1,600 results match your criteria Laparoscopic and Robotic Radical Prostatectomy


Single-institution Cost Comparison: Single-port Versus Multiport Robotic Prostatectomy.

Eur Urol Focus 2020 Jul 4. Epub 2020 Jul 4.

Glickman Urological and Kidney Institute, Cleveland Clinic, Cleveland, OH, USA. Electronic address:

Background: In the era of efficient value-based health care, each surgical innovation should be proven to be cost-effective for the patient and the hospital administration.

Objective: To compare the costs associated with robot-assisted prostatectomy using a single-port (SP) or multiport (MP) robotic platform.

Design, Setting, And Participants: Costs for surgical care for consecutive patients with localized prostate cancer treated from November 2018 to November 2019 were itemized and evaluated. Read More

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http://dx.doi.org/10.1016/j.euf.2020.06.010DOI Listing

Outpatient Extraperitoneal Single-port Robotic Radical Prostatectomy.

Urology 2020 Jun 30. Epub 2020 Jun 30.

Glickman Urology and Kidney Institute, Cleveland Clinic, Cleveland, OH, USA. Electronic address:

Objective: To assess the safety and feasibility of extraperitoneal single-port robotic assisted laparoscopic radical prostatectomy using the da Vinci SP robotic platform for same-day surgery.

Methods: Extraperitoneal single-port robotic prostatectomy (ESRP) using the da VinciⓇ SP platform was performed on 60 patients with clinically localized prostate cancer and no prior definitive therapy. An enhanced recovery protocol was used in the perioperative period and minimal to no opiates were used in these patients. Read More

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http://dx.doi.org/10.1016/j.urology.2020.06.029DOI Listing

Combined Robotic Surgery for Double Renal Masses and Prostate Cancer: Myth or Reality?

Medicina (Kaunas) 2020 Jun 26;56(6). Epub 2020 Jun 26.

Department of Surgical and Biomedical Sciences, Urology Clinic of Perugia, Perugia University, 06100 Perugia, Italy.

With the widespread use of imaging modalities performed for the staging of prostate cancer, the incidental detection of synchronous tumors is increasing in frequency. Robotic surgery represents a technical evolution in the treatment of solid tumors of the urinary tract, and it can be a valid option in the case of multi-organ involvement. We reported a case of synchronous prostate cancer and bifocal renal carcinoma in a 66-year-old male. Read More

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http://dx.doi.org/10.3390/medicina56060318DOI Listing

Rethinking the need for overnight admission after robotic-assisted laparoscopic prostatectomy.

J Robot Surg 2020 Jun 29. Epub 2020 Jun 29.

Maimonides Medical Center, 745 64th St. 4th Floor, Brooklyn, NY, 11220, USA.

Robotic-assisted laparoscopic prostatectomy (RALP) is the gold standard for the surgical management of localized prostate cancer (PCa). Multi-institutional series have demonstrated complications and readmissions in less than 5% of patients and most are now discharged within 24 h of surgery. Recently, several high-volume surgeons demonstrated the safety of same-day discharge (SDD) after RALP. Read More

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http://dx.doi.org/10.1007/s11701-020-01115-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7322390PMC

Modified Apical Dissection and Lateral Prostatic Fascia Preservation Improves Early Postoperative Functional Recovery in Robotic-assisted Laparoscopic Radical Prostatectomy: Results from a Propensity Score-matched Analysis.

Eur Urol 2020 Jun 24. Epub 2020 Jun 24.

Florida Hospital Global Robotics Institute, Celebration, FL, USA.

Background: Early recovery of continence and potency after robotic-assisted laparoscopic prostatectomy (RALP) still remains a challenge.

Objective: To assess the effect of our modified apical dissection and lateral prostatic fascia preservation (mod-RALP) technique on early functional outcomes.

Design, Setting, And Participants: Among 2168 patients who underwent RALP between 2017 and 2019, 104 received a mod-RALP, and for the purposes of this study they were propensity score (PS) matched with a control group of conventional RALP cases based on preoperative and histological characteristics. Read More

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http://dx.doi.org/10.1016/j.eururo.2020.05.041DOI Listing

Differences in risk factors for biochemical recurrence after radical prostatectomy stratified by the degree of obesity: Focused on surgical methods.

Sci Rep 2020 Jun 23;10(1):10157. Epub 2020 Jun 23.

Department of Urology, Seoul National University College of Medicine, Seoul, South Korea.

This study aims to evaluate differences in the risk factors for biochemical recurrence (BCR) for radical prostatectomy stratified by degree of obesity, focusing on the surgical method used. All 3099 patients who underwent radical prostatectomy in two medical centres from January 2008 to March 2018 were retrospectively reviewed. Patients were divided into three groups based on body mass index: 'normal', 'overweight', and 'obese'. Read More

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http://dx.doi.org/10.1038/s41598-020-67237-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7311457PMC

[Prostate cancer: surgical complications].

