1,479 results match your criteria Laparoscopic and Robotic Radical Prostatectomy


Biochemical recurrence-free conditional probability after radical prostatectomy: A dynamic prognosis.

Int J Urol 2019 Apr 18. Epub 2019 Apr 18.

Department of Urology, Institute Mutualiste Montsouris, Université Paris-Descartes, Paris, France.

Objective: To estimate the conditional biochemical recurrence-free probability and to develop a predictive model according to the disease-free interval for men with clinically localized prostate cancer treated with minimally invasive radical prostatectomy.

Methods: The study population consisted of 3576 consecutive patients who underwent laparoscopic radical prostatectomy and 2619 men treated with robotic radical prostatectomy in the past 15 years at Institute Mutualiste Montsouris, Paris, France. Biochemical recurrence was defined as serum prostate-specific antigen ≥0. Read More

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https://onlinelibrary.wiley.com/doi/abs/10.1111/iju.13982
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http://dx.doi.org/10.1111/iju.13982DOI Listing
April 2019
1 Read

Robotic-assisted perineal versus transperitoneal radical prostatectomy: A matched-pair analysis.

Turk J Urol 2019 Apr 3. Epub 2019 Apr 3.

Department of Urology, Health Sciences University, Bakırköy Dr. Sadi Konuk Training and Research Hospital, İstanbul, Turkey.

Objective: We compared the outcomes of robotic-assisted radical perineal prostatectomy (r-PRP) versus robotic-assisted transperitoneal laparoscopic radical prostatectomy (RARP).

Material And Methods: Between November 2016 and September 2017 in our center, 40 patients underwent r-PRP, and 40 patients underwent RARP. All patients also underwent multiparametric magnetic resonance imaging (mpMRI) to exclude the cases with locally advanced disease. Read More

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http://dx.doi.org/10.5152/tud.2019.98254DOI Listing
April 2019
1 Read

Effects of positive end-expiratory pressure on intraocular pressure and optic nerve sheath diameter in robot-assisted laparoscopic radical prostatectomy: A randomized, clinical trial.

Medicine (Baltimore) 2019 Apr;98(14):e15051

Department of Anesthesiology and Pain Medicine, Anesthesia and Pain Research Institute.

Background: There has been no study of the effect of post end-expiratory pressure (PEEP) on intraocular or intracranial pressure during pneumoperitoneum with steep Trendelenburg positioning. We investigated the effects of 5 cmH2O of PEEP on intraocular pressure and optic nerve sheath diameter as a surrogate for intracranial pressure in robot-assisted laparoscopic radical prostatectomy.

Methods: Fifty patients scheduled for robot-assisted laparoscopic radical prostatectomy were divided into a zero-PEEP (ZEEP) group and a 5 cmH2O of PEEP (PEEP) group. Read More

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http://dx.doi.org/10.1097/MD.0000000000015051DOI Listing
April 2019
1 Read

Complications of robot assisted radical prostatectomy.

Arch Esp Urol 2019 04;72(3):266-276

Co-Head Robotic and Laparoscopic Surgery. Department of Urology. University Hospital La Zarzuela. Madrid. Spain.

The urology community has adopted robot-assisted radical prostatectomy (RARP) as the most preferred surgical therapeutic approach in the management of localized prostate cancer. Safety and potential complications of RARP should be clearly known prior to attempting the surgery. The complications have been categorized as anesthesia & patient positioning related, vascular, non-vascular and delayed. Read More

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April 2019
2 Reads

Robot-assisted extended pelvic lymph node dissection in prostate cancer. When and how?

Arch Esp Urol 2019 04;72(3):257-265

Divisão de Urologia. Faculdade de Medicina da Universidade de São Paulo. Instituto do Câncer do Estado de São Paulo ICESP. São Paulo. Brazil.

Objective: To review the literature evaluating the role of the extended pelvic lymph node dissectione PLND during robot assisted radical prostatectomy (RARP) in the management of PCa patients, as well as the preoperative clinic pathologic factors that predict lymph node metastases (LNM). The technique and current outcomes of robotic ePLND will be presented.

Methods: Medline®/Pubmed® were searched up to august 2018 to find comparative studies of different anatomic limits of pelvic lymph node dissection (PLND) during RARP, open or pure laparoscopic surgery that reported number of nodes retrieved, oncologic outcomes and complications. Read More

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April 2019
3 Reads

Technical features and the demonstrated advantages of the Retzius sparing robotic prostatectomy.

Arch Esp Urol 2019 04;72(3):247-256

Department of Urology. ASST Grande Ospedale Metropolitano Niguarda. Milan. Italy.

Objective: Robot-assisted laparoscopic  radical prostatectomy (RARP) is nowadays considered  the main surgical option for localized prostate cancer (PCa). We recently developed a new approach for RARP  avoiding all the Retzius structures involved in continence  and potency preservation, the so called Retzius-sparing  technique (RSP). The objective of the paper is to report technical aspects and functional results of RSP. Read More

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April 2019
5 Reads

Clinical outcomes and costs of robotic surgery in prostate cancer: a multiinstitutional study in Korea.

