1,450 results match your criteria Laparoscopic and Robotic Radical Prostatectomy


[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

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. Epub 2019 Feb 7.

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

Background: 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.

Methods: We analyzed 1827 prostate cancer patients treated with robot-assisted radical prostatectomy. Read More

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

[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
1 Read

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
February 2019

Design and Validation of a Low-cost, High-fidelity Model for the Urethrovesical Anastomosis in Radical Prostatectomy.

J Endourol 2019 Feb 8. Epub 2019 Feb 8.

UT Southwestern medical center, Urology , 5323 Harry Hines Blvd. , J8.106 , Dallas, Texas, United States , 75390 ;

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

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

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http://dx.doi.org/10.1089/end.2018.0871DOI Listing
February 2019

Incidence, predictive factors and preventive measures for inguinal hernia following robotic and laparoscopic radical prostatectomy: A systematic review.

J Urol 2019 Feb 4. Epub 2019 Feb 4.

Chris O'Brien Lifehouse none to declare Chris O'Brien Lifehouse Chris O'Brien Lifehouse Chris O'Brien Lifehouse Chris O'Brien Lifehouse Chris O'Brien Lifehouse Chris O'Brien Lifehouse Chris O'Brien Lifehouse Chris O'Brien Lifehouse.

Purpose: Inguinal hernia is a known sequalae of radical prostatectomy which contributes to patient morbidity and healthcare expenditure. This systematic review evaluates the incidence of inguinal hernias associated with minimally invasive radical prostatectomy, in addition to predictive factors and preventative measures.

Materials And Methods: A search of PubMed and EMBASE was conducted, between 2000 and February 2018. Read More

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http://dx.doi.org/10.1097/JU.0000000000000133DOI Listing
February 2019

[-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
1 Read

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

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
1 Read

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

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
March 2019
3 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

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

J Endourol 2019 Feb 8. 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
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http://dx.doi.org/10.1089/end.2018.0815DOI Listing
February 2019
4 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
4 Reads

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
1 Read

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
1 Read

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
1 Read

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 2018 Oct 20;44. Epub 2018 Oct 20.

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
October 2018
7 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

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
10 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
12 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
9 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
4 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
7 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
12 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
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http://dx.doi.org/10.1097/MD.0000000000012772DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6203556PMC
October 2018
3 Reads

Robotic-assisted vs. open radical prostatectomy: A machine learning framework for intelligent analysis of patient-reported outcomes from online cancer support groups.

Urol Oncol 2018 12 17;36(12):529.e1-529.e9. Epub 2018 Sep 17.

University of Melbourne, Department of Surgery, Austin Hospital, Heidelberg, Victoria, Australia.

Background: The advantages of Robot-assisted laparoscopic prostatectomy (RARP) over open radical prostatectomy (ORP) in Prostate cancer perioperatively are well-established, but quality of life is more contentious. Increasingly, patients are utilising online cancer support groups (OCSG) to express themselves. Currently there is no method of analysis of these sophisticated data sources. Read More

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http://dx.doi.org/10.1016/j.urolonc.2018.08.012DOI Listing
December 2018
7 Reads
1 Citation
2.770 Impact Factor

[Is transition from pure laparoscopic to robotic-assisted radical prostatectomy associated with increase of surgical procedures for urinary incontinence and erectile dysfunction?]

Prog Urol 2018 Dec 13;28(16):921-926. Epub 2018 Sep 13.

Service d'urologie, CHU Henri-Mondor, AP-HP, 51, avenue du Maréchal de Lattre de Tassigny, 94010 Créteil, France. Electronic address:

Objective: To study the impact of changing the technique of radical prostatectomy [pure laparoscopic radical (PR-Lap) to robot-assisted radical prostatectomy (RP-Rob)] on the rate of secondary procedures for urinary incontinence (UI) and erectile dysfunction (ED).

Material: Retrospective study evaluating the number and type of surgical procedures for post-RP UI and DE between 2008 and 2015, according to the technique of (RP-Lap or RP-Rob).

Results: Between 2008 et 2015, 2046 RP were performed in our department including 372 RP-Lap and 1674 RP-Rob. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S11667087183047
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http://dx.doi.org/10.1016/j.purol.2018.08.008DOI Listing
December 2018
16 Reads

A matched and controlled longitudinal cohort study of dehydrated human amniotic membrane allograft sheet used as a wraparound nerve bundles in robotic-assisted laparoscopic radical prostatectomy: a puissant adjunct for enhanced potency outcomes.

J Robot Surg 2018 Sep 12. Epub 2018 Sep 12.

