30th Mar 2017
Kevin Motz, MD; Hsien-Yen Chang, PhD ; Harry Quon
(Review) In an article published by Johns Hopkins researchers, TORS (Transoral Robotic Surgery) has shown benefits in both recovery and cost-of-care for patients with oropharyngeal cancer.
22nd Mar 2017
Schiavina R, Novara G, Borhesi M, Ficarra V, Ahlawat R, Moon DA, Porpiglia F, Challacombe BJ, Dasgupta, Brunocilla E, LaManna G, Volpe A, Verma H, Martorana G, Mottrie A.
From BJUI: Abstract Objectives To evaluate and compare the correlations between Preoperative Aspects and Dimensions Used for an Anatomical (PADUA) and R.E.N.A.L. [Radius (tumour size as maximal diameter), Exophytic/endophytic properties of the tumour, Nearness of tumour deepest portion to the collecting system or sinus, Anterior (a)/posterior (p) descriptor and the Location relative to the polar line] nephrometry scores and perioperative outcomes and postoperative complications in a multicentre, international series of patients undergoing robot-assisted partial nephrectomy (RAPN) for masses suspicious for renal cell carcinoma (RCC). Patients and Methods We retrospectively evaluated the clinical records of patients who underwent RAPN between 2010 and 2013 for clinical N0M0 renal tumours in four international centres that completed all the data required for the Vattikuti Global Quality Initiative in Robotic Urologic Surgery (GQI-RUS) database. All patients underwent preoperative computed tomography or magnetic resonance imaging to define the clinical stage and anatomical characteristics of the tumours. PADUA and R.E.N.A.L. scores were retrospectively assessed in each centre. Univariate and multivariate analyses were used to evaluate the correlations between age, gender, Charlson comorbidity index, clinical tumour size, PADUA and R.E.N.A.L. complexity group categories and warm ischaemia time (WIT) of >20 min, urinary calyceal system closure, and grade of postoperative complications.
09th Feb 2017
Ahmed HU1, El-Shater Bosaily A2, Brown LC3, Gabe R4, Kaplan R3, Parmar MK3, Collaco-Moraes Y3, Ward K3, Hindley RG5, Freeman A6, Kirkham AP7, Oldroyd R8, Parker C9,Emberton M2, PROMIS study group
BACKGROUND: Men with high serum prostate specific antigen usually undergo transrectal ultrasound-guided prostate biopsy (TRUS-biopsy). TRUS-biopsy can cause side-effects including bleeding, pain, and infection. Multi-parametric magnetic resonance imaging (MP-MRI) used as a triage test might allow men to avoid unnecessary TRUS-biopsy and improve diagnostic accuracy.
01st Feb 2017
Alexnder P. Cole, Akshay Sood,Quoc-Dien Trinh,Mani Menon
Robotic Surgery, Prostatectomy
A short history of robotic surgery, published in The Journal of Urology: February 2017 Volume 197, Issue 2, Supplement, Pages S213–S215.
11th Jan 2017
Leedor Lieberman, Ravi Barod, Deepansh Dalela, Mireya Diaz-Insua, Ronney Abaza, James Adshead, Rajesh Ahlawat, Benjamin Challacombe, Prokar Dasgupta, Giogio Gandaglia, Daniel A. Moon, Giacomo Novara, Francesco Porpiglia, Alexandre Mottrie, Mahendra Bhandari, Craig Rogers
From J. Endourology: Abstract Introduction: Hilar clamping is often performed to facilitate robotic partial nephrectomy (RPN). Minimal clamping techniques may reduce renal ischemia, including early unclamping, selective clamping, and off-clamp RPN. We assess the utilization ... For the complete paper, please go to: https://doi.org/10.1089/end.2016.0678
28th Nov 2016
Choi KW, Nam KH, Lee JR,Chung WY, Kang SW, Joe YE, Lee JH
Background from the abstract: The effect of the systemic lidocaine on postoperative recovery has not been definitively investigated despite its analgesic efficacy after surgery. The aim of this randomized, double-blinded, controlled study was to evaluate the effect of intravenously administered lidocaine on the quality of recovery and on acute and chronic postoperative pain after robot-assisted thyroidectomy. For full details, please access the PubMed website via link below.
01st Oct 2016
Alan Tan,Hutan Ashrafian,Alasdair J. Scott,Sam E. Mason,Leanne Harling,Thanos Athanasiou,Ara Darzi
Various robotic procedures
Background Robotic surgery has been in existence for 30 years. This study aimed to evaluate the overall perioperative outcomes of robotic surgery compared with open surgery (OS) and conventional minimally invasive surgery (MIS) across various surgical procedures. (Open Access: This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.)
12th Jun 2016
Tsampalieros A.,Knoll GA,Molnar AO,et al.
pediatric Renal transplantation
BACKGROUND: A number of corticosteroid minimization and avoidance protocols for post-solid organ transplant have been developed. The study objective was to examine the effect of corticosteroid withdrawal/avoidance on growth and safety parameters in pediatric solid organ transplant recipients.
01st Jun 2016
Nath J1,2, Hodson J3, Canbilen SW2, <a href="http://www.ncbi.nlm.nih.gov/pubmed/?
In this Br J Surg.study of over 9,000 renal transplant patients, this study, by Nath J, Hodson J, Canbilen SW, et al. reports on the results of cold ischemia time on living donor transplants.
29th May 2016
Wayne Lam, Mollika Chakravorty,Ben Challacombe
Review: This insightful commentary was first published in the BJUI, 29 May, 2016, from robotic surgeons from our partner hospital: Urology Centre, Guy's and St Thomas' NHS Foundation Trust, London, UK. The authors make a strong case for why using a robot may be substantially better for the surgeon and patient than open or even laparoscopic procedures. In the words of the authors: "If you are one of the many departments performing LRN with a dormant robotic system sitting in the corner of room, we urge you to use it." We thank the authors for "tweeting" about it recently. The whole commentary is available from the attached link or copy & paste this: http://onlinelibrary.wiley.com/doi/10.1111/bju.13509/full