Prostate Int 2019 Mar 4;7(1):19-24. Epub 2018 May 4.

Department of Nursing Science, College of Nursing, Gachon University, Incheon, Korea.

Background: This study compared the surgical, functional, and oncologic outcomes of robot-assisted laparoscopic radical prostatectomy (RALP), laparoscopic radical prostatectomy (LRP), and retropubic radical prostatectomy (RRP) in Korean men.

Methods: The study population included 864 patients who underwent radical prostatectomy for prostate cancer in the departments of urology of five tertiary hospitals between 2010 and 2011. RALP, LRP, and RRP perioperative, oncological, and functional outcomes as well as complications were assessed. Read More

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http://dx.doi.org/10.1016/j.prnil.2018.04.004DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6424675PMC
March 2019
1 Read

A comparison of perioperative outcome between robot-assisted and laparoscopic radical prostatectomy: experience of a single institution.

Int Braz J Urol 2019 02 10;45. Epub 2019 Feb 10.

Department of Urology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.

Purpose: To compare perioperative and pathological results in different approaches of robotic or laparoscopic radical prostatectomy.

Materials And Methods: We retrospectively reviewed 206 patients diagnosed with pros¬tate cancer (PC) from June 2016 to October 2017 in the First Affiliated Hospital of Nan¬jing Medical University. A total of 132 cases underwent robot-assisted laparoscopic radical prostatectomy (RLRP) including 54 patients on transperitoneal robot-assisted laparoscopic radical prostatectomy (Tp-RLRP) and 78 on extraperitoneal robot-assisted laparoscopic radical prostatectomy (Ep-RLRP). Read More

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http://dx.doi.org/10.1590/S1677-5538.IBJU.2018.0367DOI Listing
February 2019
4 Reads

Combined Robotic-assisted Laparoscopic Radical Prostatectomy and Partial Nephrectomy, Rare Coincidence.

Urology 2019 Mar 14. Epub 2019 Mar 14.

Ankara University School of Medicine, Department of Urology, Ankara, Turkey.

The incidence of second primary cancer detection in patients with prostate cancer undergoing cross-sectional imaging for staging workup is 1.5%. Concomitant prostate cancer and clear-cell renal cell carcinoma is a rare condition. Read More

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http://dx.doi.org/10.1016/j.urology.2019.02.031DOI Listing
March 2019
2 Reads

The impact of warmed and humidified CO insufflation during robotic radical prostatectomy: Results of a randomized controlled trial.

Urologia 2019 Mar 14:391560319834837. Epub 2019 Mar 14.

5 Department of Anaesthesiology, Hautepierre University Hospital, Strasbourg, France.

Background:: Cool and dry gas insufflation during laparoscopy induces hypothermia and cytokine increase, with significant perioperative morbidity. Our aim was to assess if warmed and humidified CO insufflation with HumiGard™ device can achieve significant benefits over standard insufflation in terms of risk of hypothermia, cytokine response, blood gases, and intra- and postoperative parameters, in the setting of robot-assisted radical prostatectomy (RARP).

Methods:: This was a prospective, randomized controlled clinical trial. Read More

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http://dx.doi.org/10.1177/0391560319834837DOI Listing

On the feasibility of transperineal 3D ultrasound image guidance for robotic radical prostatectomy.

Int J Comput Assist Radiol Surg 2019 Mar 13. Epub 2019 Mar 13.

Department of Electrical and Computer Engineering, University of British Columbia, 2332 Main Mall, Vancouver, BC, V6T 1Z4, Canada.

Purpose: Prostate cancer is the most prevalent form of male-specific cancers. Robot-assisted laparoscopic radical prostatectomy (RALRP) using the da Vinci surgical robot has become the gold-standard treatment for organ-confined prostate cancer. To improve intraoperative visualization of anatomical structures, many groups have developed techniques integrating transrectal ultrasound (TRUS) into the surgical workflow. Read More

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http://link.springer.com/10.1007/s11548-019-01938-w
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http://dx.doi.org/10.1007/s11548-019-01938-wDOI Listing
March 2019
5 Reads

Impact of the estimated blood loss during radical prostatectomy on functional outcomes.

Urol Oncol 2019 May 8;37(5):298.e11-298.e17. Epub 2019 Mar 8.

Martini-Klinik Prostate Cancer Center, University Hospital Hamburg-Eppendorf, Hamburg, Germany; Department of Urology, University Hospital Hamburg-Eppendorf, Hamburg, Germany. Electronic address:

Objective: To investigate the effect of the estimated blood loss (BL) during radical prostatectomy (RP) for prostate cancer (CaP) on functional outcomes. We hypothesized that the estimated BL during RP for clinically localized CaP does not affect the functional outcomes.

Materials And Methods: Patients who underwent open RP (ORP) or robotic-assisted laparoscopic RP (RALP) were identified. Read More

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http://dx.doi.org/10.1016/j.urolonc.2019.01.006DOI Listing
May 2019
2 Reads

A case of synchronous advanced gastric cancer and locally advanced prostate cancer with combined laparoscopic and robotic surgery: A case report.

Int J Surg Case Rep 2019 1;56:82-85. Epub 2019 Mar 1.

