1,706 results match your criteria Laparoscopic and Robotic Radical Prostatectomy

Initial experience with first postoperative day foley catheter removal after robotic assisted radical prostatectomy.

BJU Int 2021 Jun 5. Epub 2021 Jun 5.

Hospital Moinhos de Vento - Porto Alegre, Rio Grande do Sul, Brazil.

Technical modifications that can improve patient satisfaction without compromising the surgical and oncological outcomes might be attempted in robotic assisted laparoscopic prostatectomy (RARP). Herein, we describe our initial experience with postoperative day (POD) 1 foley removal after RARP. Read More

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The perioperative application of continuous cerebral autoregulation monitoring for cerebral protection in elderly patients.

Ann Palliat Med 2021 Apr;10(4):4582-4592

Department of Anesthesiology, The First Medical Center, Chinese PLA General Hospital, Beijing, China.

Background: The majority of surgical patients aged 65 years and over are accompanied with underlying conditions, making them susceptible to perioperative cerebral complications. Here, we investigated the clinical value of continuous cerebral autoregulation (CA) monitoring in protecting against cerebral dysfunction in elderly patients undergoing surgery.

Methods: This study enrolled 40 elderly patients (aged ≥65 years) and 40 middle-aged patients (aged 45 to 64 years) selected to undergo robotic-assisted laparoscopic radical prostatectomy. Read More

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Extraperitoneal Laparoscopic Versus Transperitoneal Robot-Assisted Laparoscopic Approaches for Extended Pelvic Lymph Node Dissection During Radical Prostatectomy.

J Laparoendosc Adv Surg Tech A 2021 May 6. Epub 2021 May 6.

Department of Urology, Faculty of Medicine, Okan University Hospital, Istanbul, Turkey.

We aim to directly compare the feasibility and safety of extended pelvic lymph node dissection (PLND) during transperitoneal robotic-assisted radical prostatectomy (Tp-RARP) and extraperitoneal laparoscopic radical prostatectomy (Ep-LRP). We retrospectively identified the prospectively maintained database records of 162 patients diagnosed with prostate cancer (PC) who underwent Ep-LRP or Tp-RARP with extended PLND. Patients with risk of nodal metastases over 5% according to Briganti nomogram received extended PLND. Read More

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[Risk Factors for Recurrence in Patients with Pathological Lymph Node-Positive Prostate Cancer after Extended Lymph Node Dissection in Laparoscopic and Robotic-Assisted Radical Prostatectomy].

Hinyokika Kiyo 2021 Mar;67(3):83-90

The Department of Urology, Kobe City Medical Center General Hospital.

From April 2007 to April 2018, we performed lymph node dissection in 305 cases of laparoscopic radical prostatectomy and 202 cases of robot-assisted radical prostatectomy at our hospital, and there were 68 cases with positive lymph node metastasis (pN1). Of these 68 cases, we examined retrospectively 62 cases in which extended lymph node dissection (ELND) was performed. The median number of removed lymph nodes was 25 (interquartile range [IQR] ; 18-34) and the median number of metastatic lymph nodes was 1 (IQR ; 1-3). Read More

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J Endourol 2021 May 5. Epub 2021 May 5.

AdventHealth Global Robotics Institute, Urology, Celebration, Florida, United States;

Introduction To identify factors affecting potency and to predict ideal patient subgroups who will have the highest chance of being potent post RALP based on NS. Materials and methods Analysis of 7268 patients that underwent RALP between 2008-2018 with a minimum of 12 months follow-up was performed. The patients were then categorized into 4 separate Neurovascular Bundle sparing groups (NVB 1-4). Read More

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Urine leak after robotic radical prostatectomy: not all urine leaks come from the anastomosis.

J Robot Surg 2021 Apr 24. Epub 2021 Apr 24.

USC Institute of Urology, University of Southern California, 1441 Eastlake Ave., Suite 7416, Los Angeles, CA, 90089-9178, USA.