Aktuelle Urol 2020 Jun 17. Epub 2020 Jun 17.

Heinrich-Heine Universität Düsseldorf, Klinik für Urologie und Kinderurologie, Universitätsklinikum, Düsseldorf.

Radical prostatectomy (RP), performed as an open, laparoscopic or robotic procedure, remains the "gold standard" for patients with localised prostate cancer who can be cured with surgery and have a life expectancy of at least 10 years. Today, RP is also used as a first-line treatment for locally advanced prostate cancer, possibly in a multimodal setting with adjuvant radiation/hormonal therapy. The increasing experience of surgeons, better knowledge of anatomy and refinements of surgical techniques have greatly improved oncological and functional outcomes. Read More

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http://dx.doi.org/10.1055/a-1185-8179DOI Listing

Routine Postoperative Hemoglobin Assessment Poorly PredictsTransfusion Requirement among Patients Undergoing Minimally Invasive Radical Prostatectomy.

Urol Pract 2020 Jul;7(4):299-304

Urology Service, Department of Surgery (GTC, NB, DB, LWD, PTS, JAE, BE, JAC, TFD, KAT, VPL), and Department of Epidemiology and Biostatistics (AT, DDS), Memorial Sloan Kettering Cancer Center, New York, New York.

Introduction: An advantage of minimally invasive radical prostatectomy over open surgery is decreased blood loss. At our institution hemoglobin is routinely checked 4 and 14 hours postoperatively. We assessed the relevance of this practice in a contemporary cohort undergoing minimally invasive radical prostatectomy. Read More

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http://dx.doi.org/10.1097/UPJ.0000000000000108DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7301724PMC

To examine serum paraoxonase 1 and 3 activities in benign and malignant diseases of the prostate, and changes in levels following robotic-assisted laparoscopic radical prostatectomy.

Turk J Med Sci 2020 Jun 18. Epub 2020 Jun 18.

Background/aim: To examine serum paraoxonase 1 and 3 (PON1 and PON 3) activities in benign and malignant diseases of the prostate, to determine lipid profile and malondialdehyde (MDA) levels, and to investigate changes in levels following robotic-assisted laparoscopic radical prostatectomy (RALRP).

Materials And Methods: 137 patients, including a control group, were enrolled in the study. These were assigned into four groups. Read More

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http://dx.doi.org/10.3906/sag-2004-353DOI Listing

Single port robotic radical prostatectomy with the da Vinci SP platform: a step by step approach.

Can J Urol 2020 Jun;27(3):10263-10269

Department of Urology, University of Illinois at Chicago, Chicago, Illinois, USA.

The da Vinci single port (SP) robotic system (Intuitive Surgical, Sunnyvale, CA, USA) is a recently approved robotic platform designed with several modifications to the previously available multi-port robotic systems. This article describes the technique performed utilizing the SP robotic system for radical robotic-assisted laparoscopic prostatectomy (RALP) with or without bilateral pelvic lymph node dissection from a single institution. In this report we describe our step-by-step approach, technical modifications from the multi-port technique and initial results for performing single port robotic-assisted laparoscopic prostatectomy (SP-RALP). Read More

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A Systematic Review on Guidelines and Recommendations for Urology Standard of Care During the COVID-19 Pandemic.

Eur Urol Focus 2020 Jun 5. Epub 2020 Jun 5.

S.H. Ho Urology Centre, Department of Surgery, The Chinese University of Hong Kong, Hong Kong, China.

Context: The first case of the new coronavirus, severe acute respiratory syndrome coronavirus 2 (SARS-CoV2), was identified in Wuhan, China, in late 2019. Since then, the coronavirus disease 2019 (COVID-19) outbreak was reclassified as a pandemic, and health systems around the world have faced an unprecedented challenge.

Objective: To summarize guidelines and recommendations on the urology standard of care during the COVID-19 pandemic. Read More

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http://dx.doi.org/10.1016/j.euf.2020.05.020DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7274599PMC

Randomized Comparison of Techniques for Control of the Dorsal Venous Complex During Robotic-assisted Laparoscopic Radical Prostatectomy.

BJU Int 2020 Jun 10. Epub 2020 Jun 10.

Swedish Medical Center, Department of Urology, Seattle, WA.

Objective: To prospectively compare the effects of endoscopic stapling, division and suture ligation, and suture ligation with suspension of the dorsal venous complex (DVC) on continence during RARP PATIENTS AND METHODS: 300 consecutive patients undergoing RARP by a single surgeon were randomized to three groups: endoscopic stapling, cut and suture ligation, and suture ligation with suspension. The only difference between the groups was the technique to control the DVC. Pad-free continence (PFC) and overall continence (0 pads/day with or without security pad) was assessed with patient reported pad usage records and validated questionnaires (EPIC) at 3, 12, and 15 months. Read More

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http://dx.doi.org/10.1111/bju.15133DOI Listing

Evaluation of a marker-less, intra-operative, augmented reality guidance system for robot-assisted laparoscopic radical prostatectomy.

