Robot-Assisted Radical Prostatectomy

Sood, Akshay; Jeong, Wooju; Peabody, James O.; Hemal, Ashok K.; Menon, Mani

doi:10.1016/j.ucl.2014.07.002

Cited by 71 publications

(35 citation statements)

References 105 publications

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“…Within Europe and the U.S., the role of RAS is established as the standard technique for many urological surgeries. 3,4 In Canada, complex procedures are performed at both academic and community hospitals, with most of the academic training programs having access to a da Vinci surgical system. Because of funding challenges, smaller community centres and even larger, non-academic hospitals in an urban setting, may never have access to a da Vinci surgical system.…”

Section: Discussionmentioning

confidence: 99%

“…Many institutions in Europe and the U.S. have adopted RAS as the gold standard technique for radical prostatectomy, radical cystectomy, pyeloplasty, and partial nephrectomy. 3,4 The impact of RAS on the training of residents in general urology has become an increasing focus of attention in Europe and the U.S. 5 In Canada, where there are 80-fold fewer da Vinci surgical systems™ (Intuitive Surgical, Inc., Sunnyvale, CA, U.S.) than in the U.S., the role of RAS in urological surgery remains unclear, with no directed training strategy for RAS in the 12 Canadian urology residency programs. In 2014, there were 24 clinical da Vinci surgical systems in Canada (one in British Columbia, five in Alberta, 11 in Ontario, and seven in Quebec), with nine in resident training programs (compared to five in 2011).…”

Section: Introductionmentioning

confidence: 99%

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Evolving attitudes toward robotic surgery among Canadian urology residents

Locke

Robinson

MacNeily

et al. 2017

CUAJ

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Introduction: Robotic-assisted laparoscopic surgery (RAS) has not been adopted as rapidly or widely in Canada as in the U.S. In 2011, Canadian urology residents felt that RAS represented an expanding field that could potentially negatively impact their training. We re-evaluate trainee exposure and attitudes to RAS in Canadian residency training five years later. Methods: All Canadian urology residents were asked to participate in an online survey designed to assess current resident exposure to and perception of RAS. Results: The response rate was 39% (61/157). Seventy-seven percent of residents reported being involved in at least one RAS procedure (52% in 2011), and the majority had exposure to <10 cases. For those in hospitals with access to RAS, 96% desired more console time, while only 50% of those without access wanted more console experience. Of all residents, 50% felt that RAS will become the gold standard in certain urological surgeries (34% in 2011), but only 28% felt that RAS would play an increasingly important role in urology (59% in 2011). Conclusions: Despite an increase in exposure to RAS in residency programs over the past five years, console experience remains limited. Although these residents desire more access to RAS, many voice uncertainty of the role of RAS in Canada. We cannot conclude whether RAS is perceived by residents to be beneficial or detrimental to their training nationwide. Moving forward in the robotic era, it will be important to either modify residency curricula to address RAS experience or to limit RAS to fellowship training.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Evolving attitudes toward robotic surgery among Canadian urology residents

Locke

Robinson

MacNeily

et al. 2017

CUAJ

View full text Add to dashboard Cite

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“…extended pelvic lymph node dissection (ePLND) including external iliac, obturator, and internal iliac nodes (zones 1 and 2 of the Studer classification) was performed routinely in these patients [14][15][16][17]. It is noteworthy that the first structured program of urologic robotic surgery was initiated in 2000 by Menon Salvage therapy was primarily driven by BCR; however, patient preference and clinicopathologic characteristics were taken into consideration.…”

Section: Patient Cohortmentioning

confidence: 99%

Long-term Cancer Control Outcomes in Patients with Clinically High-risk Prostate Cancer Treated with Robot-assisted Radical Prostatectomy: Results from a Multi-institutional Study of 1100 Patients

et al. 2015

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“…Thus, our study may help them during the dissection of the apex. Besides, surgical margins can be protected [27]. …”

Section: Discussionmentioning

confidence: 99%

Detailed Surgical Anatomy of Prostate: Relationship between Urethra and Dorsal Vein Complex with Apex

Tunç¹,

Akın

Gümüstas³

et al. 2016

Urol Int

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Aim: To describe our surgical technique for dissecting the apex of prostate during robotic-assisted laparoscopic radical prostatectomy (RALP) and detailed surgical anatomy of prostate including relationship between urethra and dorsal vein complex with apex. Materials and Methods: In retrospective view of prospective collected data, 73 patients underwent RALP between December 2012 and September 2014. Surgical anatomy of prostate was revealed in all procedures. Quality of life (QoL) scores were assessed before, immediately after catheter removal, and 1 month after surgery. We divided urinary continence into 3 groups, as very early continence; continence at time of urethral catheter removal, early continent; and continence 1 month after surgery. The rest of the patients were accepted as continence. Results: The mean follow-up was 10.2 ± 5.4 months and mean age was 61.5 ± 6.6. Maximum protection of urethra could be provided in all. Mean catheter removal was 8.9 ± 1.7 days, and all patients were continent at the time of catheter removal. QoL scores before RALP could be protected after surgery (p = 0.2). Neither conversion to open/conventional laparoscopic surgery nor complications related with bladder neck were detected. Conclusions: Our surgical technique can be a strong candidate for being a surgical technique for preserving urethra and very early continence could be provided after surgery.

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Robot-Assisted Radical Prostatectomy

Cited by 71 publications

References 105 publications

Evolving attitudes toward robotic surgery among Canadian urology residents

Evolving attitudes toward robotic surgery among Canadian urology residents

Long-term Cancer Control Outcomes in Patients with Clinically High-risk Prostate Cancer Treated with Robot-assisted Radical Prostatectomy: Results from a Multi-institutional Study of 1100 Patients

Detailed Surgical Anatomy of Prostate: Relationship between Urethra and Dorsal Vein Complex with Apex

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