937 PERI-OPERATIVE OUTCOMES AND EARLY COMPLICATION RATES AFTER 4000 ROBOT ASSISTED RADICAL PROSTATECTOMIES

2011 ◽  
Vol 185 (4S) ◽  
Author(s):  
Sanket Chauhan ◽  
Rafael Coelho ◽  
Ananthakrishnan Sivaraman ◽  
Kenneth Palmer ◽  
Bernardo Rocco ◽  
...  
Keyword(s):  
Complication Rates ◽  
Early Complication ◽  
Robot Assisted ◽  
Operative Outcomes

scholarly journals Retropubic, Laparoscopic, and Robot-Assisted Radical Prostatectomy: A Comparative Analysis of the Surgical Outcomes in a Single Regional Center

2017 ◽  
Vol 11 (1) ◽  
pp. 36-41 ◽  
Author(s):  
Lorenzo Giuseppe Luciani ◽  
Daniele Mattevi ◽  
William Mantovani ◽  
Tommaso Cai ◽  
Stefano Chiodini ◽  
...  
Keyword(s):  
Radical Prostatectomy ◽  
Hospital Stay ◽  
Surgical Outcomes ◽  
Complication Rates ◽  
Robot Assisted ◽  
Operative Outcomes ◽  
Regional Center ◽  
Lower Blood ◽  
Continence Rate ◽  
Laparoscopic Assisted

Background: To compare the surgical outcomes of radical prostatectomy (RP) performed via 3 different approaches: retropubic (RRP), laparoscopic-assisted (LRP), and robot-assisted (RARP), in a single non-academic regional center by a single surgeon. Materials and Methods: The data of patients undergoing RP from 2005 to 2014 were reviewed. The standard approach changed through the years: RRP (n = 380, years 2005 to 2008), LRP (n = 240, years 2009 to 2011), and RARP (n = 262, years 2012 to 2014). Our analysis included the last consecutive 100 RP for each surgical technique by a single surgeon. A logistic regression model adjusted for pre-and postoperative variables was done to evaluate whether transfusion, conversion, and post-operative complication rates were influenced by the approach. Results: RARP was associated with significantly lower blood loss (400 vs. 600 and 600 ml, respectively), transfusion (6 vs. 21 and 21%, respectively), and shorter hospital stay (6 vs. 7 and 8 days, respectively), compared to LRP and RRP, and a lower conversion rate (1 vs. 12%) compared to LRP. Multivariate analysis adjusted for confounders confirmed that the risk of transfusion and conversion was significantly lower in the RARP group compared to the LRP and RRP groups. The RARP group was also associated with a significantly lower risk of complications compared to the RRP group and with a trend in favor of the RARP group compared to the LRP group. The 1-year continence rate was significantly higher in the RARP group compared to the RRP and LRP groups (80 vs. 72 and 68%, respectively). Conclusion: The surgical approach affected the operative outcomes in a regional setting. The advantages of RARP over RRP (complications, transfusion, conversion, hospital stay, 1-year continence) were over LRP as well, with the only exception being complications.

Outcomes and Postoperative Complications of Robot-Assisted Laparoscopic Hysterosacropexy: Initial Experience

2015 ◽  
Vol 95 (1) ◽  
pp. 44-49 ◽  
Author(s):  
Maria Angela Cerruto ◽  
Carolina D'Elia ◽  
Francesca Maria Cavicchioli ◽  
Stefano Cavalleri ◽  
Matteo Balzarro ◽  
...  
Keyword(s):  
Uterine Prolapse ◽  
Pelvic Organ ◽  
Consecutive Series ◽  
Complication Rates ◽  
Early Complications ◽  
Robot Assisted ◽  
Female Patients ◽  
The Mean ◽  
Record Review

Background: Pelvic organ prolapse is a common condition, affecting about 50% of women with children. The aim of our study was to evaluate results and complication rates in a consecutive series of female patients undergoing robot-assisted laparoscopic hysterosacropexy (RALHSP). Materials and Methods: We performed a medical record review of female patients with uterine prolapse who had consecutively undergone RALHSP from February 2010 to 2013 at our department. Results: Fifteen patients were included in the analysis. All patients had uterine prolapse stage ≥II and urodynamic stress urinary incontinence. The mean age was 58.26 years. According to the Clavien-Dindo system, 4 out of 15 patients (26.6%) had grade 1 early complications and 1 patient had a grade 2 complication. At a median follow-up of 36 months, there was a significant prolapse relapse rate of 20% (3/15). Conclusion: In our hands RALHSP is easy to perform, with satisfying mid-term outcomes and a low complication rate.