Department of Urology, Nagoya Tokushukai General Hospital, Kasugai City, Japan.

Introduction: The optimal management strategy for synchronous gastric cancer (GC) and prostate cancer (PCa) remains unclear, particularly in cases in which two cancers are progressive.

Presentation Of Case: A 68-year-old man diagnosed with synchronous advanced GC and locally advanced PCa was referred to our institution. Laparoscopic total gastrectomy (LTG) and robotic-assisted radical prostatectomy were simultaneously performed. Read More

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http://dx.doi.org/10.1016/j.ijscr.2019.02.032DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6409421PMC
March 2019
1 Read

Perioperative venous thromboembolism prophylaxis in prostate cancer surgery.

World J Urol 2019 Mar 6. Epub 2019 Mar 6.

Division of Urology, Department of Surgery, Woodstock General Hospital, Woodstock, ON, Canada.

Purpose: To describe a patient and procedure specific approach to selecting Venous thromboembolism (VTE) prophylaxis for men who undergo radical prostatectomy.

Methods: We performed a literature search and narrative review of VTE after radical prostatectomy. We describe the current paradigm of perioperative thromboprophylaxis and underlying rationale. Read More

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http://dx.doi.org/10.1007/s00345-019-02705-xDOI Listing
March 2019
4 Reads

[Methods for training of robot-assisted radical prostatectomy].

Khirurgiia (Mosk) 2019(1):89-94

University clinic of Urology, I.M. Sechenov First Moscow State Medical University, Moscow, Russia.

Robotic surgery is a future method of minimal invasive surgery. Robot-assisted radical prostatectomy (RARP) is a common method of surgical treatment of prostate cancer. Due to significant differences of the surgical technique of RARP compared to open or laparoscopic radical prostatectomy (LRP) new methods of training are needed. Read More

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http://dx.doi.org/10.17116/hirurgia201901189DOI Listing
January 2019
1 Read

The Impact of Experience on the Risk of Surgical Margins and Biochemical Recurrence after Robot-Assisted Radical Prostatectomy: A Learning Curve Study.

J Urol 2019 Feb 7:101097JU0000000000000147. Epub 2019 Feb 7.

Department of Epidemiology and Biostatistics, Memorial Sloan Kettering Cancer Center , New York , New York.

Purpose: Improved cancer control with increasing surgical experience (the learning curve) has been demonstrated for open and laparoscopic prostatectomy. We assessed the relationship between surgical experience and oncologic outcomes of robot-assisted radical prostatectomy.

Materials And Methods: We analyzed the records of 1,827 patients in whom prostate cancer was treated with robot-assisted radical prostatectomy. Read More

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http://dx.doi.org/10.1097/JU.0000000000000147DOI Listing
February 2019
1 Read

[Urodynamics study in patients with urinary incontinence, after surgical treatment of localized prostate cancer].

Urologiia 2018 Dec(6):14-18

MBUZ Clinical and diagnostic Center Zdorovie, Rostov-on-Don, Russia.

Aim: Radical treatment of prostate cancer (PCa) is often associated with the development of urinary incontinence (UI). The etiology of UI after prostatectomy is multifactorial and can be caused by both urethral sphincter deficiency and bladder dysfunction. To date, there are no comparative studies of the development of UI in patients after either organ-preserving treatment or radical prostatectomy (RP). Read More

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December 2018
3 Reads

Improved Outcomes Utilizing a Valveless-Trocar System during Robot-assisted Radical Prostatectomy (RARP).

JSLS 2019 Jan-Mar;23(1)

Department of Surgery, Division of Urology, University of Pennsylvania, Philadelphia, PA.

Introduction: To evaluate the effect of valveless trocar system (VTS) on intra-operative parameters, peri-operative outcomes, and 30-day postoperative complications in patients undergoing robotic-assisted laparoscopic prostatectomy.

Methods: A total of 200 consecutive patients undergoing Robot-assisted radical prostatectomy by a single surgeon were prospectively evaluated using either the valveless trocar (n = 100) or standard trocars (n = 100). Patient demographics, intra-operative parameters, length of stay, presence or absence of postoperative nausea and vomiting, analog pain score at 0-6 hours, 6-12 hours, 12-18 hours, and >24 hours, and 30-day postoperative complications were analyzed. Read More

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http://dx.doi.org/10.4293/JSLS.2018.00085DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6364705PMC
March 2019
1 Read

Design and Validation of a Low-Cost, High-Fidelity Model for Urethrovesical Anastomosis in Radical Prostatectomy.

J Endourol 2019 Apr 13;33(4):331-336. Epub 2019 Mar 13.

1 Department of Urology, University of Texas Southwestern, Dallas, Texas.

Objective: We sought to develop and validate a low-cost, high-fidelity robotic surgical model for the urethrovesical anastomosis component of the robot-assisted laparoscopic radical prostatectomy.

Materials And Methods: A novel simulation model was constructed using a 3D-printed model of the male bony pelvis from CT scan data and silicone molds to recreate the soft tissue aspects. Using a da Vinci Si surgical robot, urology faculty and trainees performed simulated urethrovesical anastomosis. Read More

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http://dx.doi.org/10.1089/end.2018.0871DOI Listing

Incidence, Predictive Factors and Preventive Measures for Inguinal Hernia following Robotic and Laparoscopic Radical Prostatectomy: A Systematic Review.