Radical prostatectomy is the gold standard in patients that are surgical candidates with localized prostate cancer. While most postoperative urine leaks are from vesico-urethral anastomosis, urologists must be aware that a small percentage of patients may have a urine leak from other sites that may have been inadvertently injured during the procedure. We propose a systematic workup to evaluate the source of the urinary leak as well as appropriate management of such injuries. Read More

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[An evidence-based analysis comparing two approaches of robot-assisted laparoscopic radical prostatectomy: the standard technique and Retzius-sparing technique].

Zhonghua Yi Xue Za Zhi 2021 Apr;101(15):1083-1087

Department of Urology, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou 310016, China.

To compare the postoperative outcomes and urinary continence recovery time between standard robotic-assisted laparoscopic radical prostatectomy (RARP) and Retzius-sparing robotic-assisted laparoscopic radical prostatectomy (RsRARP). A total of 92 patients with low to intermediate-risk prostate cancer who underwent RARP (=52) and RsRARP (=40) in Sir Run Run Shaw Hospital from October, 2016 to January, 2018 were retrospectively reviewed. Perioperative data (operative time, estimated blood loss, complications, postoperative staging, postoperative Gleason score) and surgical outcomes (rate of margin positive, urinary continence recovery time) of RARP and RsRARP group were comparatively analyzed. Read More

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Role of laparoscopy in the era of robotic surgery in urology in developing countries.

Indian J Urol 2021 Jan-Mar;37(1):32-41. Epub 2021 Jan 1.

Department of Urology, Renal Transplantation, Robotics and Uro-Oncology, Max Hospital, New Delhi, India.

With the rapid expansion of robotic platforms in urology, there is an urgent and unmet need to review its cost and benefits in comparison to the traditional laparoscopy, especially in reference to a developing country. A nonsystematic review of the literature was conducted to compare the outcomes of pure laparoscopic and robot-assisted urologic procedures. Available literature over the past 30 years was reviewed. Read More

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January 2021

Robot-assisted radical prostatectomy versus standard laparoscopic radical prostatectomy: an evidence-based analysis of comparative outcomes.

World J Urol 2021 Apr 11. Epub 2021 Apr 11.

Division of Urology, VCU Health, Richmond, VA, 23298-0118, USA.

Purpose: To provide a systematic analysis of the comparative outcomes of robot-assisted radical prostatectomy (RARP) versus laparoscopic radical prostatectomy (LRP) in the treatment of prostate cancer based on the best currently available evidence.

Methods: An independent systematic review of the literature was performed up to February 2021, using MEDLINE, EMBASE, and Web of Science databases. Preferred reporting items for systematic review and meta-analysis (PRISMA) recommendations were followed to design search strategies, selection criteria, and evidence reports. Read More

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Comparison of Perioperative, Oncological, and Functional Outcomes of Three-Dimensional Versus Robot-Assisted Laparoscopic Radical Prostatectomy: A Preliminary Study.

J Laparoendosc Adv Surg Tech A 2021 Apr 9. Epub 2021 Apr 9.

Department of Urology, Ataturk University Faculty of Medicine, Erzurum, Turkey.

Radical prostatectomy (RP) is the first-line treatment modality for prostate cancer and can be performed using retropubic or minimally invasive techniques. New technologies such as the da Vinci robotic system and three-dimensional (3D) laparoscopic imaging system have been developed to overcome the challenges of conventional laparoscopy. This study aimed to compare the perioperative, oncological, and functional outcomes of robot-assisted laparoscopic RP (RALP) and 3D laparoscopic RP (3D LRP). Read More

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The effect of the type of surgery performed due to prostate cancer on preoperative patient anxiety, a prospective study.

Am J Clin Exp Urol 2021 15;9(1):88-95. Epub 2021 Feb 15.

University of Health Sciences Tepecik Training and Research Hospital Urology Clinic Izmir, Turkey.

Objective: Anxiety level in prostate cancer patients is common due to the increase in the incidence of prostate cancer diagnosis. We aimed to search for answers to the following questions such as whether there is preoperative anxiety in patients who will be operated for prostate cancer, what are the risk factors that may cause disease-induced anxiety and the type of surgery especially does robotic surgery reduce patient anxiety.

