoto University Hospital.

Magnetic resonance imaging (MRI) ultrasound fusion biopsy is becoming popular owing to the better detection rate of clinically significant prostate cancer (csPCa). We retrospectively evaluated the accuracy of MRI-targeted biopsy during the period of introduction at a single academic center by comparing findings of its specimen and whole-mount histopathology. Between June 2018 and January 2021, 106 transperineal MRI-ultrasound fusion biopsies using BioJet software were performed. Read More

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Adverse events following robotic surgery: population-based analysis.

Br J Surg 2022 May 25. Epub 2022 May 25.

Division of General Surgery, Department of Surgery, University of Toronto, Toronto, Ontario, Canada.

Background: Robotic surgery was integrated into some healthcare systems despite there being few well designed, real-world studies on safety or benefit. This study compared the safety of robotic with laparoscopic, thoracoscopic, and open approaches in common robotic procedures.

Methods: This was a population-based, retrospective study of all adults who underwent prostatectomy, hysterectomy, pulmonary lobectomy, or partial nephrectomy in Ontario, Canada, between 2008 and 2018. Read More

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Morbidity of salvage radical prostatectomy: limited impact of the minimally invasive approach.

World J Urol 2022 May 20. Epub 2022 May 20.

Urology Service, Department of Surgery, Memorial Sloan Kettering Cancer Center, 1275 York Avenue, New York, NY, 10065, USA.

Purpose: We aimed to report the morbidity profile of salvage radical prostatectomy (SRP) after radiotherapy failure and assess the impact of minimally invasive surgery (MIS) on postoperative complications and functional outcomes.

Materials And Methods: Between 1985 and 2019, a total of 293 patients underwent SRP; 232 underwent open SRP; and 61 underwent laparoscopic SRP with or without robotic assistance. Complications were recorded and classified into standardized categories per the Clavien-Dindo classification. Read More

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Totally extraperitoneal laparoscopic inguinal hernia repair post-radical prostatectomy.

Surg Endosc 2022 May 17. Epub 2022 May 17.

Laparoscopy Auckland, Gillies Ave, Epsom, Auckland, New Zealand.

Background: Previous radical prostatectomy (RP) is considered a relative contraindication to the laparoscopic approach for inguinal hernia repair (LIHR). This study aimed to compare feasibility, safety and outcomes for patients undergoing totally extraperitoneal (TEP) LIHR who have previously undergone RP.

Methods: This single surgeon, case-control study was performed using a prospective database of all patients undergoing TEP LIHR between 1995 and 2020. Read More

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Cost-utility analysis on robot-assisted and laparoscopic prostatectomy based on long-term functional outcomes.

Sci Rep 2022 05 10;12(1):7658. Epub 2022 May 10.

Division of Psychosocial Research and Epidemiology, Antoni van Leeuwenhoek, Amsterdam, The Netherlands.

Robot-Assisted Radical Prostatectomy (RARP) is one of the standard treatment options for prostate cancer. However, controversy still exists on its added value. Based on a recent large-sample retrospective cluster study from the Netherlands showing significantly improved long-term urinary functioning after RARP compared to Laparoscopic RP (LRP), we evaluated the cost-effectiveness of RARP compared to LRP. Read More

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Combined robotic radical prostatectomy and laparoscopic proctectomy for synchronous prostate and rectal cancer.

Urol Case Rep 2022 May 25;42:102043. Epub 2022 Feb 25.

University of Iowa, Department of Urology, Iowa City, IA, USA.

Prostatic adenocarcinoma is the second most common cause of cancer related mortality in men. Robotic-assisted laparoscopic prostatectomy represents a standard treatment option for localized disease. We present a case of a 63-year-old male with synchronous presentation of prostate and rectal cancer treated with combined robotic prostatectomy (RALP) and low anterior resection (LAR). Read More

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Robotic surgery in comparison to the open and laparoscopic approaches in the field of urology: a systematic review.

J Robot Surg 2022 May 8. Epub 2022 May 8.

Department of Life Sciences, University of Central Punjab, Lahore, Pakistan.

To establish the feasibility of robotic surgical procedures in urology in terms of the applications, merits, and demerits as well as the postoperative and oncological outcomes while comparing it with the conventional approaches. A systematic search of electronic databases was performed to identify Randomized Controlled Trials and Cohort studies on Robot-Assisted urological surgical procedures in comparison with the conventional methods. The quality assessment of included studies was performed using the Newcastle-Ottawa Scale and the revised Cochrane "Risk of Bias" tool. Read More

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Utility of Robot-assisted Laparoscopic Transabdominal Preperitoneal Repair of Inguinal Hernia Following Robot-assisted Laparoscopic Radical Prostatectomy.