Int J Comput Assist Radiol Surg 2020 Jul 5;15(7):1225-1233. Epub 2020 Jun 5.

Electrical and Computer Engineering, University of British Columbia, 2329 West Mall, Vancouver, BC, V6T 1Z4, Canada.

Purpose: Robot-assisted laparoscopic radical prostatectomy (RALRP) using the da Vinci surgical robot is a common treatment for organ-confined prostate cancer. Augmented reality (AR) can help during RALRP by showing the surgeon the location of anatomical structures and tumors from preoperative imaging. Previously, we proposed hand-eye and camera intrinsic matrix estimation procedures that can be carried out with conventional instruments within the patient during surgery, take < 3 min to perform, and fit seamlessly in the existing surgical workflow. Read More

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http://dx.doi.org/10.1007/s11548-020-02181-4DOI Listing

Standardizing Opioid Prescriptions to Patients After Ambulatory Oncologic Surgery Reduces Overprescription.

Jt Comm J Qual Patient Saf 2020 Jul 17;46(7):410-416. Epub 2020 May 17.

Background: Overprescribing of opioids after surgery contributes to long-term abuse. Evaluating opioid prescription patterns and patient-reported opioid use offers an evidence-based method to identify potential overprescription. This quality improvement initiative aimed to reduce and standardize opioid prescriptions upon discharge from an ambulatory oncologic surgery center and evaluate the effect of this change on patients' subsequent opioid use and reported pain. Read More

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http://dx.doi.org/10.1016/j.jcjq.2020.04.004DOI Listing

Retzius-sparing robotic-assisted laparoscopic radical prostatectomy: racial considerations for 250 consecutive cases.

J Robot Surg 2020 May 29. Epub 2020 May 29.

Division of Urology, Department of Surgery, Section of Urology, Augusta University, 1120 15th Street, BA-8414, Augusta, GA, 30912-4050, USA.

Our objective is to report the functional and oncologic outcomes of a cohort of 250 consecutive prostate cancer patients undergoing a Retzius-sparing approach and to assess for racial differences in continence outcomes. This was a prospective, single-center, case series of 250 consecutive prostate cancer patients who underwent a Retzius-sparing robotic-assisted laparoscopic radical prostatectomy by a single surgeon between May 2015 and April 2019. Our primary objective was to report post-operative continence outcomes of patients undergoing this technique. Read More

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http://dx.doi.org/10.1007/s11701-020-01096-1DOI Listing

Effect of Pharmacologic Prophylaxis on Venous Thromboembolism After Radical Prostatectomy: The PREVENTER Randomized Clinical Trial.

Eur Urol 2020 May 19. Epub 2020 May 19.

The James Buchanan Brady Urological Institute and Department of Urology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.

Background: Direct high-quality evidence is lacking evaluating perioperative pharmacologic prophylaxis (PP) after radical prostatectomy (RP) to prevent venous thromboembolism (VTE) leading to significant practice variation.

Objective: To study the impact of in-hospital PP on symptomatic VTE incidence and adverse events after RP at 30 d, with the secondary objective of evaluating overall VTE in a screening subcohort.

Design, Setting, And Participants: A prospective, phase 4, single-center, randomized trial of men with prostate cancer undergoing open or robotic-assisted laparoscopic RP was conducted (July 2017-November 2018). Read More

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http://dx.doi.org/10.1016/j.eururo.2020.05.001DOI Listing

Techniques of robotic radical prostatectomy for the management of prostate cancer: which one, when and why.

Transl Androl Urol 2020 Apr;9(2):906-918

Department of Urology, Wake Forest Baptist Health, Winston-Salem, North Carolina, USA.

The advent of robotic assistance in surgery has completely revolutionized the surgical management of prostate cancer. It enables precise dissection and reconstruction in order to maximize oncological and functional outcomes. In many parts of the world, robot-assisted laparoscopic radical prostatectomy has evolved to become the surgical standard of care for localized disease, including in appropriately selected patients with high risk prostate cancer. Read More

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http://dx.doi.org/10.21037/tau.2019.09.13DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7214982PMC

Clinical Outcomes of Robotic Surgery Compared to Conventional Surgical Approaches (Laparoscopic or Open): A Systematic Overview of Reviews.

Ann Surg 2020 May 8. Epub 2020 May 8.

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

Objective: Describe clinical outcomes (eg, postoperative complications, survival) after robotic surgery compared to open or laparoscopic surgery.