Method: The patients who were taken into operation were divided into 2 groups as Open Radical Retropubic Prostatectomy-Group 1 and Robot-Assisted Laparoscopic Radical Prostatectomy-Group 2. Read More

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February 2021

Latest Comprehensive Medical Resource Consumption in Robot-Assisted versus Laparoscopic and Traditional Open Radical Prostatectomy: A Nationwide Population-Based Cohort Study.

Cancers (Basel) 2021 Mar 29;13(7). Epub 2021 Mar 29.

Department of Health Care Administration, College of Management, Taipei Medical University, Taipei 110, Taiwan.

Background: Few studies have evaluated long-term medical monetary cost in patients with prostate cancer (PC) receiving open radical prostatectomy (ORP), laparoscopic radical prostatectomy (LRP), or robot-assisted radical prostatectomy (RARP). To the best of our knowledge, this is the largest and longest follow-up study to examine medical monetary cost in patients with PC undergoing ORP, LRP, or RARP. After adjustment for confounders, the medical monetary cost in the RARP group was the least compared with that in the ORP and LRP groups. Read More

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Peritoneal flap for lymphocele prophylaxis following robotic-assisted laparoscopic radical prostatectomy with pelvic lymph node dissection: study protocol and trial update for the randomized controlled PELYCAN study.

Trials 2021 Mar 29;22(1):236. Epub 2021 Mar 29.

Department of Urology and Urologic Surgery, University Medical Center Mannheim, Medical Faculty Mannheim, University of Heidelberg, Theodor-Kutzer-Ufer 1-3, 68167, Mannheim, Germany.

Background: Data from interventional studies suggest that a peritoneal flap after pelvic lymph node dissection (LND) during laparoscopic, robotic-assisted radical prostatectomy (RARP) may reduce the rate of symptomatic lymphoceles in transperitoneal approach. However, most of these studies are not conducted in a randomized controlled fashion, thus limiting their scientific value. A recent prospective, randomized, controlled trial (RCT) did not show superiority of a peritoneal flap while further trials are lacking. Read More

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Laparoscopic surgery experience does not influence oncological and functional results of robotic-assisted laparoscopic prostatectomy.

Urologia 2021 Mar 25:3915603211004781. Epub 2021 Mar 25.

Izmir Tepecik Training and Research Hospital, Konak, Izmir, Turkey.

Introduction: Surgery is one of the treatment alternatives for prostate cancer, and robotic-assisted laparoscopic prostatectomy (RALP) has become the new trend in the past decade. There is no consensus yet for surgeons who will perform RALP whether they need to be trained or experienced in laparoscopy. In this study, it was aimed to investigate the effectiveness of the surgeon's laparoscopy experience in the perioperative and postoperative results of RALP patients. Read More

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Urinary continence recovery and oncological outcomes after surgery for prostate cancer analysed by risk category: results from the LAParoscopic prostatectomy robot and open trial.

World J Urol 2021 Mar 20. Epub 2021 Mar 20.

Department of Molecular Medicine, Surgery and Pelvic Cancer, Karolinska Institutet, Karolinska University Hospital, 17176, Stockholm, Sweden.

Purpose: To evaluate urinary continence (UC) recovery and oncological outcomes in different risk-groups after robot-assisted radical prostatectomy (RALP) and open retropubic radical prostatectomy (RRP).

Patients And Methods: We analysed 2650 men with prostate cancer from seven open (n = 805) and seven robotic (n = 1845) Swedish centres between 2008 and 2011 in a prospective non-randomised trial, LAPPRO. UC recovery was defined as change of pads less than once in 24 h. Read More

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Minimally Invasive Lymphocele Drainage using the da Vinci® Single Port Platform: Step-by-Step Technique of a prostate cancer referral center.

J Endourol 2021 Mar 16. Epub 2021 Mar 16.

AdventHealth Global Robotics Institute, Urology, Celebration, Florida, United States;

Some reports in the literature describe lymphocele formation in up to half of patients following pelvic lymph node dissection (PLND) in robotic-assisted radical prostatectomy (RARP), with 1-2% requiring intervention. Several treatment modalities for symptomatic lymphoceles are available, including percutaneous drainage, sclerosing agents, and surgical marsupialization, typically performed by laparoscopy or with a multiport robotic platform. The advantage of surgical approach is permanent excision of the lymphocele capsule and fewer days with pelvic drains compared to percutaneous drainage. Read More

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Indocyanine green use in Urology.