J Urol 2019 Feb 4:101097JU0000000000000133. Epub 2019 Feb 4.

Department of Uro-Oncology, Chris O'Brien Lifehouse , Camperdown , New South Wales , Australia.

Purpose: Inguinal hernia is a known sequel of radical prostatectomy which contributes to patient morbidity and health care expenditure. In this systematic review we evaluated the incidence of inguinal hernia associated with minimally invasive radical prostatectomy, in addition to predictive factors and preventive measures.

Materials And Methods: We searched PubMed® and Embase® between 2000 and February 2018 using the search terms inguinal hernia and radical prostatectomy. Read More

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http://dx.doi.org/10.1097/JU.0000000000000133DOI Listing
February 2019
2 Reads
4.471 Impact Factor

[-2]proPSA for predicting biochemical recurrence of prostate cancer earlier than total PSA after radical prostatectomy: an observational prospective cohort study.

Minerva Urol Nefrol 2019 Jan 28. Epub 2019 Jan 28.

Department of Urology, Istituto Clinico Humanitas IRCCS, Clinical and Research Hospital, Rozzano, Milan, Italy.

Background: There is an unmet clinical need for more biochemical specific tests that may detect clinically significant recurrent PCa at an early stage after radical prostatectomy (RP). Our purpose is to test the hypothesis that p2PSA (index test) detects prostate cancer relapse (BCR) earlier than the current reference standard test (total PSA, tPSA) in patients who underwent RP for localized PCa.

Methods: This is an observational, prospective, cohort, follow-up study in patients subjected to RALP (Robotic assisted laparoscopic radical prostatectomy) for clinically localized PCa from January 2013 to July 2013 at a high-volume Institution (450 average RP/year). Read More

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http://dx.doi.org/10.23736/S0393-2249.19.03279-XDOI Listing
January 2019
0.700 Impact Factor

A novel intraoperative physician-assigned grading score to predict postoperative return of potency at 1 year after robotic-assisted laparoscopic prostatectomy.

Indian J Urol 2019 Jan-Mar;35(1):61-66

Department of Urology, Larkin Community Hospital, Miami, FL, USA.

Introduction: We examined a novel method of grading nerve sparing in robotic-assisted laparoscopic radical prostatectomy to better predict the potency outcomes of patients at 1-year after surgery. This grading (scale) was based on the surgeon's criteria of intraoperative findings during completion of nerve sparing. This grading was then analyzed statistically to validate its association with potency outcomes. Read More

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http://dx.doi.org/10.4103/iju.IJU_158_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6334588PMC
January 2019

Initial learning curve for robot-assisted partial nephrectomy performed by a single experienced robotic surgeon.

Asian J Endosc Surg 2019 Jan 28. Epub 2019 Jan 28.

Department of Urology, Hamamatsu University School of Medicine, Hamamatsu, Japan.

Introduction: The objective of this study was to evaluate the initial learning curve for robot-assisted partial nephrectomy (RAPN) using the da Vinci Xi Surgical System (Intuitive Surgical, Sunnyvale, California).

Methods: This study included the initial 65 consecutive patients with small renal tumors who had undergone RAPN at our institution. A single trained surgeon with extensive experience in robot-assisted radical prostatectomy, but not in laparoscopic partial nephrectomy, performed RAPN for all patients using the da Vinci Xi. Read More

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http://dx.doi.org/10.1111/ases.12683DOI Listing
January 2019
2 Reads

Preliminary results of using a voice-controlled robotic camera driver during 3D laparoscopic radical prostatectomy.

Cent European J Urol 2018 27;71(4):394-398. Epub 2018 Dec 27.

Department of Urology, The Faculty of Medicine and Health Sciences, University of Zielona Góra, Zielona Góra, Poland.

Introduction: During laparoscopic procedures, the surgeon's control on target field visualization as well as optimal and steady vision can be achieved by using a camera holder. The article presents our preliminary experience with the use of a voice controlled robotic camera holder during 3D laparoscopic radical prostatectomy (3D LRP).

Material And Method: Thirty patients were prospectively enrolled and underwent either 3D LRP with the use of a voice controlled robotic camera holder (study group) or 3D LRP with the surgeon holding the camera (control group). Read More

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http://dx.doi.org/10.5173/ceju.2018.1800DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6338813PMC
December 2018
2 Reads

Radical prostatectomy performed via robotic, transperitoneal and extraperitoneoscopic approaches: functional and early oncological outcomes.

Cent European J Urol 2018 30;71(4):378-385. Epub 2018 Oct 30.

Institute for Urology and Reproductive Health, Sechenov University, Moscow, Russia.

Introduction: Oncological remission along with high postoperative functionality [continence and erectile function (EF)] are the main aspects of prostate cancer (PCa) treatment. The aim of this study was to compare functional and oncological treatment results achieved after a nerve-sparing radical prostatectomy (RP) via transperitoneal (TPRP), extraperitoneal (EPRP) and robot-assisted (RARP) approach.