Larkin University, Miami, FL, USA.

We sought to explore the potency outcomes in two systematically controlled, non-randomized, matched, homogenous patient cohorts, which either underwent intervention (INT) with placement of dehydrated human amniotic membrane (dHAM) around nerve bundles (NVB) during robotic-assisted laparoscopic radical prostatectomy (RALP) or did not (CON). It is hypothesized that dHAM use would lead to better potency outcomes. 1400 eligible informed, consented patients underwent full bilateral nerve-sparing RALP by a single surgeon, wherein 700 patients had dHAM allograft wrapped around the NVB and 700 did not. Read More

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http://dx.doi.org/10.1007/s11701-018-0873-7DOI Listing
September 2018

Short interval of biopsy to robotic-assisted laparoscopic radical prostatectomy does not render any adverse effects on the perioperative outcomes.

Medicine (Baltimore) 2018 Sep;97(36):e11686

Department of Urology, Zhongshan Hospital, Fudan University, Shanghai, China.

The aim of our study was to investigate the effects of prostate biopsy on perioperative outcomes of robotic-assisted laparoscopic prostatectomy (RALP).A total of 181 patients who underwent the RALP in our institution have been retrospectively reviewed, patients were divided into different groups according to the interval of biopsy to RALP and core numbers of biopsy. Perioperative outcomes including estimated blood loss (EBL), operative time (OT), surgical margin status, postoperative drainage, hospital stay, and perioperative complications were served as endpoints. Read More

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http://Insights.ovid.com/crossref?an=00005792-201809070-0000
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http://dx.doi.org/10.1097/MD.0000000000011686DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6133572PMC
September 2018
3 Reads

Nongenitourinary complications associated with robot-assisted laparoscopic and radical retropubic prostatectomy: A single institution assessment of 1,100 patients over 11 years.

Urol Oncol 2018 11 25;36(11):501.e9-501.e13. Epub 2018 Aug 25.

Department of Urology, University of Iowa, Iowa City, IA. Electronic address:

Objectives: Robot-assisted laparoscopic prostatectomy (RALP) and radical retropubic prostatectomy (RRP) provide similar outcomes in terms of biochemical recurrence, postoperative continence, and erectile function. Little is known about other complications of these procedures. To further address this, we examined patient outcomes at our institution over an 11-year period. Read More

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http://dx.doi.org/10.1016/j.urolonc.2018.07.017DOI Listing
November 2018
12 Reads

Different approaches to the prostate: The upcoming role of a purpose-built single-port robotic system.

Arab J Urol 2018 Sep 24;16(3):302-306. Epub 2018 May 24.

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

With the aim of minimising the patient's postoperative pain, expediting recovery and improving cosmesis, the idea of performing a laparoscopic procedure through a single abdominal incision was introduced. In the present report, we describe five different access routes to the prostate that may be at the surgeon's disposal with the potential of decreasing patient's perioperative morbidity. Robotic radical prostatectomy has been refined and became a standard of care in surgery for localised prostate cancer. Read More

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http://dx.doi.org/10.1016/j.aju.2018.04.003DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6105340PMC
September 2018
1 Read

Expanding the indications of robotic surgery in urology: A systematic review of the literature.

Arab J Urol 2018 Sep 7;16(3):270-284. Epub 2018 Aug 7.

Bristol Urological Institute, Southmead Hospital, Bristol, UK.

Objectives: To evaluate the recent developments in robotic urological surgery, as the introduction of robotic technology has overcome many of the difficulties of pure laparoscopic surgery enabling surgeons to perform complex minimally invasive procedures with a shorter learning curve. Robot-assisted surgery (RAS) is now offered as the standard for various surgical procedures across multiple specialities.

Methods: A systematic search of MEDLINE, PubMed and EMBASE databases was performed to identify studies evaluating robot-assisted simple prostatectomy, salvage radical prostatectomy, surgery for urolithiasis, distal ureteric reconstruction, retroperitoneal lymph node dissection, augmentation ileocystoplasty, and artificial urinary sphincter insertion. Read More

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http://dx.doi.org/10.1016/j.aju.2018.05.005DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6105341PMC
September 2018
4 Reads

Health Economic Analysis of Open and Robot-assisted Laparoscopic Surgery for Prostate Cancer Within the Prospective Multicentre LAPPRO Trial.

Eur Urol 2018 12 22;74(6):816-824. Epub 2018 Aug 22.

Department of Surgery, Institute of Clinical Sciences, Sahlgrenska Academy at the University of Gothenburg, Gothenburg, Sweden.