Background: Robotic surgery utilization has increased over the years across a wide range of surgical procedures. However, evidence supporting improved clinical outcomes after robotic surgery is limited. Read More

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http://dx.doi.org/10.1097/SLA.0000000000003915DOI Listing

Building a Nomogram for Prediction of Prostate Cancer in Patients With Preoperatively Suspected Prostate Cancer.

Anticancer Res 2020 May;40(5):2995-3002

Department of Anatomical Pathology, Tungs' Taichung Metro Harbor Hospital, Taichung, Taiwan, R.O.C.

Background/aim: Expanded indications for patients with preoperatively suspected prostate cancer (PC) undergoing theranostic robotic-assisted laparoscopic radical prostatectomy (T-RARP) are reported. We aimed to build a nomogram of T-RARP to predict final pathologically proven PC. This study reviewed data of 153 patients that underwent T-RARP for suspected PC performed by the same surgeon. Read More

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http://dx.doi.org/10.21873/anticanres.14280DOI Listing

Corona Mortis Artery Pseudoaneurysm Causing Delayed Intermittent Hemoperitoneum After Robotic Radical Prostatectomy.

Urology 2020 Jul 21;141:e24-e25. Epub 2020 Apr 21.

USC Institute of Urology, University of Southern California, 1441 Eastlake Avenue, Suite 7416, Los Angeles, CA 90089.

Pseudoaneurysms are rare in urology and typically have a delayed presention with intermittent episodes of bleeding. We report a patient who presented with delayed and recurent hemoperitoneum following robotic assisted laparoscopic salvage radical prostatectomy and was found to have a pseudoaneurysm in the corona mortis artery. Read More

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http://dx.doi.org/10.1016/j.urology.2020.04.017DOI Listing

A Comparison of Perioperative Outcomes Between Single-port and Multiport Robot-assisted Laparoscopic Prostatectomy.

Eur Urol 2020 Jun 9;77(6):671-674. Epub 2020 Apr 9.

Department of Urology, University of Illinois at Chicago, Chicago, IL, USA.

Single-port (SP) robot-assisted laparoscopic prostatectomy (RALP) appears to be a safe and feasible approach for radical prostatectomy, but no prior studies have compared SP-RALP to a multiport (MP) platform. Using retrospective data from a single-center tertiary institution we compare 50 consecutive SP-RALP patients (da Vinci SP) to a contemporary cohort of 113 patients who underwent MP-RALP (da Vinci Xi). We found no significant differences in surgical or total operating room time. Read More

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http://dx.doi.org/10.1016/j.eururo.2020.03.031DOI Listing

Experience of one single surgeon with the first 500 robot-assisted laparoscopic prostatectomy cases in mainland China.

Asian J Urol 2020 Apr 23;7(2):170-176. Epub 2019 Dec 23.

Department of Urology, Changhai Hospital, Second Military Medical University, Shanghai, China.

Objectives: To summarize the experience of the first 500 robot-assisted laparoscopic radical prostatectomy (RALP) cases by one surgeon and analyze the influencing factors of functional and oncological outcomes.

Methods: Between April 2012 and October 2017, 500 patients who underwent RALP were included and divided sequentially into five equal groups. Patients' preoperative, perioperative and postoperative outcomes were analyzed and evaluated, and the Kruskal-Wallis test was used to analyze and compare the effect of surgeon experience by case. Read More

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http://dx.doi.org/10.1016/j.ajur.2019.12.004DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7096692PMC

Magnetic-Assisted Robotic and Laparoscopic Renal Surgery: Initial Clinical Experience with the Levita Magnetic Surgical System.

J Endourol 2020 Jun 12. Epub 2020 Jun 12.

Department of Urology, Icahn School of Medicine at Mount Sinai, New York, New York, USA.

The Levita™ Magnetic Surgical System (LMSS) is a new device that can provide retraction using magnets and can reduce the number of ports used during laparoscopic and robotic procedure. It is U.S. Read More

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http://dx.doi.org/10.1089/end.2020.0043DOI Listing

Penile Prosthesis Implantation and Timing Disparities After Radical Prostatectomy: Results From a Statewide Claims Database.

J Sex Med 2020 Jun 28;17(6):1175-1181. Epub 2020 Mar 28.

Department of Urology, Stritch School of Medicine, Loyola University Chicago, Maywood, IL, USA.

Background: Many patients with erectile dysfunction (ED) after radical prostatectomy (RP) improve with conservative therapy but some do not; penile prosthesis implantation rates have been sparsely reported, and have used nonrepresentative data sets.

Aim: To characterize rates and timing of penile prosthesis implantation after RP and to identify predictors of implantation using a more representative data set.

Methods: The Healthcare Cost and Utilization Project State Inpatient and State Ambulatory Surgery databases for Florida from 2006 to 2015 were used. Read More

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http://dx.doi.org/10.1016/j.jsxm.2020.02.022DOI Listing

Contemporary Rates and Predictors of Open Conversion During Minimally Invasive Radical Prostatectomy for Nonmetastatic Prostate Cancer.

