scholarly journals Retrograde Robotic Radical Prostatectomy: Description of a New Technique and Early Perioperative Outcomes

ISRN Urology ◽  
2014 ◽  
Vol 2014 ◽  
pp. 1-5
Author(s):  
Gino J. Vricella ◽  
Zachary Klaassen ◽  
Martha K. Terris ◽  
Rabii Madi
Keyword(s):  
Intraoperative Complications ◽  
Clinical Stage ◽  
Perioperative Outcomes ◽  
Retrograde Approach ◽  
Robotic Assisted ◽  
Laparoscopic Prostatectomy ◽  
Long Term Study ◽  
Antegrade Approach ◽  
Number Of Patients ◽  
A New Technique

Objectives. This research was conducted to describe a novel technique for performing robotic-assisted laparoscopic prostatectomy (RALP) using a retrograde approach that mimics the classic open surgical technique. Methods. From June 2009 to March 2011, we performed 18 nonconsecutive RALPs using a novel retrograde approach. Patients were initially selected with D’Amico low to intermediate risk disease. Pre-, intra-, and postoperative data were analyzed in all patients. Results. All 18 patients had successful surgery without any intraoperative complications. Mean preoperative PSA was 6.0 ng/mL. Nine patients had biopsy Gleason score (GS) 6, seven patients had GS 7, and two patients had GS 8. Fourteen patients had clinical stage T1c and four patients had stage T2a. Mean operative time was 198 minutes, with a mean robotic console time of 168 minutes. Fifteen patients had T2 disease on the final pathology and three had T3 disease. With a median follow-up of 11 months, 10 patients had an undetectable PSA. Conclusions. Our early experience with retrograde robotic-assisted laparoscopic prostatectomy demonstrates the feasibility of this approach with early outcomes comparable to the contemporary antegrade approach. Long-term study with a greater number of patients will be necessary to fully evaluate the oncologic and functional outcomes using this technique.

The impact of days off between cases on perioperative outcomes for robotic-assisted laparoscopic prostatectomy

2015 ◽  
Vol 34 (2) ◽  
pp. 269-274 ◽  
Author(s):  
Shane M. Pearce ◽  
Joseph J. Pariser ◽  
Sanjay G. Patel ◽  
Blake B. Anderson ◽  
Scott E. Eggener ◽  
...  
Keyword(s):  
Perioperative Outcomes ◽  
Robotic Assisted ◽  
Laparoscopic Prostatectomy ◽  
The Impact

scholarly journals Robotic-assisted laparoscopic inguinal hernia repair after previous transabdominal prostatectomy

2021 ◽  
Author(s):  
M. Dewulf ◽  
L. Aspeslagh ◽  
F. Nachtergaele ◽  
P. Pletinckx ◽  
F. Muysoms
Keyword(s):  
Inguinal Hernia ◽  
Minimally Invasive ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Intraoperative Complications ◽  
Laparoscopic Inguinal Hernia Repair ◽  
Bilateral Inguinal Hernia ◽  
Robotic Assisted ◽  
Laparoscopic Inguinal Hernia ◽  
Number Of Patients