Material And Methods: From March 2015 to March 2016, 507 RP were performed at the Institute for Urology and Reproductive Health (Moscow, Russia). Read More

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http://dx.doi.org/10.5173/ceju.2018.1739DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6338822PMC
October 2018
2 Reads

Utility after robot-assisted radical prostatectomy compared to conventional approaches for localized prostate cancer [socioeconomic perspective study].

Prostate Cancer Prostatic Dis 2019 Jan 24. Epub 2019 Jan 24.

Department of Nursing Science, College of Nursing, Gachon University, Incheon, Korea.

Background: This study presented the utility across approaches (robotic-assisted radical prostatectomy (RARP) and laparoscopic radical prostatectomy (LRP) or open radical prostatectomy (ORP)), across disease states after surgery, and also across functional outcomes for localized prostate cancers. The utility was measured using the time trade-off method.

Methods: This survey was based on a scenario that describes the state of health in detail and considers surgical methods, short-term adverse effects following RP, disease-specific conditions, and additional treatments 1 year following RP. Read More

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http://dx.doi.org/10.1038/s41391-018-0119-9DOI Listing
January 2019
1 Read

A Grading System for the Assessment of Risk of Extraprostatic Extension of Prostate Cancer at Multiparametric MRI.

Radiology 2019 Mar 22;290(3):709-719. Epub 2019 Jan 22.

From the Department of Urology and Pediatric Urology, University Medical Center, Mainz, Germany (S.M.); Urologic Oncology Branch, National Cancer Institute, National Institutes of Health, Bethesda, Md (S.M., J.B., S.G., G.H., K.R., P.A.P.); Molecular Imaging Program, National Cancer Institute, National Institutes of Health, 10 Center Dr, MSC 1182, Building 10, Room B3B85, Bethesda, MD 20892-1088 (S.M., C.S., M.C., P.L.C., B.T.); Division of Cancer Treatment and Diagnosis: Biometric Research Program, National Cancer Institute, National Institutes of Health, Rockville, Md (J.H.S.); Clinical Research Directorate/Clinical Monitoring Research Program, Leidos Biomedical Research, NCI Campus at Frederick, Frederick, Md (S.H.); Laboratory of Pathology, National Cancer Institute, National Institutes of Health, Bethesda, Md (M.J.M.); and Center for Interventional Oncology, National Cancer Institute and Radiology and Imaging Sciences, Clinical Center, National Institutes of Health, Bethesda, Md (B.J.W.).

Purpose To evaluate MRI features associated with pathologically defined extraprostatic extension (EPE) of prostate cancer and to propose an MRI grading system for pathologic EPE. Materials and Methods In this prospective study, consecutive male study participants underwent preoperative 3.0-T MRI from June 2007 to March 2017 followed by robotic-assisted laparoscopic radical prostatectomy. Read More

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http://dx.doi.org/10.1148/radiol.2018181278DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6394788PMC
March 2019
11 Reads

A Prospective, Randomized, Double-Blind, Placebo-Controlled Trial to Evaluate Intravenous Acetaminophen Versus Placebo in Patients Undergoing Robotic-Assisted Laparoscopic Prostatectomy.

J Pain Palliat Care Pharmacother 2019 Jan 15:1-9. Epub 2019 Jan 15.

Radical prostatectomy for prostate cancer is one of the most commonly performed operations in men. The objective of this study was to determine the impact of intravenous (IV) acetaminophen when added to the perioperative analgesic regimen for robotic-assisted laparoscopic prostatectomy (RALP) on hospital length of stay (LOS), postoperative pain scores, and opioid consumption. In this prospective, randomized, double-blind, placebo-controlled trial, a total of 86 patients undergoing RALP were prospectively enrolled and randomly assigned to receive either 1 g IV acetaminophen (study group; n = 43) or IV placebo (n = 43) within 15 minutes following the induction of anesthesia and prior to surgical incision. Read More

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http://dx.doi.org/10.1080/15360288.2018.1513436DOI Listing
January 2019
2 Reads

Infectious Complications of Conventional Laparoscopic vs Robotic Laparoscopic Prostatectomy: A Systematic Literature Review and Meta-Analysis.

J Endourol 2019 Mar 8;33(3):179-188. Epub 2019 Feb 8.

6 Department of Urology, University of Iowa Carver College of Medicine, Iowa City, Iowa.

Background: Recent studies have shown that using minimally invasive surgical techniques (conventional laparoscopy or robotic) for prostatectomy is associated with lower perioperative complication rates compared with open radical retropubic prostatectomy. However, differences in infectious complications between these minimally invasive approaches are not well characterized. To study this further, we performed a systematic review of the literature and meta-analysis of the infectious complications of prostatectomy, comparing robotic prostatectomy (RP) with conventional laparoscopic prostatectomy (LP). Read More

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https://www.liebertpub.com/doi/10.1089/end.2018.0815
Publisher Site
http://dx.doi.org/10.1089/end.2018.0815DOI Listing
March 2019
9 Reads

[Robotic Surgery for Urologic Malignancy - Prostate, Kidney and Bladder].

