Oncological outcomes after robot-assisted radical prostatectomy: long-term follow-up in 4803 patients

2014 ◽  
Vol 114 (6) ◽  
pp. 824-831 ◽  
Author(s):  
Shyam Sukumar ◽  
Craig G. Rogers ◽  
Quoc Dien Trinh ◽  
Jesse Sammon ◽  
Akshay Sood ◽  
...  
2011 ◽  
Vol 110 (4) ◽  
pp. 580-585 ◽  
Author(s):  
Jesse D. Sammon ◽  
Quoc-Dien Trinh ◽  
Shyam Sukumar ◽  
Mireya Diaz ◽  
Andrea Simone ◽  
...  

Urology ◽  
2014 ◽  
Vol 84 (6) ◽  
pp. 1434-1441 ◽  
Author(s):  
Farzana A. Faisal ◽  
Debasish Sundi ◽  
John L. Cooper ◽  
Elizabeth B. Humphreys ◽  
Alan W. Partin ◽  
...  

1991 ◽  
Vol 19 (4) ◽  
pp. 279-283 ◽  
Author(s):  
H. Frohmüller ◽  
M. Theiss ◽  
M.P. Wirth

BMC Surgery ◽  
2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Sheng-Qiang Fu ◽  
Chang-Shui Zhuang ◽  
Xiao-Rong Yang ◽  
Wen-Jie Xie ◽  
Bin-Bin Gong ◽  
...  

Abstract Background To evaluate the feasibility and safety of robot-assisted retroperitoneal laparoscopic adrenalectomy (RARLA) for large pheochromocytomas (PHEOs; size≥6 cm) compared with retroperitoneal laparoscopic adrenalectomy (RLA). Methods Fifty-one patients who underwent adrenalectomy for large PHEOs between March 2016 and January 2019 were enrolled and divided into two groups, including 32 RLA cases and 19 RARLA cases. We compared the perioperative efficacy and long-term follow-up results between the two groups. Results Preoperative data, including demographics, comorbidities and tumour characteristics, were similar between the groups. Intraoperatively, the RARLA group had a lower incidence of haemodynamic instability (26.3% vs. 56.2%, P = 0.038) and less intraoperative blood loss (100 ml vs. Two hundred milliliter, P = 0.042) than the RLA group. The groups showed no significant differences in operative time or transfusion rates. Postoperatively, the time to diet resumption, time to ambulation, time to drainage removal and postoperative hospital stay were shorter in the RARLA group than in the RLA group (1 d vs. 2 d, P = 0.027; 1 d vs. 2 d, P = 0.034; 3 d vs. 5 d, P = 0.002; 5 d vs. 6 d, P = 0.02, respectively). The groups exhibited no significant differences in the duration of anaesthetic use, complications, or long-term follow-up results for the blood pressure (BP) improvement rate. Conclusions Compared with RLA, RARLA is a safe, feasible and even optimized procedure for large PHEOs.


2012 ◽  
Vol 11 (1) ◽  
pp. e352
Author(s):  
A. Forgues ◽  
F. Rozet ◽  
A. Ouzzane ◽  
R.E. Sanchez-Salas ◽  
E. Barret ◽  
...  

2019 ◽  
Vol 87 (2) ◽  
pp. 70-74 ◽  
Author(s):  
Usman M Haroon ◽  
Nikita R Bhatt ◽  
Ch Muhammad Akram ◽  
Hugh D Flood ◽  
Sibhasis K Giri

Introduction and objectives: Radical inguinal orchidectomy with ligation and division of the spermatic cord at the deep inguinal ring is the treatment of choice for testicular mass suspicious of cancer. In the era of organ preserving and minimally invasive surgery, it may be possible to propose a less radical sub-inguinal orchidectomy that may avoid the morbidity associated with opening the inguinal canal. The effect of this approach on oncological margins is not known. The aim of this article was to investigate the presence of spermatic cord involvement after a radical inguinal orchidectomy with a view to test feasibility of a modified sub-inguinal approach for testicular tumour excision. Materials and methods: A retrospective study on all orchidectomies performed for suspected testicular cancer was performed at a single hospital from over an 8-year period from January 2005 to December 2013. Non-cancerous lesions were excluded after histopathological review. All testicular malignancies were included and detailed histopathological review was performed. Results: A total of 121 orchidectomies were performed over the 8-year period. Three patients had spermatic cord involvement. Spermatic cord involvement did not adversely affect the outcome in these patients after a median follow-up of 5 years irrespective of tumour histology. The proximal spermatic cord was not involved in any testicular germ cell tumours on further cord sectioning, the only patient with proximal cord involvement had a B-cell lymphoma. Conclusion: We postulate that a sub-inguinal modified orchidectomy may be a less invasive alternative to radical inguinal orchidectomy, with comparable oncological outcomes based on low risk of spermatic cord involvement, which in itself is not a prognostic factor. We require further long-term follow-up studies on patients who have undergone this approach to validate the oncological outcomes and report the possible advantage of lower post-operative complications with this technique.


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