Abstract Background Transabdominal prostatectomy results in scarring of the retropubic space and this might complicate subsequent preperitoneal dissection and mesh placement during minimally invasive inguinal hernia repair. Therefore, it suggested that an open anterior technique should be used rather than a minimally invasive posterior technique in these patients. Methods In this single-center study, a retrospective analysis of a prospectively maintained database was performed. All patients undergoing inguinal hernia repair after previous transabdominal prostatectomy were included in this analysis, and the feasibility, safety, and short-term outcomes of open and robotic-assisted laparoscopic inguinal hernia repair were compared. Results From 907 inguinal hernia operations performed between March 2015 and March 2020, 45 patients met the inclusion criteria. As the number of patients treated with conventional laparoscopy was very low (n = 2), their data were excluded from statistical analysis. An open anterior repair with mesh (Lichtenstein) was performed in 21 patients and a robotic-assisted laparoscopic posterior transabdominal repair (rTAPP) in 22. Patient characteristics between groups were comparable. A transurethral urinary catheter was placed during surgery in 17 patients, most often in the laparoscopic cases (15/22, 68.2%). In the rTAPP group, a higher proportion of patients was treated for a bilateral inguinal hernia (50%, vs 19% in the Lichtenstein group). There were no intraoperative complications and no conversions from laparoscopy to open surgery. No statistically significant differences between both groups were observed in the outcome parameters. At 4 weeks follow-up, more patients who underwent rTAPP had an asymptomatic seroma (22.7% vs 5% in the Lichtenstein group) and two patients were treated postoperatively for a urinary tract infection (4.7%). Conclusion A robotic-assisted laparoscopic approach to inguinal hernia after previous transabdominal prostatectomy seems safe and feasible and might offer specific advantages in the treatment of bilateral inguinal hernia repairs.

scholarly journals Retrospective Cohort Analysis of Robotic Stapler Use in Robotic-Assisted Donor Nephrectomy

2021 ◽  
Vol 8 ◽  
Author(s):  
Zane Giffen ◽  
Austin Ezzone ◽  
Obi Ekwenna
Keyword(s):  
Intraoperative Complications ◽  
Cohort Analysis ◽  
Donor Nephrectomy ◽  
Perioperative Outcomes ◽  
Linear Stapler ◽  
Robotic Assisted ◽  
Living Donor Nephrectomy ◽  
Retrospective Cohort Analysis ◽  
Estimated Blood Loss ◽  
Renal Vessels

Main Problem: Robotic-assisted techniques are common for living-donor nephrectomy. While robotic stapling offers increased surgeon control, there is limited comparative data versus laparoscopic linear stapler use for ligation of renal vessels. Methods: We retrospectively reviewed 32 consecutive robotic-assisted donor nephrectomies by a single surgeon for perioperative outcomes. Results: Patients in the robotic stapler (RS; N=20) and laparoscopic stapler (LS; N=12) groups were comparable in terms of age and BMI. Estimated blood loss (p = 0.62), warm ischemia time (p=0.50), and console time (p=0.56) were similar between the RS and LS groups. There were no stapler misfires or major intraoperative complications in either group and no cases required conversion to open. Conclusions: Robotic stapler use is safe and effective in robotic-assisted donor nephrectomy. Further research on prevalence of robotic stapler use is needed to quantity the associated complication rate.    

ROBOTIC ASSISTED MODIFIED PROSTATECTOMY: A NEW TECHNIQUE TO IMPROVE PERIOPERATIVE OUTCOMES

2009 ◽  
Vol 181 (4S) ◽  
pp. 332-332
Author(s):  
John R Carlucci ◽  
Fatima Nabizada-Pace ◽  
David B. Samadi
Keyword(s):  
New Technique ◽  
Perioperative Outcomes ◽  
Robotic Assisted ◽  
A New Technique

841: The Effect of Experience on Positive Surgical Margins during Robotic-Assisted Laparoscopic Prostatectomy

2005 ◽  
Vol 173 (4S) ◽  
pp. 228-228
Author(s):  
David I. Lee ◽  
Justin T. Lee ◽  
David Shepherd ◽  
Harrison M. Abrahams
Keyword(s):  
Surgical Margins ◽  
Positive Surgical Margins ◽  
Robotic Assisted ◽  
Laparoscopic Prostatectomy

1185: Outpatient Robotic-Assisted Laparoscopic Prostatectomy

2005 ◽  
Vol 173 (4S) ◽  
pp. 322-322 ◽  
Author(s):  
David I. Lee ◽  
Justin T. Lee ◽  
David Shepherd ◽  
Harrison M. Abrahams
Keyword(s):  
Robotic Assisted ◽  
Laparoscopic Prostatectomy
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