19th Jan 2018
Eric P Zhou, Elizabeth Kiwanuka, Paul E Morrissey
Kidney Transplant, living & deceases donors
Background The Internet has extensive resources for kidney transplantation recipients. Half of the population reads below a seventh-grade level. Previous studies showed that living donor recipients have higher health literacy rates compared with deceased donor recipients. There has been no study comparing the readability of online living donor recipient materials versus deceased donor recipient materials. Methods Analysis was performed using eight readability scales on the top 10 websites for live donor and deceased donor kidney transplantation. Analysis was performed through the Readability Studio Software. USA reading grade level was determined for each site. Results Overall, the mean reading level for the living donor materials was 12.54 (range 9.2–17) and for the deceased donor materials, 12.87 (range 8.7–17, P = 0.73), corresponding to a university level. None of the sites met the seventh-grade level recommended by the National Institute of Health. Conclusions The readability of online materials remains too high for the corresponding health literacy rates among patients requiring kidney transplantation. Specifically, the lower health literacy rates among deceased donor recipients does not mirror the readability of online materials provided at a university level. This may affect decision-making, contributing to a smaller proportion of patients of a lower socioeconomic status and those with poor English language skills pursuing live donor organs. donor, health literacy, Internet, kidney, readability, transplant Topic: renal transplantation decision making internet living donors socioeconomic factors software kidney health literacy readability weight measurement scales donors Issue Section: Original Article
18th Jan 2018
Alberto Breda-correspondance author, Angelo Territo , Luis Gausa , Volkan Tuğcu , Antonio Alcaraz , Mireia Musquera , Karel Decaestecker , Liesbeth Desender , Michael Stockle , Martin Janssen , Paolo Fornara , Nasreldin Mohammed , Giampaolo Siena , Sergio Serni , Luis Guirado , Carma Facundo , Nicolas Doumerc
Robot Assisted Kidney Transplant
Review: The February 2018 issue of European Urology has a report from Alberto Breda, MD and colleagues from eight European institutions who studied 120 patients who underwent RAKT (Robot Assisted Kidney Transplant). The study did not have a control group of open kidney transplant patients, but focused on the preoperative and postoperative surgical outcomes for a minimum of one year. The study references Vattikuti Urology Institute Director Mani Menon's work on RAKT, among others. (Abstract included, click title above for full information.)
12th Jan 2018
Robotic Surgery Training
Review: A research article by Matthew Beane, a project scientist at the Technology Management Program at the University of California, Santa Barbara, published January 9, 2017 in the Administrative Science Quarterly, has some very important observations for robotic surgeon/mentors and their residents to consider. Beane reveals possible shortcomings residents face when being trained in robotic surgery. Some involve missed opportunities within their specialty surgical training, but other issues reflect on learning the specifics of robotic surgery. (Click on title to open article.)
25th Dec 2017
Sohrab Arora, Brian Chun, Rajesh K. Ahlawat, Ronney Abaza, James Adshead, James R. Porter, Benjamin Challacombe, Prokar Dasgupta, Giorgio Gandaglia, Daniel A. Moon, Thyavihally B Yuvaraja, Umberto Capitanio, Alessandro Larcher, Francesco Porpiglia, Alexander Mottrie, Mahendra Bhandari, Craig Rogers
RAPN/ conversion to Radical Nephrectomy
From PubMed: OBJECTIVE: To assess the incidence and factors affecting conversion from robot-assisted partial nephrectomy (RAPN) to radical nephrectomy. METHODS: Between November 2014 and February 2017, 501 patients underwent attempted RAPN by 22 surgeons at 14 centers in 9 countries within the Vattikuti Collaborative Quality Initiative database. Patients were permanently logged for RAPN prior to surgery and were analyzed on an intention-to-treat basis. Multivariable logistic regression with backward stepwise selection of variables was done to assess the factors associated with conversion to radical nephrectomy.
22nd Dec 2017
Nawar Hanna, Jeffrey J Leow, Maxine Sun, David F Friedlander, Thamas Siesen, Stuart R Lipsitz,Firas Abdollaah,Mani Menon, Joaquim Bellmunt, Toni K Choueri, Quoc-Dien Trinh
Review: This December 2017 report by an international team (US, Canada, France) in Urol Oncol 2017 Dec 22. Epub 2017 Dec 22; including Bellmunt, Choueiri and Trinh points to the advantages of Robot Assisted Radical Cystectomy (RARC). Henry Ford Hospital and Vattikuti Urology Institute researchers also are listed authors. Please use the link to access the complete journal article.