In Vivo 2022 May-Jun;36(3):1432-1437

Department of Surgery, Ageo Central General Hospital, Ageo, Japan.

Background: To evaluate the utility of robot-assisted laparoscopic transabdominal preperitoneal repair (R-TAPP) of postprostatectomy inguinal hernia (PIH) in patients who underwent robot-assisted laparoscopic radical prostatectomy (RALP).

Patients And Methods: This was a prospective, single-centre retrospective cohort study. R-TAPP was conducted in 74 consecutive patients from September 2016 to March 2020. Read More

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A Case of Well Leg Compartment Syndrome After Robot-assisted Laparoscopic Prostatectomy:With Review.

J Med Invest 2022 ;69(1.2):145-147

Department of Urology, Nippon Medical School, Tokyo, Japan.

Robot-assisted laparoscopic prostatectomy (RALP) for prostate cancer was introduced in 2000 and rapidly gained popularity. The Da Vinci Surgical System? can ensure improved local control of cancer and fewer perioperative complications. However, RALP is performed in the steep-Trendelenburg position (a combination of lithotomy and head-down tilt position/Lloyd-Davies position) to obtain a good surgical view, and as a result, well leg compartment syndrome (WLCS) can become a serious complication of RALP. Read More

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Type II Hem-o-lok clip migration and stone formation in robot assisted laparoscopic prostatectomy patient: A case report and serial cases review.

Urol Case Rep 2022 Jul 2;43:102073. Epub 2022 Apr 2.

Department of Urology, Hasan Sadikin Academic Medical Center/Faculty of Medicine, Universitas Padjadjaran, Bandung, Indonesia.

Hem-o-lok clips (HOLC) migration after laparoscopic surgery may cause delayed postoperative issues. We present a delayed lower urinary tract symptoms (LUTS) and urinary stones due to HOLC migration from previous radical prostatectomy approximately 10 years ago. A 88-year-old man presenting clinic with LUTS; previously received robotic-assisted laparoscopic radical prostatectomy (RALP) 10 years ago. Read More

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Robot-Assisted Radical Prostatectomy Using the KangDuo Surgical Robot-01 System: A Prospective, Single-Center, Single-Arm Clinical Study.

J Urol 2022 07 18;208(1):119-127. Epub 2022 May 18.

Department of Urology, Peking University First Hospital, Institute of Urology, Peking University, National Urological Cancer Center, Xicheng District, Beijing, China.

Purpose: Our goal was to evaluate the feasibility, safety and effectiveness of the KangDuo Surgical Robot-01 (KD-SR-01) system for robot-assisted radical prostatectomy (RARP).

Materials And Methods: This prospective, single-center, single-arm clinical study was conducted from May 2021 to August 2021. Sixteen RARP procedures with the KD-SR-01 system were performed by 1 surgeon. Read More

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Propensity-Score Matched Analysis Between Extraperitoneal Single Port and Intraperitoneal Multiport Radical Prostatectomy: A Single-Institutional Experience.

Urology 2022 Apr 12. Epub 2022 Apr 12.

Department of Urology, Hackensack University Medical Center, Hackensack, NJ; Hackensack Meridian School of Medicine, Hackensack, NJ.

Objective: To compare the perioperative results and intermediate-term functional outcomes of single port and multiport robotic-assisted laparoscopic prostatectomy by using a propensity-score analysis.

Materials And Methods: We evaluated all patients who underwent robotic prostatectomy by 3 urologic surgeons at our institution between January 2019 and October 2020. Demographic, intraoperative, and postoperative data were collected and assessed. Read More

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Tc-PSMA targeted robot-assisted radioguided surgery during radical prostatectomy and extended lymph node dissection of prostate cancer patients.

Ann Nucl Med 2022 Jul 15;36(7):597-609. Epub 2022 Apr 15.

Health Sciences University, Istanbul Research and Training Hospital, Clinic of Nuclear Medicine, Istanbul, Turkey.

Objective: The feasibility of tracer production of technetium (Tc)-prostate-specific membrane antigen (PSMA)-I&S sterile cold kit, imaging with single photon emission tomography/computed tomography (SPECT/CT), and Tc-PSMA-radioguided robot-assisted laparoscopic radical prostatectomy (Tc-PSMA-RG-RALRP) technique for lymph node (LN) dissection of primary prostate cancer (PCa) patients were evaluated prospectively.