J Endourol 2020 May 14;34(5):600-607. Epub 2020 Apr 14.

Cancer Prognostics and Health Outcomes Unit, Division of Urology, University of Montreal Health Center, Montreal, Quebec, Canada.

To test contemporary rates and predictors of open conversion at minimally invasive (laparoscopic or robotic) radical prostatectomy (MIRP). Within the National Inpatient Sample database (2008-2015), we identified all MIRP patients and patients who underwent open conversion at MIRP. First, estimated annual percentage changes (EAPCs) tested temporal trends of open conversion. Read More

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http://dx.doi.org/10.1089/end.2020.0074DOI Listing

Trends in clinical and oncological outcomes of robot-assisted radical prostatectomy before and after the 2012 US Preventive Services Task Force recommendation against PSA screening: a decade of experience.

BJU Int 2020 Jun 10;125(6):884-892. Epub 2020 Apr 10.

Global Robotics Institute, Advent Health Celebration Health, Celebration, FL, USA.

Objective: To assess the influence of the 2012 US Preventive Services Task Force (USPSTF) recommendation against prostate-specific antigen (PSA)-based screening on oncological and functional outcomes following robot-assisted laparoscopic prostatectomy (RALP).

Materials And Methods: We retrospectively analysed patients who underwent RALP between 2008 and 2018 with a minimum of 12-month follow-up from a prospectively collected institutional review board-approved database. The impact of the USPSTF recommendation against PSA screening on our surgical outcomes was assessed using a logistic regression model using two groups comprising patients treated before/after the USPSTF statement and indicating time trends for each successive year. Read More

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http://dx.doi.org/10.1111/bju.15051DOI Listing
June 2020
3.533 Impact Factor

Preclinical Evaluation of the Versius Surgical System, a New Robot-assisted Surgical Device for Use in Minimal Access Renal and Prostate Surgery.

Eur Urol Focus 2020 Mar 10. Epub 2020 Mar 10.

Department of Surgery, University of Cambridge, Cambridge Biomedical Campus, Addenbrooke's Hospital, Cambridge, UK; Department of Urology, Cambridge University Hospitals NHS Foundation Trust, Addenbrooke's Hospital, Cambridge, UK.

Background: Minimal access surgery (MAS) is well-established in urological surgery. However, MAS is technically demanding and associated with a prolonged learning curve. Robot-assisted laparoscopy has made progress in overcoming these challenges. Read More

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http://dx.doi.org/10.1016/j.euf.2020.01.011DOI Listing

Urologic Robotic Surgery.

Surg Clin North Am 2020 Apr;100(2):361-378

Lenox Hill Hospital (Northwell Health), 170 E 77th Street, Suite B, New York, NY, 10075.

Urologists have always been leaders in advancing surgical technology and were the first to utilize modern robotic surgery for robotic-assisted laparoscopic radical proctectomy. Surgeon ergonomics, instrument precision, operative time, and postoperative recovery were all objectively improved. In urology, robotic surgery is now used for all intra-abdominal, retroperitoneal, and pelvic procedures and has been expanded to renal transplants and pediatric use. Read More

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http://dx.doi.org/10.1016/j.suc.2019.12.003DOI Listing

Neoadjuvant Leuprolide Therapy with Radical Prostatectomy: Long-term Effects on Health-related Quality of Life.

Eur Urol Focus 2020 Mar 9. Epub 2020 Mar 9.

Department of Urology, Kaiser Permanente Los Angeles Medical Center, Los Angeles, CA, USA. Electronic address:

Background: Neoadjuvant androgen ablation (neoadjuvant androgen deprivation therapy [NADT]) is used prior to radical prostatectomy, contrary to guidelines, but its long-term effects on quality of life is unknown.

Objective: To determine the effect of NADT on patient's long-term recovery following surgery.

Design, Setting, And Participants: From March 2011 to August 2013, 5808 men with newly diagnosed prostate were followed up to 24 mo. Read More

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http://dx.doi.org/10.1016/j.euf.2020.03.001DOI Listing

Are we failing to consent to an increasingly common complication? Incisional hernias at robotic prostatectomy.

J Robot Surg 2020 Mar 9. Epub 2020 Mar 9.

Department of Urology, Austin Health, Heidelberg, VIC, Australia.

The use of robot-assisted laparoscopic radical prostatectomy (RALP) continues to increase in the management of prostate cancer by minimally invasive approach, with shorter convalescence, reduced blood transfusion and improving oncological outcomes when compared to open surgery. There is a growing evidence base that RALP is significantly associated with incisional hernia (IH) at the specimen extraction site compared to open surgery. A series of 186 RALP patients between August 2012 and August 2018 was reviewed, where 1-7 years follow-up had been observed. Read More

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http://dx.doi.org/10.1007/s11701-020-01063-wDOI Listing

Editorial Comment: Does YouTube include high-quality resources for training on laparoscopic and robotic radical prostatectomy?