17th Oct 2017
V.Sripathi, Aparajita Motra, Rajiv L. Padankatti, T.Ganesan
Pediatric calyceal diverticulum, Marsupialisation
Dr. Venkat Sripathi, Senior Consultant Pediatric Urologist and Director Pediatric Urology Fellowship Program at Apollo Children’s Hospital, has published an article of a significant robotic pediatric procedure in the Journal of Robotic Surgery: Robotic treatment of a type 2 calyceal diverticulum in a child: is suture closure and marsupialisation enough for a good outcome? More: J Robotic Surg DOI 10.1007/s11701-017-0758-1
13th Sep 2017
Jagdishwar Goud Gajagowni,Harika Tirunagari, M.Bala Vikas Kumar
Transoral Robotic Thyroidectomy
Vattikuti Foundation Partner Surgeon Dr. Jagdishwar Goud has published a report in the Global Journal of Surgery on his series of 15 patients who had transoral robotic thyroidectomy surgery.
16th Aug 2017
Arora S, Abaza R, Adshead JM, Ahlawat RK, Challacombe BJ, Dasgupta P, Gandaglia G, Moon DA, Yuvaraja TB, Capitanio U, Larcher A, Porpiglia F, Porter JR Mottrie A, Bhandari M. & Rogers, C.
From BJU International: Abstract: OBJECTIVES: To analyse the outcomes of robot-assisted partial nephrectomy (RAPN) in patients with a solitary kidney in a large multi-institutional database. PATIENTS AND METHODS: In all, 2755 patients in the Vattikuti Collective Quality Initiative database underwent RAPN by 22 surgeons at 14 centres in nine countries. Of these patients, 74 underwent RAPN with a solitary kidney between 2007 and 2016. We retrospectively analysed the functional and oncological outcomes of these 74 patients. A 'trifecta' of outcomes was assessed, with trifecta defined as a warm ischaemia time (WIT) of <20 min, negative surgical margins, and no complications intraoperatively or within 3 months of RAPN.
27th Jul 2017
Sohrab Arora, Roney Abaza, James M. Adshead, Rajesh K. Ahlawat, Benjamin J Challacombe, Prokar Dasgupta, Giorgio Gandaglia, Daniel A. Moon, Thyavihally B. Yuvaraja, Umberto Capitanio, Alessandro Larcher, Francesco Porpiglia, James R.Porter, Alexandre Mottrie, Mahendra Bhandari, Craig Rogers
Review: We are pleased to report that the Vattikuti Collective Quality Initiative database has been used as the source of this report in the BJU Int. 2017 Jul 27. doi: 10.1111/bju.13967. [Epub ahead of print] article. Here is the Abstract: Objectives To analyse the outcomes of robot-assisted partial nephrectomy (RAPN) in patients with a solitary kidney in a large multi-institutional database. Patients and Methods In all, 2755 patients in the Vattikuti Collective Quality Initiative database underwent RAPN by 22 surgeons at 14 centres in nine countries. Of these patients, 74 underwent RAPN with a solitary kidney between 2007 and 2016. We retrospectively analysed the functional and oncological outcomes of these 74 patients. A ‘trifecta’ of outcomes was assessed, with trifecta defined as a warm ischaemia time (WIT) of <20 min, negative surgical margins, and no complications intraoperatively or within 3 months of RAPN. Results All 74 patients underwent RAPN successfully with one conversion to radical nephrectomy. The median (interquartile range [IQR]) operative time was 180 (142–230) min. Early unclamping was used in 11 (14.9%) patients and zero ischaemia was used in 12 (16.2%). Trifecta outcomes were achieved in 38 of 66 patients (57.6%). The median (IQR) WIT was 15.5 (8.75–20.0) min for the entire cohort. The overall complication rate was 24.1% and the rate of Clavien– Dindo grade ≤II complications was 16.3%. Positive surgical margins were present in four cases (5.4%). The median (IQR) follow-up was 10.5 (2.12–24.0) months. The median drop in estimated glomerular filtration rate at 3 months was 7.0 mL/min/1.72 m2 (11.01%). Conclusion Our findings suggest that RAPN is a safe and effective treatment option for select renal tumours in solitary kidneys in terms of a trifecta of negative surgical margins, WIT of <20 min, and low operative and perioperative morbidity.
04th Apr 2017
Sohrab Arora, F Abdollah, T Jindal, P Gild, A Sood, T B Yuvaraja, R K Ahlawat, N P Gupta, M Bhandari, M Menon
From the Indian Journal of Cancer: BACKGROUND: The utilization and extent of pelvic lymph node dissection (PLND) varies depending on the disease and practice patterns. AIMS: This study compares practice patterns in utilization of PLND between Indian and United States (US) practices. For access to complete information, please use "Read More" link or this link: http://www.indianjcancer.com/article.asp?issn=0019-509X;year=2017;volume=54;issue=2;spage=421;epage=425;aulast=Abdollah;type=0