Methods: Fifteen primary PCa patients with intermediate- or high-risk score according to D'Amico risk stratification who had PSMA receptor affinity with Ga-68 PSMA-11 PET/CT were enrolled. After Tc-PSMA-I&S injection and SPECT/CT imaging, Tc-PSMA-RG-RALRP with DaVinci XI robotic platform and laparoscopic gamma probe were performed. Read More

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ProACT in the management of stress urinary incontinence after radical prostatectomy. What happens after 8 years of follow up? monocentric analysis in 42 patients.

J Basic Clin Physiol Pharmacol 2022 Apr 7. Epub 2022 Apr 7.

Department of Urology, Hospital "San Bassiano", Via dei Lotti 40, 36061, Bassano del Grappa (VI), Italy.

Objectives: Stress urinary incontinence is defined by a complaint of any involuntary loss of urine on effort or physical exertion or on sneezing or coughing and represents a major complication after radical prostatectomy. According to surgical technique, incidence of post-prostatectomy incontinence varies from open (7-39.5%), laparoscopic (5-33. Read More

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Re: Impact of mpMRI targeted biopsy on intraoperative nerve-sparing (NeuroSAFE) during robot-assisted laparoscopic radical prostatectomy.

Prostate 2022 06 6;82(8):942. Epub 2022 Apr 6.

Department of Urology, Institute of Urology, West China Hospital, Sichuan University, Chengdu, Sichuan, China.

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Cost-effectiveness of Robotic-Assisted Radical Prostatectomy for Localized Prostate Cancer in the UK.

JAMA Netw Open 2022 04 1;5(4):e225740. Epub 2022 Apr 1.

Division of Urological Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.

Importance: The cost-effectiveness of different surgical techniques for radical prostatectomy remains a subject of debate. Emergence of recent critical clinical data and changes in surgical equipment costs due to their shared use by different clinical specialties necessitate an updated cost-effectiveness analysis in a centralized, largely government-funded health care system such as the UK National Health Service (NHS).

Objective: To compare robotic-assisted radical prostatectomy (RARP) with open radical prostatectomy (ORP) and laparoscopic-assisted radical prostatectomy (LRP) using contemporary data on clinical outcomes, costs, and surgical volumes in the UK. Read More

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Near-infrared fluorescence imaging with intraoperative administration of indocyanine green for laparoscopic radical prostatectomy: Is it a useful weapon for pelvic lymph node dissection?

J Surg Case Rep 2022 Mar 24;2022(3):rjab614. Epub 2022 Mar 24.

Department of Urology, Umberto I Hospital, Nocera Inferiore, Salerno, Italy.

Near-infrared fluorescence imaging with indocyanine green has emerging applications in urologic surgery. This technology is strongly used in robotic surgery for several ablative and reconstructive procedures. On the contrary, it is not used at all in the urological laparoscopic surgery. Read More

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Establishment of operative pathway of single incision robot-assisted laparoscopic radical prostatectomy without dedicated extraperitoneal access device.

Asian J Surg 2022 Mar 21. Epub 2022 Mar 21.

Department of Robotic Minimally Invasive Surgery Center, Sichuan Academy of Medical Sciences & Sichuan Provincial People's Hospital & Affiliated Hospital of the University of Electronic Science and Technology of China, Chengdu, 610072, China. Electronic address:

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The diffusion of robotic surgery: Examining technology use in the English NHS.

Health Policy 2022 Apr 27;126(4):325-336. Epub 2022 Feb 27.

Department of Economics, City, University of London, Northampton Square, EC1V 0HB London, UK; Department of Health Policy, London School of Economics and Political Science, Houghton Street, WC2A 2AE London, UK; Visiting Research Fellow, Office of Health Economics, 105 Victoria Street, London, SW1E 6QT, UK.

This paper examines the adoption and diffusion of medical technology as associated with the dramatic recent increase in the surgical use of robots. We consider specifically the sequential adoption and diffusion patterns of three interrelated surgical technologies within a single healthcare system (the English NHS): robotic, laparoscopic and open radical prostatectomy. Robotic and laparoscopic techniques are minimally invasive procedures with similar patient benefits, but the newer robotic technique requires a high initial investment cost to purchase the robot and carries high maintenance costs over time. Read More

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Robot-assisted laparoscopic abdominoperineal resection with en bloc prostatectomy using the Retzius-sparing robot-assisted radical prostatectomy technique.

Asian J Endosc Surg 2022 Mar 16. Epub 2022 Mar 16.

