Digital Frozen Sections with Fluorescence Confocal Microscopy During Robot-assisted Radical Prostatectomy: Surgical Technique

Rocco, Bernardo; Sarchi, Luca; Assumma, Simone; Cimadamore, Alessia; Montironi, Rodolfo; Bonetti, Luca Reggiani; Turri, Filippo; Carne, C. De; Puliatti, Stefano; Maiorana, Antonino; Pellacani, Giovanni; Micali, Salvatore; Bianchi, Giampaolo

doi:10.1016/j.eururo.2021.03.021

Cited by 38 publications

(35 citation statements)

References 16 publications

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“…10 Also, emerging new technologies such as intraoperative fluorescence microscopy may assist to reduce PSM in the future. 11 Thus, this study not only carries further implications on the impact of PSM location on BCR but also alerts to a pitfall in PSM at the non-nerve-sparing side during unilateral nerve sparing to improve cancer control. However, the experience and skill of surgeons as well as an approach such as open RP versus minimally invasive RP (laparoscopic RP and robot-assisted RP) are known to affect the PSM rate and location of PSM.…”

mentioning

confidence: 76%

Unrecognized Pitfall When Doing Nerve-Sparing Surgery in Radical Prostatectomy

Blas

Shiota

2021

Ann Surg Oncol

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confidence: 76%

Unrecognized Pitfall When Doing Nerve-Sparing Surgery in Radical Prostatectomy

Blas

Shiota

2021

Ann Surg Oncol

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“…Moreover, the introduction of imaging techniques for the assessment of the local extent of PCa, such as multiparametric magnetic resonance imaging (mpMRI), aids in predicting and localizing areas of possible extraprostatic extension (EPE) and its proximity to NVBs [12,13] . Therefore, mpMRI may have a role in guiding NS surgery, potentially improving the preservation of NVBs and reducing PSM rates [4] .…”

Section: Introductionmentioning

confidence: 99%

Improving oncological outcomes after robot-assisted radical prostatectomy: what novel tools do we have?

Dilme¹,

Rivas²,

Hernández³

et al. 2022

Mini-invasive Surg

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The recent application of novel technologies to the robot-assisted radical prostatectomy (RARP) procedure has provided a new perspective and demonstrated potential usefulness in surgical planning, intraoperative navigation, and education of both patients and healthcare professionals, allowing for a patient-tailored prostate cancer (PCa) treatment. Integration of novel techniques into robotic surgery has improved the accuracy of surgery and has demonstrated a potential benefit in functional and oncological outcomes in patients with PCa. However, further randomized and prospective studies are needed to assess and validate the role of these technologies in clinical practice. The aim of this review is to summarize the current evidence on the new emerging techniques, such as three-dimensional (3D) imaging and printing, augmented reality (AR), and confocal microscopy (CM), and their impact on RARP and its oncological outcomes.

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“…In term of intraoperative applications, some experiences with real-time transmission of biopsy images have been reported. “Real time” telepathology can be performed in the same hospital and anywhere else, allowing expert consultation for complex or undefined cases [3] . Remote surgery (or telesurgery) represents the maximum utilization of 5G connection technology, in which the aim is to overcome the issue of physical distance, allowing experienced surgeons to perform high-quality procedures for complex cases virtually anywhere in the world.…”

mentioning

confidence: 99%