Authors:
Eliney F Faria

Int Braz J Urol 2020 Mar-Apr;46(2):279-280

Serviço de Urologia, Hospital de Amor de Barretos, SP, Brasil.

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http://dx.doi.org/10.1590/S1677-5538.IBJU.2020.02.08DOI Listing

Salvage Radical Prostatectomy After Robot-assisted Laparoscopic Prostatectomy: Case Series.

Clin Genitourin Cancer 2020 04 16;18(2):e202-e207. Epub 2019 Oct 16.

Department of Urology, Mayo Clinic, Rochester, MN. Electronic address:

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http://dx.doi.org/10.1016/j.clgc.2019.10.017DOI Listing

Does urethral length affect continence outcomes following robot assisted laparoscopic radical prostatectomy (RALP)?

BMC Urol 2020 Jan 31;20(1). Epub 2020 Jan 31.

South Terrace Urology, Adelaide, South Australia, Australia.

Background: Post-operative urinary incontinence is a significant concern for patients choosing to undergo a radical prostatectomy (RP) for treatment of prostate cancer. The aim of our study was to determine the effect of pre-operative MUL on 12 month continence outcomes in men having robot-assisted laparoscopic prostatectomy (RALP).

Methods: We use the South Australian Prostate Cancer Clinical Outcomes Collaborative (SA-PCCOC) database, to identify 602 patients who had undergone RALP by a high volume surgeon. Read More

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http://dx.doi.org/10.1186/s12894-020-0578-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6995073PMC
January 2020

Comparison Between Robotic and Laparoscopic or Open Anastomoses: A Systematic Review and Meta-Analysis.

Robot Surg 2019 23;6:27-40. Epub 2019 Dec 23.

Department of Nephrology and Transplantation, Guy's Hospital, Guy's and St Thomas' NHS Foundation Trust, London, UK.

Introduction: Robotic surgery has been increasingly used in fashioning various surgical anastomoses. Our aim was to collect and analyze outcomes related to anastomoses performed using a robotic approach and compare them with those done using laparoscopic or open approaches through meta-analysis.

Methods: A systematic review was conducted for articles comparing robotic with laparoscopic and/or open operations (colectomy, low anterior resection, gastrectomy, Roux-en-Y gastric bypass (RYGB), pancreaticoduodenectomy, radical cystectomy, pyeloplasty, radical prostatectomy, renal transplant) published up to June 2019 searching Medline, Scopus, Google Scholar, Clinical Trials and the Cochrane Central Register of Controlled Trials. Read More

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http://dx.doi.org/10.2147/RSRR.S186768DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6934120PMC
December 2019

Propofol Affects Optic Nerve Sheath Diameter less than Sevoflurane during Robotic Surgery in the Steep Trendelenburg Position.

Biomed Res Int 2019 14;2019:5617815. Epub 2019 Dec 14.

Biostatistics Collaboration Team, Research Core Center, Research Institute, National Cancer Center, Gyeonggi-do, Republic of Korea.

Background: Robot-assisted laparoscopic radical prostatectomy (RLRP) can increase intracranial pressure (ICP) related to a change in position. Increasing ICP may result in various ocular complications, which are rare but serious, such as a corneal abrasion and ischemic optic neuropathy. We performed a prospective observational trial using ultrasonographic measurements to compare optic nerve sheath diameter (ONSD) related to ICP between patients who received either propofol or sevoflurane and underwent RLRP. Read More

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http://dx.doi.org/10.1155/2019/5617815DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6931018PMC

[Predictive Factor of Urinary Continence after Robot-Assisted Laparoscopic Radical Prostatectomy].

Hinyokika Kiyo 2019 Nov;65(11):451-454

The Department of Urology, Hakodate Goryoukaku Hospital.

We examined the postoperative urinary continence rate, and preoperative and postoperative factors predicting postoperative urinary continence for patients who underwent robot-assisted laparoscopic radical prostatectomy (RARP) at our hospital. In all, 122 patients who received RARP were retrospectively analyzed. All patients answered a questionnaire to evaluate the urinary condition and also had a follow-up period of 6 months or longer after surgery. Read More

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http://dx.doi.org/10.14989/ActaUrolJap_65_11_451DOI Listing
November 2019

Retinal Nerve Fiber Layer Thickness Progression after Robotic-Assisted Laparoscopic Radical Prostatectomy in Glaucoma Patients.

J Ophthalmol 2019 6;2019:6576140. Epub 2019 Dec 6.

Department of Ophthalmology and Visual Science, Graduate School of Biomedical Sciences, Hiroshima University, Hiroshima 734-8551, Japan.