Gan To Kagaku Ryoho 2018 Dec;45(12):1706-1709

Dept. of Urology, Fujita Health University School of Medicine.

Robotic-assisted surgery has been wide-spreading rapidly as a technique to develop laparoscopic surgery by innovative technological improvement such as high magnifided 3D-image and multi-degree freedom of forceps, leading to safety enhancement and better functional recovery. Robotic surgery in the urological field made it possible to highly fine operation in a narrow field, such as pelvic cavity or retroperitoneal space. Better outcomes were recognized especially in perioperative complications and postoperative QOL recovery than other procedures like open or laparoscopic. Read More

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December 2018
6 Reads

Risk of biochemical recurrence based on extent and location of positive surgical margins after robot-assisted laparoscopic radical prostatectomy.

BMC Cancer 2018 Dec 27;18(1):1291. Epub 2018 Dec 27.

Urology Department, Clinique Générale Beaulieu, 1204, Genève, Switzerland.

Background: There are no published studies on the simultaneous effect of extent and location of positive surgical margins (PSMs) on biochemical recurrence (BCR) after robot-assisted laparoscopic prostatectomy (RALP). The aim was to report the incidence, extent, and location of PSMs over the inclusion period as well as the rates of BCR and cancer-related mortality, and determine if BCR is associated with PSM extent and/or location.

Methods: Retrospective review of 530 consecutive patients who underwent RALP between 2003 and 2012. Read More

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http://dx.doi.org/10.1186/s12885-018-5229-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6307117PMC
December 2018
1 Read

Prostate cancer laparoscopic port site metastasis: A case report.

Medicine (Baltimore) 2018 Dec;97(51):e13757

Introduction: Laparoscopic port site metastases are a rare but clinically important cause of biochemically recurrent prostate adenocarcinoma. C-11 choline, among other prostate-specific positron emission tomography (PET) radiotracers, has improved radiologist confidence in these otherwise difficult-to-detect sites of recurrence.

Patient Concerns: A 62-year-old male presented with biochemically recurrent prostate adenocarcinoma after undergoing robotic-assisted radical prostatectomy 5 years earlier. Read More

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http://dx.doi.org/10.1097/MD.0000000000013757DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6319866PMC
December 2018
3 Reads

Efficacy of abdominal peripheral nerve block and caudal block during robot-assisted laparoscopic surgery: a retrospective clinical study.

J Anesth 2019 Feb 6;33(1):103-107. Epub 2018 Dec 6.

Department of Anesthesiology, Hirosaki University Graduate School of Medicine, 5 Zaifu-cho, Hirosaki, 036-8562, Japan.

Purpose: We retrospectively analyzed the efficacy of abdominal peripheral nerve block (PNB) and caudal block (CB) in patients undergoing robot-assisted laparoscopic radical prostatectomy (RARP).

Methods: Patients who underwent elective RARP at our hospital (Jan. 2015-Sept. Read More

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http://dx.doi.org/10.1007/s00540-018-2593-6DOI Listing
February 2019
3 Reads

Contemporary Comparison of Open to Robotic Prostatectomy at a Veteran's Affairs Hospital.

Mil Med 2018 Dec 7. Epub 2018 Dec 7.

Department of Urology, Northwestern University Feinberg School of Medicine, 420 E Superior St, Chicago, IL.

Introduction: Among veterans, prostate cancer is the most common malignancy and has a higher incidence compared to the rest of the nation. No study has compared the effectiveness of Robotic-assisted-laparoscopic radical prostatectomy (RALP) vs. open radical prostatectomy (ORP) in the Veteran's Affairs (VA) hospital setting during the adoption of RALP. Read More

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http://dx.doi.org/10.1093/milmed/usy352DOI Listing
December 2018
3 Reads

Does the experience of the bedside assistant effect the results of robotic surgeons in the learning curve of robot assisted radical prostatectomy?

Int Braz J Urol 2019 Jan-Feb;45(1):54-60

American Hospital, Istanbul, Turkey.

Introduction: The success of the robot assisted radical prostatectomy (RARP) procedures depend on a successful team, however the literature focuses on the performance of a console surgeon. The aim of this study was to evaluate surgical outcomes of the surgeons during the learning curve in relation to the bedside assistant's experience level during RARP.

Materials And Methods: We retrospectively reviewed two non - laparoscopic, beginner robotic surgeon's cases, and we divided the patients into two groups. Read More

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http://dx.doi.org/10.1590/S1677-5538.IBJU.2018.0184DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6442128PMC
March 2018
8 Reads

Gasless robotic perineal radical prostatectomy: An initial experience.

Turk J Urol 2018 Nov 21:1-4. Epub 2018 Nov 21.

Department of Urology, Memorial Bahçelievler Hospital, İstanbul, Turkey.

Radical prostatectomy (RP) is the gold standard treatment method of localized prostate cancer. Today, this surgery is performed with open or minimally invasive methods. The history of open perineal RP (RPP) is very old, but it is not often preferred by urologists. Read More

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http://dx.doi.org/10.5152/tud.2018.48085DOI Listing
November 2018
1 Read

Does seminal vesicle-sparing robotic radical prostatectomy influence postoperative prostate-specific antigen measured with an ultrasensitive immunoassay?