Department of Gastroenterological Surgery, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan.

Introduction: The best surgical technique for rectal cancer invading the prostate remains controversial. Rectal resection with en bloc prostatectomy using a standard retropubic approach is an option but has disadvantages. We report a new surgical procedure applying Retzius-sparing robot-assisted radical prostatectomy. Read More

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Robotic-assisted laparoscopic surgery for synchronous primary rectal and prostate cancer: Initial case series.

Asian J Endosc Surg 2022 Mar 13. Epub 2022 Mar 13.

Gastroenterological Center, Department of Gastroenterological Surgery, Cancer Institute Hospital, Japanese Foundation for Cancer Research, Tokyo, Japan.

Few studies have reported the simultaneous resection of synchronous rectal and prostate cancers. Here, we report five patients undergoing simultaneous robotic-assisted laparoscopic surgery (RALS) for synchronous rectal and prostate cancer. Rectal cancer operative procedures were high anterior (n =1), intersphincteric (n =2), or abdominoperineal (n =2) resection, followed by radical prostatectomy with vesico-urethral anastomosis. Read More

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Curative effect of pelvic floor muscle exercise on urinary incontinence after radical prostatectomy-Comparisons of different approaches at different time point.

Andrologia 2022 Jun 13;54(5):e14373. Epub 2022 Mar 13.

Department of Urology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Dongcheng District, Beijing, China.

Pelvic floor muscle exercise (PFME) is widely applied for urinary incontinence (UI) after radical prostatectomy (RP). This research aimed to explore the relationship between PFME and UI after RP. We searched databases for studies that met our requirements until 17/4/2021. Read More

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Prospective quality of life in men choosing open vs. robotic radical prostatectomy: long-term results from a racially diverse multi-institutional database.

World J Urol 2022 Jun 12;40(6):1427-1436. Epub 2022 Mar 12.

Department of Urology, Virginia Mason Franciscan Health, Virginia Mason Hospital and Seattle Medical Center, 1100 Ninth Ave., Seattle, WA, USA.

Purpose: To compare 5-year health-related quality of life (HRQoL) outcomes between prostate cancer (CaP) patients who underwent robotic-assisted laparoscopic radical prostatectomy (RALP) versus open radical retropubic prostatectomy (RRP) and assess for racial disparities between Caucasian American (CA) and African American (AA) men undergoing surgery.

Methods: A prospective cohort study of HRQoL data was conducted on patients diagnosed with CaP from 2007 to 2017 and enrolled in the Center for Prostate Disease Research (CPDR) Multicenter National Database. Using the EPIC and SF-36 instruments, changes in urinary, sexual, bowel, and hormonal domains, as well as physical and mental component summary scores were compared across surgery type (RALP versus RRP) at pre-treatment ("baseline"), and annually for 5 years. Read More

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Anatomical Fundamentals and Current Surgical Knowledge of Prostate Anatomy Related to Functional and Oncological Outcomes for Robotic-Assisted Radical Prostatectomy.

Front Surg 2021 22;8:825183. Epub 2022 Feb 22.

Department of Urology, University Hospital Frankfurt, Goethe University Frankfurt am Main, Frankfurt am Main, Germany.

Context: Meticulous knowledge about the anatomy of the prostate and surrounding tissue represents a crucial and mandatory requirement during radical prostatectomy for reliable oncological and excellent replicable, functional outcomes. Since its introduction two decades ago, robotic-assisted laparoscopic radical prostatectomy (RALP) has evolved to become the predominant surgical approach in many industrialized countries.

Objective: To provide and highlight currently available literature regarding prostate anatomy and to help in improving oncological and functional outcomes in RALP. Read More

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February 2022

Comparison of surgical approaches to radical prostatectomy in our series beyond oncological and functional outcomes.

Actas Urol Esp (Engl Ed) 2022 Jun 5;46(5):275-284. Epub 2022 Mar 5.

Departamento de Urología, Clínica Universidad de Navarra, Universidad de Navarra, Pamplona, Navarra, Spain.

Objectives: To evaluate the outcomes of robot-assisted radical prostatectomy (RARP) compared to those of open (ORP) and laparoscopic (LRP) surgery. The interest lies fundamentally in the quality-of-life (QoL) evaluation, postoperative recovery, and personal satisfaction of patients with the intervention (PS) beyond oncological and functional outcomes.

Methods: Six hundred eighty-five RPs were performed in our center between 2011-2018 (17,8% ORP, 22,2% LRP and 60% RARP). Read More

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