Purpose: To investigate the effect of the steep Trendelenburg position surgical procedure on the retinal structure and function during robotic-assisted laparoscopic radical prostatectomy (RALP) in glaucoma patients.

Methods: At 1 month and 1 day before and at 1 and 2 months after the RALP operation, 10 glaucoma patients underwent standard automated perimetry and optical coherence tomography. After placing patients in a supine position, intraocular pressure (IOP) was measured at 5 min after intubation under general anesthesia (T1), at 5 discrete time points (5, 30, 60, 120, and 180 min; T2-6) and at 5 min after returning to a horizontal supine position (T7). Read More

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http://dx.doi.org/10.1155/2019/6576140DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6925746PMC
December 2019

Short-term therapeutic outcomes of robotic-assisted laparoscopic radical prostatectomy for oligometastatic prostate cancer: a propensity score matching study.

Chin Med J (Engl) 2020 Jan;133(2):127-133

Department of Urology, Changhai Hospital, Second Military Medical University, Shanghai 200043, China.

Background: The role of local treatment in oligometastatic prostate cancer (PCa) is gaining interest with the oligometastases hypothesis proposed and the improvement of various surgical methods and techniques. This study aimed to compare the short-term therapeutic outcomes of robotic-assisted laparoscopic radical prostatectomy (RALP) for oligometastatic prostate cancer (OPC) vs. localized PCa using propensity score matching. Read More

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http://dx.doi.org/10.1097/CM9.0000000000000590DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7028176PMC
January 2020

Multiquadrant Combined Robotic Radical Prostatectomy And Left Partial Nephrectomy: A Combined procedure by A Single Approach.

Actas Urol Esp 2020 03 18;44(2):119-124. Epub 2019 Dec 18.

Glickman Urological and Kidney Institute, Cleveland Clinic, Cleveland, Ohio, EE. UU.. Electronic address:

Introduction: To present the first case of a concomitant robotic radical prostatectomy and a left robotic partial nephrectomy performed by a single-port approach using the SP® da Vinci surgical system (Intuitive Surgical, Sunnyvale CA, EE.UU.). Read More

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http://dx.doi.org/10.1016/j.acuro.2019.06.004DOI Listing

Prostate Cancer Nonascitic Peritoneal Carcinomatosis After Robot-assisted Laparoscopic Radical Prostatectomy: 3 Case Reports and Review of the Literature.

Urology 2020 Mar 5;137:121-125. Epub 2019 Dec 5.

Radiation Oncology, Geneva University Hospital, Geneva, Switzerland.

Robot-assisted laparoscopic radical prostatectomy is one of the treatment options for localized prostate cancer, with an excellent disease control rate. However, these patients can experience late disease recurrence with metastatic dissemination. Peritoneal metastases are an uncommon recurrence site. Read More

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http://dx.doi.org/10.1016/j.urology.2019.11.035DOI Listing

Serving as a bedside surgeon before performing robotic radical prostatectomy improves surgical outcomes.

Int Braz J Urol 2019 Nov-Dec;45(6):1122-1128

Department of Urology, American Hospital, Koc University, Turkey.

Introduction: To evaluate the influence of previous experience as bedside assistants on patient selection, perioperative and pathological results in robot assisted laparoscopic radical prostatectomy.

Materials And Methods: The first 50 cases of two robotic surgeons were reviewed retrospectively. Group 1 consisted of the first 50 cases of the surgeon with previous experience as a robotic bedside assistant between September 2016-July 2018, while group 2 included the first 50 cases of the surgeon with no bedside assistant experience between February 2009-December 2009. Read More

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http://dx.doi.org/10.1590/S1677-5538.IBJU.2019.0330DOI Listing
January 2020
0.956 Impact Factor

Perioperative outcomes of robotic-assisted laparoscopic radical prostatectomy, laparoscopic radical prostatectomy and open radical prostatectomy: 10 years of cases at Ramathibodi Hospital.

Transl Androl Urol 2019 Oct;8(5):467-475

Division of Urology, Department of Surgery, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.

Background: This study aims to compare the perioperative and pathological outcomes of open radical prostatectomy (ORP), laparoscopic radical prostatectomy (LRP), and robotic-assisted laparoscopic radical prostatectomy (RALRP) at Ramathibodi Hospital within Mahidol University in Thailand.

Methods: From January 2008 to July 2017, 679 RPs were performed. Patients' data were collected retrospectively to evaluate their perioperative and pathological outcomes. Read More

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http://dx.doi.org/10.21037/tau.2019.09.03DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6842787PMC
October 2019

Therapeutic options in patients with biochemical recurrence after radical prostatectomy.

Exp Ther Med 2019 Dec 20;18(6):5021-5025. Epub 2019 Aug 20.