Comparison of peri-operative outcomes of robot-assisted vs laparoscopic partial nephrectomy: a meta-analysis

2013 ◽  
Vol 112 (8) ◽  
pp. 1133-1142 ◽  
Author(s):  
Xiaohua Zhang ◽  
Zhoujun Shen ◽  
Shan Zhong ◽  
Zhaowei Zhu ◽  
Xianjin Wang ◽  
...  
Keyword(s):  
Partial Nephrectomy ◽  
Meta Analysis ◽  
Laparoscopic Partial Nephrectomy ◽  
Robot Assisted ◽  
Operative Outcomes

scholarly journals Frameless robot-assisted stereoelectroencephalography in children: technical aspects and comparison with Talairach frame technique

2018 ◽  
Vol 22 (1) ◽  
pp. 37-46 ◽  
Author(s):  
Taylor J. Abel ◽  
René Varela Osorio ◽  
Ricardo Amorim-Leite ◽  
Francois Mathieu ◽  
Philippe Kahane ◽  
...  
Keyword(s):  
Effective Means ◽  
Operating Time ◽  
Seizure Freedom ◽  
Epileptogenic Zone ◽  
Complication Rates ◽  
Class Iii ◽  
Intracranial Hemorrhages ◽  
Robot Assisted ◽  
Pharmacoresistant Epilepsy ◽  
Electrode Implantation

OBJECTIVERobot-assisted stereoelectroencephalography (SEEG) is gaining popularity as a technique for localization of the epileptogenic zone (EZ) in children with pharmacoresistant epilepsy. Here, the authors describe their frameless robot-assisted SEEG technique and report preliminary outcomes and relative complications in children as compared to results with the Talairach frame–based SEEG technique.METHODSThe authors retrospectively analyzed the results of 19 robot-assisted SEEG electrode implantations in 17 consecutive children (age < 17 years) with pharmacoresistant epilepsy, and compared these results to 19 preceding SEEG electrode implantations in 18 children who underwent the traditional Talairach frame–based SEEG electrode implantation. The primary end points were seizure-freedom rates, operating time, and complication rates.RESULTSSeventeen children (age < 17 years) underwent a total of 19 robot-assisted SEEG electrode implantations. In total, 265 electrodes were implanted. Twelve children went on to have EZ resection: 4 demonstrated Engel class I outcomes, whereas 2 had Engel class II outcomes, and 6 had Engel class III–IV outcomes. Of the 5 patients who did not have resection, 2 underwent thermocoagulation. One child reported transient paresthesia associated with 2 small subdural hematomas, and 3 other children had minor asymptomatic intracranial hemorrhages. There were no differences in complication rates, rates of resective epilepsy surgery, or seizure freedom rates between this cohort and the preceding 18 children who underwent Talairach frame–based SEEG. The frameless robot-assisted technique was associated with shorter operating time (p < 0.05).CONCLUSIONSFrameless robot-assisted SEEG is a safe and effective means of identifying the EZ in children with pharmacoresistant partial epilepsy. Robot-assisted SEEG is faster than the Talairach frame–based method, and has equivalent safety and efficacy. The former, furthermore, facilitates more electrode trajectory possibilities, which may improve the localization of epileptic networks.

Suture techniques during laparoscopic and robot-assisted partial nephrectomy: a systematic review and quantitative synthesis of peri-operative outcomes

2018 ◽  
Vol 123 (6) ◽  
pp. 923-946 ◽  
Author(s):  
Riccardo Bertolo ◽  
Riccardo Campi ◽  
Tobias Klatte ◽  
Maximilian C. Kriegmair ◽  
Maria Carmen Mir ◽  
...  
Keyword(s):  
Systematic Review ◽  
Partial Nephrectomy ◽  
Suture Techniques ◽  
Robot Assisted ◽  
Operative Outcomes ◽  
Quantitative Synthesis

Surgeon perception is not a good predictor of peri-operative outcomes in robot-assisted radical prostatectomy

2011 ◽  
Vol 5 (4) ◽  
pp. 283-288 ◽  
Author(s):  
Joshua Stern ◽  
Saurabh Sharma ◽  
Pierre Mendoza ◽  
Mary Walicki ◽  
Rachel Hastings ◽  
...  
Keyword(s):  
Radical Prostatectomy ◽  
Good Predictor ◽  
Robot Assisted ◽  
Operative Outcomes
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