Robotic-Assisted Abdomino-perineal Vesicourethral Anastomotic Reconstruction for 4.5 Centimeter Post-prostatectomy Stricture

Dinerman, Brian; Hauser, Nicholas; Hu, Jim C.; Purohit, Rajveer S.

doi:10.1016/j.eucr.2017.05.005

Cited by 11 publications

(6 citation statements)

References 5 publications

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“…In this study, only 1 patient had de-novo stress incontinence (10). To date, there is a single report of robotic combined abdominoperineal BNC repair (11). This patient had a 4.5 cm defect after a complicated open radical prostatectomy.…”

Section: Bnc/stenosismentioning

confidence: 94%

Robotic assisted reconstruction for complications following urologic oncologic procedures

Obiora¹,

Yang²,

Gor³

2021

Transl Androl Urol

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Despite technical refinements in urologic oncologic surgery, complications are inevitable and often carry significant morbidity. Similar to oncologic surgery, reconstructive surgery has realized a paradigm shift from mainly open to an increasingly minimally invasive approach. Robotic assisted surgery has facilitated this transition as it mitigates some of the limitations of traditional laparoscopy. With continued technological advances in robotic technology along with improved training and experience, the breadth and complexity of cases expand annually. Few head to head trials exist and data is overall heterogeneous. Herein, we review and summarize the currently available literature describing robotic assisted reconstruction for complications following urologic oncologic procedures.

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Section: Bnc/stenosismentioning

confidence: 94%

Robotic assisted reconstruction for complications following urologic oncologic procedures

Obiora¹,

Yang²,

Gor³

2021

Transl Androl Urol

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“…Chaitanya et al were able to show an association between higher USS with blood transfusion, complications and higher recurrence risk in patients who underwent visual internal urethrotomy, anastomotic urethroplasty and buccal mucosal graft urethroplasty [25]. Other staging systems such as cystoscopy-based reporting system by Purojhit and colleagues have been used in a case report, however, has not been used in studies or validated externally [26]. Remaining scoring systems including the Gombe urethrographic and ULTRA score have not undergone external validation and hence failed to be adopted more widely by the scientific community.…”

Section: Commentmentioning

confidence: 99%

Classification systems for anterior urethral stricture disease in men: a systematic review

John

Kahokehr

2020

World J Urol

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Objective To identify and explore the various classification systems that have been proposed for anterior urethral stricture disease (AUSD) and to identify the advantages and disadvantages of each. Methods A comprehensive systematic review was conducted in MEDLINE, EMBASE, SCOPUS and COCHRANE databases with a search strategy created appropriately. Titles and abstracts of search results were screened by two authors and selected for full-text review. Studies exploring urethral stricture classification, clinical scoring or staging systems used in men over the age of 18 with benign anterior urethral stricture disease were included. Results The search identified 3113 articles, of which 10 were selected for inclusion after scrutiny. Four classification systems were identified. These include ULTRA score, urethral stricture score, cystoscopy-based staging system and Gombe Urethrographic score. These were based on various modalities, including cystoscopy, retrograde urethrogram (RUG) and sonourethrogram (SUG). From the scoring systems identified, the urethral stricture scoring system has multiple external validation studies and is predictive of operative complexity, operative time, recurrence and postoperative complications. Conclusions Several classification systems have been proposed for AUSD. Each has its advantages and disadvantages. The urethral stricture score has been externally validated and shown to been predictive of surgical outcomes and recurrence. There are no scores that incorporate patient-related outcome measures (PROMs). Many classification systems have yet to provide sufficient external validation. Further external validation studies are needed before the general adoption of a particular system.

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“…Dinerman et al. 29 used surgical robots to assist with bladder urethra anastomosis. Intraperitoneal robotic-assisted mobilization of the bladder and urethra perineum mobilization allow for tension-free bladder urethral anastomosis while avoiding resection.…”

Section: Application Of Surgical Robot In Tissue Repair and Reconstrumentioning

confidence: 99%

“…Oberviously, with more clearer visualization by using robotic assistance versus conventional standard approach, surgeons feel more comfortable in the control of operative procedures and the post-operative outcomes. Dinerman et al 29 . used surgical robots to assist with bladder urethra anastomosis.…”

Section: Application Of Surgical Robot In Tissue Repair and Reconstrumentioning

confidence: 99%

Current surgical practices of robotic-assisted tissue repair and reconstruction

Wang

Jia

2019

Chinese Journal of Traumatology

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This paper systematically reviewed and analyzed the recent publications of robotic-assisted surgeries in the field of tissue repair and reconstruction. Surgical robots can elevate skin flap more accurately and shorten the time of tissue harvest. In addition, robotic-assisted surgery has the advantage of minimal tissue trauma and thus forms minimal scar. The utilization of surgical robots reduces the occurrence of complications after oral radical tumor resection while achieving cosmetic sutures. Robotic-assisted radical mastectomy could radically remove invasive breast cancer lesions and achieve breast reconstruction in the first stage through the small incisions in the operation areas. Surgical robots enable precise microvascular anastomosis and reduce tissue edema in the surgical field. Robotic-assisted technology can help appropriately locate the target tissues at different angles during sinus and skull base surgeries and accurately place tissues during urethroplasty. The robotic-assisted technology provides a new platform for surgical innovation in the field of tissue repair and reconstruction. However, the uncertainty in the survival rate after tumor radical surgery, the increase of operating time, and the high costs are barriers for its clinical application in tissue repair and reconstructive surgery. Nevertheless, robotic-assisted technology has already demonstrated an impact on the field of tissue repair and reconstruction in a meaningful way.

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Robotic-Assisted Abdomino-perineal Vesicourethral Anastomotic Reconstruction for 4.5 Centimeter Post-prostatectomy Stricture

Cited by 11 publications

References 5 publications

Robotic assisted reconstruction for complications following urologic oncologic procedures

Robotic assisted reconstruction for complications following urologic oncologic procedures

Classification systems for anterior urethral stricture disease in men: a systematic review

Current surgical practices of robotic-assisted tissue repair and reconstruction

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