Robot-assisted radical prostatectomy: Advancements in surgical technique and perioperative care

Palma‐Zamora, Isaac; Abdollah, Firas; Rogers, Craig G.; Jeong, Wooju

doi:10.3389/fsurg.2022.944561

Cited by 3 publications

(1 citation statement)

References 89 publications

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“…Robot-assisted radical prostatectomy (RARP) is a widely performed surgery, accounting for 70–85% of prostatectomies performed in the United States [ 1 ]. During RARP, a high-pressure pneumoperitoneum is applied, and the patient is placed in the Trendelenburg position [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

Role of oxygen reserve index monitoring in patients undergoing robot-assisted radical prostatectomy: a retrospective study

Ryu,

Jeon,

Sim

et al. 2024

World J Urol

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Purpose Robot-assisted radical prostatectomy (RARP) is a common surgical procedure for the treatment of prostate cancer. Although beneficial, it can lead to intraoperative hypoxia due to high-pressure pneumoperitoneum and Trendelenburg position. This study explored the use of oxygen reserve index (ORi) to monitor and predict hypoxia during RARP. Methods A retrospective analysis was conducted on 329 patients who underwent RARP at the Seoul National University Bundang Hospital between July 2021 and March 2023. Various pre- and intraoperative variables were collected, including ORi values. The relationship between ORi values and hypoxia occurrence was assessed using receiver operating characteristic curves and logistic regression analysis. Results Intraoperative hypoxia occurred in 18.8% of the patients. The receiver operating characteristic curve showed a satisfactory area under the curve of 0.762, with the ideal ORi cut-off value for predicting hypoxia set at 0.16. Sensitivity and specificity were 64.5% and 75.7%, respectively. An ORi value of < 0.16 and a higher body mass index were identified as independent risk factors of hypoxia during RARP. Conclusions ORi monitoring provides a non-invasive approach to predict intraoperative hypoxia during RARP, enabling early management. Additionally, the significant relationship between a higher body mass index and hypoxia underscores the importance of individualized patient assessment.

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Section: Introductionmentioning

confidence: 99%

Role of oxygen reserve index monitoring in patients undergoing robot-assisted radical prostatectomy: a retrospective study

Ryu,

Jeon,

Sim

et al. 2024

World J Urol

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Imaging-based Diagnostic and Therapeutic Strategies for Prostate Cancer in the Coming Decades

Padhani

Schoots

2023

Radiology

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Current Status and Research Progress in the Application of Robot-Assisted Radical Prostatectomy

王

2023

ACM

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Robot-assisted radical prostatectomy: Advancements in surgical technique and perioperative care

Abstract: We reviewed the evolving strategies, practice patterns, and recent advancements aimed at improving the perioperative and surgical outcomes in patients undergoing robot-assisted radical prostatectomy for the management of localized prostate cancer.

Cited by 3 publications

References 89 publications

Role of oxygen reserve index monitoring in patients undergoing robot-assisted radical prostatectomy: a retrospective study

Role of oxygen reserve index monitoring in patients undergoing robot-assisted radical prostatectomy: a retrospective study

Imaging-based Diagnostic and Therapeutic Strategies for Prostate Cancer in the Coming Decades

Current Status and Research Progress in the Application of Robot-Assisted Radical Prostatectomy

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