University of Medicine and Pharmacy Carol Davila, 050474 Bucharest, Romania.

Prostate cancer is the second most common form of cancer in men in Europe. The primary treatment of this type of cancer is radical prostatectomy, which has shown good oncological results. Radical prostatectomy (open, laparoscopic or robotic) has high success and low morbidity rates in patients with localized prostate cancer. Read More

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http://dx.doi.org/10.3892/etm.2019.7916DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6880385PMC
December 2019

Effect of personalized extracorporeal biofeedback device for pelvic floor muscle training on urinary incontinence after robot-assisted radical prostatectomy: A randomized controlled trial.

Neurourol Urodyn 2020 02 2;39(2):674-681. Epub 2019 Dec 2.

Department of Urology, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Seongnam, Korea.

Aims: To investigate the effectiveness of a novel personalized extracorporeal biofeedback device (Anykegel) for pelvic floor muscle training (PFMT) on the recovery of postprostatectomy urinary incontinence (PPI) after robot-assisted laparoscopic radical prostatectomy (RARP) through a randomized controlled trial.

Methods: A total of 84 patients who underwent RARP were randomized either to the intervention group (42) (receiving biofeedback-PFMT using a novel device in addition to verbal and written instruction) or to the control group (42). Patients were evaluated 1, 2, and 3 months after surgery. Read More

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http://dx.doi.org/10.1002/nau.24247DOI Listing
February 2020

Successful body flossing via indwelling nephrostomy allowing for primary realignment of bladder rupture and placement of a foley catheter into the urinary bladder.

Radiol Case Rep 2020 Jan 9;15(1):49-53. Epub 2019 Nov 9.

Kern Medical, Department of Radiology, Kern Medical, 1700 Mount Vernon Avenue, Bakersfield, CA 93306, USA.

Vesicourethral anastomosis leaks are one of the most common short-term complications following radical prostatectomy. We present a case of a 67-year-old Caucasian male who presented to our Emergency Department (ED) with abdominal pain and urinary incontinence 10 days after a robotic-assisted laparoscopic prostatectomy. Interventional radiology initially performed successful nephrostomy placement for bilateral hydronephrosis. Read More

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http://dx.doi.org/10.1016/j.radcr.2019.10.016DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6849421PMC
January 2020

Development and external validation of a nomogram to predict lymph node invasion after robot assisted radical prostatectomy.

Urol Oncol 2020 Feb 12;38(2):37.e11-37.e20. Epub 2019 Nov 12.

Urology, University Hospitals Leuven, Leuven, Belgium.

Background: Prediction of lymph node invasion (LNI) after radical prostatectomy has been rarely assessed in robotically assisted laparoscopic radical prostatectomy (RALP) series. We aimed to develop and externally validate a pretreatment nomogram for the prediction of LNI following RALP in patients with high- and intermediate-risk prostate cancer.

Methods: 1654 RALP patients were prospectively collected between 2009 and 2016 from academic and community hospitals. Read More

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http://dx.doi.org/10.1016/j.urolonc.2019.10.001DOI Listing
February 2020

A Comparative Analysis of Physiotherapy for Stress Urinary Incontinence after Open or Robotic-Assisted Radical Prostatectomy.

Physiother Can 2019 ;71(3):207-212

Vesia [Alberta Bladder Centre].

We determined whether the patient-reported benefits of physiotherapy for stress urinary incontinence (SUI) symptoms differ significantly between men who have had open prostatectomy and those who have had robotic-assisted laparoscopic prostatectomy. We conducted a retrospective analysis of data collected from the Rapid Access Clinic 4 offered by the Prostate Cancer Centre in Calgary, Alberta. Baseline characteristics were measured at the pre-surgery appointment, including demographics, health factors, and potential risk factors for SUI. Read More

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http://dx.doi.org/10.3138/ptc.2017-90DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6830416PMC
January 2019

Retzius-sparing robot-assisted laparoscopic radical prostatectomy: functional and early oncologic results in aggressive and locally advanced prostate cancer.

BMC Urol 2019 Nov 12;19(1):113. Epub 2019 Nov 12.

Department of Urology, University Hospital Heidelberg, Im Neuenheimer Feld 110, 69120, Heidelberg, Germany.

Background: Retzius-sparing robot-assisted laparoscopic radical prostatectomy (rsRARP) allows entire prostatectomy procedure via the pouch of Douglas. In low- and intermediate-risk prostate cancer (PCa) there is level 1 evidence that the Retzius-sparing approach impacts early continence recovery. Since specific data on aggressive and locally advanced cancer is lacking and avoiding rsRARP is presently suggested, we investigated urinary and sexual recovery, perioperative complications and early oncologic outcomes after rsRARP in this particular cohort. Read More

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http://dx.doi.org/10.1186/s12894-019-0550-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6852736PMC
November 2019