Swiss Med Wkly 2018 11 26;148:w14685. Epub 2018 Nov 26.

Kantonsspital Winterthur.

PURPOSE Sparing of the seminal vesicles during robotic radical prostatectomy (SVRP) is an attempt to reduce potential damage to the hypogastric pelvic nerves. However, the seminal vesicles are known to express prostate-specific antigen (PSA) and it is unknown whether SVRP influences oncological outcome measured with ultrasensitive PSA immunoassays. In a retrospective study we analysed whether SVRP affects oncological outcome in terms of ultrasensitive PSA nadir and biochemical recurrence as compared with standard robotic assisted laparoscopic radical prostatectomy (sRALP). Read More

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http://dx.doi.org/10.4414/smw.2018.14685DOI Listing
November 2018

Comparisons of Pressure-controlled Ventilation with Volume Guarantee and Volume-controlled 1:1 Equal Ratio Ventilation on Oxygenation and Respiratory Mechanics during Robot-assisted Laparoscopic Radical Prostatectomy: a Randomized-controlled Trial.

Int J Med Sci 2018 20;15(13):1522-1529. Epub 2018 Oct 20.

Department of Anesthesiology and Pain Medicine, and Anesthesia and Pain Research Institute, Yonsei University College of Medicine, Seoul, Republic of Korea.

During robot-assisted laparoscopic radical prostatectomy (RALP), steep Trendelenburg position and carbon dioxide pneumoperitoneum are inevitable for surgical exposure, both of which can impair cardiopulmonary function. This study was aimed to compare the effects of pressure-controlled ventilation with volume guarantee (PCV with VG) and 1:1 equal ratio ventilation (ERV) on oxygenation, respiratory mechanics and hemodynamics during RALP. Eighty patients scheduled for RALP were randomly allocated to either the PCV with VG or ERV group. Read More

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http://www.medsci.org/v15p1522.htm
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http://dx.doi.org/10.7150/ijms.28442DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6216054PMC
February 2019
13 Reads

Re: Robot-assisted Laparoscopic Prostatectomy Versus Open Radical Retropubic Prostatectomy: 24-month Outcomes from a Randomised Controlled Study.

Eur Urol 2019 01 1;75(1):200. Epub 2018 Nov 1.

2nd Department of Urology, National and Kapodistrian University of Athens, Sismanogleio Hospital, Athens, Greece. Electronic address:

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http://dx.doi.org/10.1016/j.eururo.2018.10.039DOI Listing
January 2019

The positive immunostaining of TMPRSS2-ERG is not associated with unfavourable outcomes and biochemical recurrence after radical prostatectomy in Turkish patients.

Cent European J Urol 2018 16;71(3):276-279. Epub 2018 Aug 16.

Haydarpaşa Numune Training and Research Hospital, Department of Pathology, Istanbul, Turkey.

Introduction: Prostate cancer is the second most common cancer and a major significant health problem amongst men in the world. Radical prostatectomy with open, laparoscopic and robotic techniques is the gold standard treatment for localized and local advanced disease. There are some risk factors including gleason score, T stage and prostate-specific antigen (PSA) level to predict the biochemical recurrence. Read More

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http://dx.doi.org/10.5173/ceju.2018.1708DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6202621PMC
August 2018
2 Reads

Robot-assisted Placement of Pelvic Tissue Expander for Radiation After Prostatectomy and Cystectomy for Treatment of Prostate Cancer Biochemical Recurrence.

Urology 2019 Feb 29;124:292-296. Epub 2018 Oct 29.

Department of Urology, University of Rochester Medical Center, Rochester, NY. Electronic address:

Objective: To present a robot-assisted surgical technique for overcoming challenges of a patient with prior pelvic surgeries and bowel in the radiation target.

Methods: A 72-year-old male required treatment for biochemically recurrent prostate cancer. In 2006, he presented with Prostate-Specific Antigen (PSA) 5. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00904295183106
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http://dx.doi.org/10.1016/j.urology.2018.09.027DOI Listing
February 2019
14 Reads

Single-Port Robot-Assisted Radical Prostatectomy: First Clinical Experience Using The SP Surgical System.

Urology 2019 Feb 24;124:309. Epub 2018 Oct 24.

Glickman Urological and Kidney Institute, Cleveland Clinic, Cleveland, OH.

Objectives: To describe the first clinical experience with the novel purpose-built single-port robotic platform after Food Drug Administration approval.

Methods: Two male patients diagnosed with prostate cancer amenable of radical prostatectomy underwent single-port robot-assisted radical prostatectomy with bilateral pelvic lymph-nodes dissection performed by using the da Vinci SP Surgical System (Intuitive Surgical, Sunnyvale, CA). The surgeries were completed through a 2. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00904295183111
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http://dx.doi.org/10.1016/j.urology.2018.10.025DOI Listing
February 2019
16 Reads

Developing a personalized template for lymph node dissection during radical prostatectomy.

Transl Androl Urol 2018 Sep;7(Suppl 4):S498-S504

Department of Urology, Wake Forest University Baptist Medical Center, Winston-Salem, NC, USA.