Background: The rapid adoption of robot-assisted laparoscopy in radical prostatectomy has preceded data regarding associated costs. Qualitative evidence regarding cost outcomes is lacking.

Objective: This study assessed how costs were affected by robot-assisted laparoscopic prostatectomy (RALP) compared with open surgery. Read More

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http://dx.doi.org/10.1016/j.eururo.2018.07.038DOI Listing
December 2018
11 Reads

How robotic surgery is changing our understanding of anatomy.

Arab J Urol 2018 Sep 6;16(3):297-301. Epub 2017 Nov 6.

Department of Surgery, Oncology and Gastroenterology - Urology, University of Padua, Padua, Italy.

The most recent revolution in our understanding and knowledge of the human body is the introduction of new technologies allowing direct magnified vision of internal organs, as in laparoscopy and robotics. The possibility of viewing an anatomical detail, until now not directly visible during open surgical operations and only partially during dissections of cadavers, has created a 'new surgical anatomy'. Consequent refinements of operative techniques, combined with better views of the surgical field, have given rise to continual and significant decreases in complication rates and improved functional and oncological outcomes. Read More

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http://dx.doi.org/10.1016/j.aju.2017.10.001DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6104660PMC
September 2018

A brief overview of the development of robot-assisted radical prostatectomy.

Arab J Urol 2018 Sep 24;16(3):293-296. Epub 2018 Jul 24.

Department of Urology, Rostock University, Germany.

Robot-assisted radical prostatectomy (RP) has gained remarkable worldwide distribution and has become a standard procedure for localised prostate cancer, indeed a new 'gold standard'. There are proven advantages in reduced blood loss and shorter recovery time. Whilst case series publications often report improved functional outcomes, systematic hospital and healthcare data analyses mostly do not support these findings. Read More

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http://dx.doi.org/10.1016/j.aju.2018.06.006DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6104667PMC
September 2018
1 Read

Complications in robotic urological surgeries and how to avoid them: A systematic review.

Arab J Urol 2018 Sep 14;16(3):285-292. Epub 2017 Dec 14.

Department of Urology, L'Institut Mutualiste Montsouris, Université Paris-Descartes, Paris, France.

Objectives: To review the main complications related to the robot-assisted laparoscopic (RAL) approach in urology and to suggest measures to avoid such issues.

Methods: A systematic search for articles of the contemporary literature was performed in PubMed database for complications in RAL urological procedures focused on positioning, access, and operative technique considerations. Each complication topic is followed by recommendations about how to avoid it. Read More

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http://dx.doi.org/10.1016/j.aju.2017.11.005DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6104661PMC
September 2018
4 Reads

The age of robotic surgery - Is laparoscopy dead?

Arab J Urol 2018 Sep 30;16(3):262-269. Epub 2018 Jul 30.

Klinikum am Steinenberg, Reutlingen, Germany.

Introduction: Robot-assisted laparoscopic surgery (RALS) has become a widely used technology in urology. Urological procedures that are now being routinely performed robotically are: radical prostatectomy (RP), radical cystectomy (RC), renal procedures - mainly partial nephrectomy (PN), and pyeloplasty, as well as ureteric re-implantation and adrenalectomy.

Methods: This non-systematic review of the literature examines the effectiveness of RALS compared with conventional laparoscopic surgery for the most relevant urological procedures. Read More

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http://dx.doi.org/10.1016/j.aju.2018.07.003DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6104663PMC
September 2018
3 Reads

Robot - assisted laparoscopic local recurrence resection after radical prostatectomy.

Int Braz J Urol 2018 08 10;44. Epub 2018 Aug 10.

Serviço de Urologia, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, SP, Brasil.

Introduction And Objective: Local prostate cancer recurrence is usually treated with salvage radiation (sRDT) with or without adjuvant therapy. However, surgical resection could be an option. We aim to present the surgical technique for robot - assisted laparoscopic resection prostate cancer local recurrence after radical prostatectomy (RP) and sRDT in 2 cases. Read More

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http://dx.doi.org/10.1590/S1677-5538.IBJU.2017.0503DOI Listing
August 2018
6 Reads

An Unusual Finding During Robotic-Assisted Laparoscopic Radical Prostatectomy.

Clin Infect Dis 2018 Aug;67(5):802-804

Service de Médecine Interne et des Maladies Tropicales, Hôpital St-André, CHU Bordeaux, France.