J BUON 2021 Jan-Feb;26(1):266-274

"Iuliu Hatieganu" University of Medicine and Pharmacy, Department of Urology, Cluj-Napoca, Romania.

Purpose: Indocyanine green (ICG) is being used more and more in Urology along with advances in minimal invasive surgery, guiding excision and reconstruction, highlighting anatomic structures and functional features with oncologic guidance still being debatable. The purpose of this paper was to explore ICG use in urologic procedures.

Methods: We present our experience (37 cases) of using ICG fluorescence guidance in urologic operations performed using 3D laparoscopy and FireFly® fluorescence imaging mode of Da Vinci X robot. Read More

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Prevalence of Postprostatectomy Incontinence Requiring Anti-incontinence Surgery After Radical Prostatectomy for Prostate Cancer: A Retrospective Population-Based Analysis.

Int Neurourol J 2021 Mar 9. Epub 2021 Mar 9.

Department of Urology, Stanford University Medical Center, Stanford, CA, USA.

Purpose: The aim of this study was to examine the prevalence of surgery for post-prostatectomy incontinence (PI) following minimally invasive surgery compared to conventional open surgery for prostate cancer.

Methods: This retrospective cohort study used the Florida State Ambulatory Surgery and State Inpatient Databases, 2008 to 2010, RP patients were identified using ICD-9/10 procedure codes and among this cohort PI was identified also using ICD-9/10 codes. Surgical approaches included Minimally invasive (robotic or laparoscopic) vs. Read More

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Consulting 'Dr. Google' for minimally invasive urological oncological surgeries: A contemporary web-based trend analysis.

Int J Med Robot 2021 Mar 5. Epub 2021 Mar 5.

Department of Urology, University of Verona, Verona, Italy.

Purpose: To determine web-based public interest in minimally invasive surgery (MIS) specifically for urological oncological surgical procedures and how interest in robotics and laparoscopy compares over time.

Materials And Methods: Worldwide search-engine trend analysis included electronic Google queries of MIS urologic options from January 2004 to August 2019, worldwide. Join-point regression was performed. Read More

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Complex space of Retzius lymphocele resulting in iliac compression and submassive pulmonary embolism after robotic Retzius sparing prostatectomy.

Urol Case Rep 2021 May 4;36:101598. Epub 2021 Feb 4.

Department of Urology, MedStar Georgetown University Hospital, Washington, DC, USA.

Lymphoceles are common following prostatectomy with lymph node dissection, but the vast majority are asymptomatic. We present a unique case of a large complex lymphocele tracking into the anterior space of Retzius following Retzius sparing prostatectomy and bilateral pelvic lymphadenectomy. The patient initially presented with shortness of breath and subsequent diagnosis of a submassive pulmonary embolism. Read More

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[Lateral Port Site Hernia Following Robot Assisted Laparoscopic Radical Prostatectomy : A Case Report and Literature Review].

Hinyokika Kiyo 2021 Feb;67(2):73-77

The Department of Urology, Toho University.

The patient was a 69-year-old man with localized cT1cN0M0 prostate cancer, who underwent robotassisted laparoscopic prostatectomy (RALP). The operation time was 188 minutes, blood loss was 300 ml, including urine, and no intraoperative complications were noted. The fourth day after RALP, he suddenly complained of nausea and vomiting, and there was right lateral abdominal tenderness. Read More

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February 2021

Author Reply : Outpatient Extraperitoneal Single-port Robotic Radical Prostatectomy.

Urology 2021 Jun 26;152:204. Epub 2021 Feb 26.

Department of Urology, Section of Laparoscopic & Minimally Invasive Surgery Center, Glickman Urological Institute, Cleveland Clinic, Cleveland, OH. Electronic address:

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Robotic-assisted radical prostatectomy-impact of a mentorship program on oncological outcomes during the learning curve.

Ir J Med Sci 2021 Feb 27. Epub 2021 Feb 27.

Department of Urology, St. Vincent's University Hospital, Dublin, Ireland.