Lymph node dissection (LND) represents a critical step in order to determine lymph node invasion (LNI), not only for prognostic means but also as a therapeutic strategy in the management of patients with prostate cancer (CaP). Indications for performing LND are inconsistent with the American Urologic Association (AUA), European Association of Urology (EAU), and National Comprehensive Cancer Network (NCCN) recommendations differing. A thorough appreciation of lymph node drainage patterns and extent of LND has reshaped our understanding of this disease. Read More

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http://tau.amegroups.com/article/view/18971/20791
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http://dx.doi.org/10.21037/tau.2018.03.19DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6178311PMC
September 2018
12 Reads

The Learning Curve Does Not Affect Positive Surgical Margin Status in Robot-Assisted Laparoscopic Prostatectomy.

Urol J 2018 Nov 17;15(6):333-338. Epub 2018 Nov 17.

University of Health Sciences, Antalya Training and Research Hospital, Antalya, Turkey.

Purpose: To assess the oncologic results of our robot-assisted laparoscopic prostatectomy (RALP) cases and investigate whether the learning curve (LC) affects the oncological outcomes.  Materials and Methods: Between March 2015 and September 2017, 111 patients underwent RALP by a single surgeon in our clinic. The learning curve was analyzed using the moving average method. Read More

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http://journals.sbmu.ac.ir/urolj/index.php/uj/article/view/4
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http://dx.doi.org/10.22037/uj.v0i0.4426DOI Listing
November 2018
5 Reads

Pathological outcomes and biochemical recurrence-free survival after radical prostatectomy for high-risk prostate cancer in the Indian population.

Indian J Urol 2018 Oct-Dec;34(4):260-267

Department of Urology, Amrita Institute of Medical Sciences, Kochi, Kerala, India.

Introduction: We analyzed the biochemical recurrence-free survival (BRFS) of patients with high-risk prostate cancer (HRCaP) as per the D'Amico classification undergoing radical prostatectomy (RP) at our center. We aimed to determine whether the number and type of risk factors (cT2c-T3b, prostate-specific antigen >20 ng/ml, Gleason score >7) are associated with biochemical recurrence (BCR) in HRCaP patients undergoing RP in the Indian population.

Methods: Between 2006 and 2017, 192 patients underwent RP (open RP [ORP], laparoscopic RP [LRP], and robotic RP [RRP]) at our center, of which 109 had D'Amico HR disease. Read More

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http://www.indianjurol.com/text.asp?2018/34/4/260/242484
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http://dx.doi.org/10.4103/iju.IJU_65_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6174722PMC
October 2018
9 Reads

Recovery of urinary function after robotic-assisted laparoscopic prostatectomy versus radical perineal prostatectomy for early-stage prostate cancer.

Int Urol Nephrol 2018 Dec 16;50(12):2187-2191. Epub 2018 Oct 16.

Department of Urology, Beaumont Health, Royal Oak, MI, USA.

Introduction: Robotic-assisted laparoscopic prostatectomy (RALP) has largely replaced open radical prostatectomy in many centers. Radical perineal prostatectomy (RPP) is another less invasive approach that has not been widely adopted. RPP offers excellent exposure of the urinary sphincter and bladder neck that may provide good urinary function outcomes. Read More

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http://link.springer.com/10.1007/s11255-018-2013-8
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http://dx.doi.org/10.1007/s11255-018-2013-8DOI Listing
December 2018
19 Reads

Comparison of the effects of desflurane and total intravenous anesthesia on the optic nerve sheath diameter in robot assisted laparoscopic radical prostatectomy: A randomized controlled trial.

Medicine (Baltimore) 2018 Oct;97(41):e12772

Department of Anesthesiology and Pain Medicine, Konyang University Hospital, Daejeon, Republic of Korea.

Background: Optic nerve sheath diameter (ONSD) is a well-known surrogate marker for intracranial pressure during robot-assisted laparoscopic radical prostatectomies (RALP). ONSD during RALP is known to increase due to elevated intracranial pressure as a result of the steep Trendelenburg position and carbon dioxide pneumoperitoneum. We aimed to compare the effects of total intravenous anesthesia (TIVA) and desflurane anesthesia (DES) on ONSD during RALP. Read More

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http://Insights.ovid.com/crossref?an=00005792-201810120-0007
Publisher Site
http://dx.doi.org/10.1097/MD.0000000000012772DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6203556PMC
October 2018
4 Reads

Influences of Surgical Volume on Perioperative and Oncological Outcomes Following Radical Prostatectomy.

Urol Int 2018 25;101(3):256-262. Epub 2018 Sep 25.

Vivantes Klinikum Am Urban, Klinik für Urologie, Berlin, Germany.

Introduction: The purpose of this study was to evaluate whether the number of radical prostatectomies per hospital per year is associated with stage distribution, surgical techniques or quality related outcome in Germany.

Materials And Methods: A German Internet-based database was analyzed. Hospitals were categorized according to their yearly radical prostatectomy (RP) volume. Read More

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http://dx.doi.org/10.1159/000492119DOI Listing