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http://dx.doi.org/10.1093/cid/ciy081DOI Listing
August 2018
1 Read

Lower limb perfusion during robotic-assisted laparoscopic radical prostatectomy evaluated by near-infrared spectroscopy: an observational prospective study.

BMC Anesthesiol 2018 08 18;18(1):114. Epub 2018 Aug 18.

Department of Anesthesia and Perioperative Medicine, Ehime University Graduate School of Medicine, 454 Shitsukawa, Toon City, Ehime, Japan.

Background: Decreased perfusion in the lower extremities is one of the several adverse effects of placing patients in a lithotomy or Trendelenburg position during surgery. This study aimed to evaluate the effects of patient positioning in lower limb perfusion patients undergoing robotic-assisted laparoscopic radical prostatectomy (RARP) using near-infrared spectroscopy (NIRS).

Methods: This observation study comprised 30 consenting males with American Society of Anaesthesiologists physical status classes I and II (age range, ≥20 to < 80 years). Read More

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http://dx.doi.org/10.1186/s12871-018-0567-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6098825PMC
August 2018
3 Reads

Preoperative Brimonidine Tartrate 0.2% Does not Prevent an Intraocular Pressure Rise During Prostatectomy in Steep Trendelenburg Position.

J Glaucoma 2018 Nov;27(11):965-970

Department of Ophthalmology and Vision Sciences.

Purpose: This study evaluated the effect of preoperative brimonidine tartrate 0.2% on intraocular pressure (IOP) during robotic-assisted laparoscopic radical prostatectomy in steep Trendelenburg position (sTBURG).

Materials And Methods: In this prospective randomized controlled masked interventional trial, eligible patients scheduled for robotic-assisted laparoscopic radical prostatectomy in sTBURG at the Toronto General Hospital had one eye randomized to placebo (artificial tears) or drug (brimonidine tartrate 0. Read More

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http://dx.doi.org/10.1097/IJG.0000000000001047DOI Listing
November 2018
43 Reads
2.430 Impact Factor

Current status of robot-assisted urologic surgery in Saudi Arabia: Trends and opinions from an Internet-based survey.

Urol Ann 2018 Jul-Sep;10(3):263-269

Department of Urology, Umm-Alqura University, Makkah, Saudi Arabia.

Objectives: The objective of this study is to assess the current status of urologic robot-assisted surgery (RAS) in Saudi Arabia and evaluate perceptions of its importance and utility.

Methods: A 59-item questionnaire was E-mailed to urologists and trainees in Saudi Arabia to assess the demographics and individual and institutional surgical practices of minimally invasive surgery (MIS) with a focus on RAS and urologic subtypes.

Results: Ninety-five surveys were completed. Read More

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http://dx.doi.org/10.4103/UA.UA_8_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6060598PMC
August 2018
2 Reads

Easy, reproducible extraperitoneal pelvic access for robot - assisted radical prostatectomy.

Int Braz J Urol 2018 Jul 30;44. Epub 2018 Jul 30.

Brady Urological Institute, Johns Hopkins University School of Medicine, Baltimore, Maryland, United States.

Robot - assisted radical prostatectomy is commonly performed transperitoneally (tRARP), although the extraperitoneal (eRARP) approach is a safe and effective alternative that may be preferred in certain situations. We developed a novel method of direct access into the space of Retzius with a visual obturator port (VisiportTM) for laparoscopic or robotic prostatectomy. We present an instructional video of extraperitoneal pelvic access for eRARP with both internal and external camera views. Read More

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http://dx.doi.org/10.1590/S1677-5538.IBJU.2018.0175DOI Listing
July 2018
1 Read

A system using patient-specific 3D-printed molds to spatially align in vivo MRI with ex vivo MRI and whole-mount histopathology for prostate cancer research.

J Magn Reson Imaging 2019 Jan 2;49(1):270-279. Epub 2018 Aug 2.

Department of Radiological Sciences, University of California Los Angeles, Los Angeles, California, USA.

Background: Patient-specific 3D-printed molds and ex vivo MRI of the resected prostate have been two important strategies to align MRI with whole-mount histopathology (WMHP) for prostate cancer (PCa) research, but the combination of these two strategies has not been systematically evaluated.

Purpose: To develop and evaluate a system that combines patient-specific 3D-printed molds with ex vivo MRI (ExV) to spatially align in vivo MRI (InV), ExV, and WMHP in PCa patients.

Study Type: Prospective cohort study. Read More

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http://doi.wiley.com/10.1002/jmri.26189
Publisher Site
http://dx.doi.org/10.1002/jmri.26189DOI Listing
January 2019
10 Reads
3.210 Impact Factor