Background And Aims: The learning curve for robotic-assisted radical prostatectomy (RARP) is estimated to be about 50-200 cases. This study will evaluate the benefit of a mentorship programme after completing a mini-fellowship in RARP by an experienced surgeon who previously trained in open and laparoscopic surgery.

Methods: Our study was a retrospective comparative analysis of RARP performed by a single consultant urologist. Read More

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February 2021

Early urinary continence recovery following retzius-sparing robotic-assistant radical prostatectomy with suprapubic catheter: a short-term follow-up outcome.

World J Urol 2021 Feb 27. Epub 2021 Feb 27.

Department of Urology, Xiangya Hospital of Central South University, Changsha, China.

Objective: To evaluate the recovery of early urinary continence in patients with prostate cancer using a suprapubic catheter during Retzius-sparing robotic-assistant laparoscopic prostatectomy.

Patients And Methods: From January 2018 to January 2019, 223 patients diagnosed with prostate cancer who underwent Retzius-sparing robotic-assistant laparoscopic prostatectomy in Diakonie Klinikum Stuttgart were involved in our study. From January 2018 to June 2018, patients (112 cases) only had an indwelling urinary catheter during Retzius-sparing robotic-assistant laparoscopic prostatectomy, while from July 2018 to January 2019, patients (111 cases) were offered an extra suprapubic catheter during operation. Read More

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February 2021

Beneficial Effects of Intravenous Magnesium Administration During Robotic Radical Prostatectomy: A Randomized Controlled Trial.

Adv Ther 2021 03 21;38(3):1701-1712. Epub 2021 Feb 21.

Department of Anesthesiology and Pain Medicine, Ajou University School of Medicine, 164, World cup-ro, Yeongtong-gu, Suwon, South Korea.

Introduction: Robotic radical prostatectomy requires prolonged pneumoperitoneum and a steep Trendelenburg position. Magnesium can attenuate the stress response and hemodynamic perturbations. This study aimed to evaluate the effects of intravenous magnesium administration on hemodynamics and the stress response in patients undergoing robotic radical prostatectomy. Read More

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Robotic-assisted Versus Laparoscopic Surgery: Outcomes from the First Multicentre, Randomised, Patient-blinded Controlled Trial in Radical Prostatectomy (LAP-01).

Eur Urol 2021 Jun 9;79(6):750-759. Epub 2021 Feb 9.

Clinical Trial Centre Leipzig, University of Leipzig, Leipzig, Germany; Institute for Medical Informatics, Statistics and Epidemiology University of Leipzig, Leipzig, Germany.

Background: The LAP-01 trial was designed to address the lack of high-quality literature comparing robotic-assisted (RARP) and laparoscopic (LRP) radical prostatectomy.

Objective: To compare the functional and oncological outcomes between RARP and LRP at 3 mo of follow-up.

Design, Setting, And Participants: In this multicentre, randomised, patient-blinded controlled trial, patients referred for radical prostatectomy to four hospitals in Germany were randomly assigned (3:1) to undergo either RARP or LRP. Read More

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Single-port technique evolution and current practice in urologic procedures.

Asian J Urol 2021 Jan 22;8(1):100-104. Epub 2020 May 22.

Department of Robotic Surgery, AdventHealth Global Robotics Institute, Celebration, FL, USA.

Different groups described the single-port surgery since its first report in laparoscopic procedures. However, the acceptance of this technique among urologists, even after the robotic approach, was reduced in the past years. Therefore, to overcome the challenges related to the single-port surgery, a new robotic platform named da Vinci SP was created with exclusive single port technology. Read More

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January 2021

Current Trends in Management of Renal Cell Carcinoma with Venous Thrombus Extension.

Curr Urol Rep 2021 Feb 8;22(4):23. Epub 2021 Feb 8.

Urology Department, Hospital Italiano de Buenos Aires, Juan D. Perón 4190, C1181ACH, Buenos Aires, Argentina.

Purpose Of Review: To review the evidence regarding the current trends in surgical management of renal cell carcinoma (RCC) with inferior vena cava (IVC) thrombosis. Recent published series have shown the role of minimally invasive surgery in IVC thrombectomy. This review article evaluates the present RCC with venous extent literature to assess the role of open and minimally invasive surgery in this scenario. Read More

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February 2021