Are you seeing this: the impact of steep Trendelenburg position during robot-assisted laparoscopic radical prostatectomy on intraocular pressure: a brief review of the literature

2018 ◽  
Vol 13 (1) ◽  
pp. 35-40 ◽  
Author(s):  
Robert S. Ackerman ◽  
Jonathan B. Cohen ◽  
Rosemarie E. Garcia Getting ◽  
Sephalie Y. Patel
Keyword(s):  
Intraocular Pressure ◽  
Radical Prostatectomy ◽  
Laparoscopic Radical Prostatectomy ◽  
Review Of The Literature ◽  
Robot Assisted ◽  
Trendelenburg Position ◽  
Steep Trendelenburg Position ◽  
The Impact

Hemodynamic Perturbations During Robot-Assisted Laparoscopic Radical Prostatectomy in 45° Trendelenburg Position

2011 ◽  
Vol 113 (5) ◽  
pp. 1069-1075 ◽  
Author(s):  
Melinda Lestar ◽  
Lars Gunnarsson ◽  
Lars Lagerstrand ◽  
Peter Wiklund ◽  
Suzanne Odeberg-Wernerman
Keyword(s):  
Radical Prostatectomy ◽  
Laparoscopic Radical Prostatectomy ◽  
Robot Assisted ◽  
Trendelenburg Position

scholarly journals Positive surgical margin rates during the robot-assisted laparoscopic radical prostatectomy learning curve of an experienced laparoscopic surgeon

2017 ◽  
Vol 11 (11) ◽  
pp. E409-13 ◽  
Author(s):  
Anthony F. Adili ◽  
Julia Di Giovanni ◽  
Emma Kolesar ◽  
Nathan C. Wong ◽  
Jen Hoogenes ◽  
...  
Keyword(s):  
Radical Prostatectomy ◽  
Learning Curve ◽  
Surgical Margin ◽  
Margin Status ◽  
Laparoscopic Radical Prostatectomy ◽  
Positive Surgical Margin ◽  
Robot Assisted ◽  
Estimated Blood Loss ◽  
The Mean ◽  
The Impact

Introduction: Since its introduction, robot-assisted laparoscopic radical prostatectomy (RARP) has gained widespread popularity, but is associated with a variable learning curve. Herein, we report the positive surgical margin (PSM) rates during the RARP learning curve of a single surgeon with significant previous laparoscopic radical prostatectomy (LRP) experience.Methods: We performed a prospective cohort study of the first 400 men with prostate cancer treated with RARP by a single surgeon (BS) with significant LRP experience. Our primary outcome was the impact of case timing in the learning curve on margin status. Our analysis was conducted by dividing the case numbers into quartiles (Q1‒Q4) and determining if a case falling into an earlier quartile had an impact on margin status relative to the most recent quartile (Q4).Results: The Q1 cases had an odds ratio for margin positivity of 1.74 compared to Q4 (p=0.1). Multivariate logistic regression did not demonstrate case number to be a significant predictor of PSM. The mean Q1 operative time was 207.4 minutes, decreasing to 179.2 by Q4 (p<0.0001). The mean Q1 estimated blood loss was 255.1 ml, decreasing to 213.6 by Q4 (p=0.0064). There was no change in length of hospitalization within the study period.Conclusions: Even when controlling for copredictors, a statistically significant learning curve for PSM rate of a surgeon with significant previous LRP experience was not detected during the first 400 RARP cases. We hypothesize that previous LRP experience may reduce the RARP PSM learning curve.

The Impact of Prostate Gland Weight in Robot Assisted Laparoscopic Radical Prostatectomy

2008 ◽  
Vol 180 (3) ◽  
pp. 928-932 ◽  
Author(s):  
Brian A. Link ◽  
Rebecca Nelson ◽  
David Y. Josephson ◽  
Jeffrey S. Yoshida ◽  
Laura E. Crocitto ◽  
...  
Keyword(s):  
Radical Prostatectomy ◽  
Prostate Gland ◽  
Laparoscopic Radical Prostatectomy ◽  
Robot Assisted ◽  
Gland Weight ◽  
The Impact
Sign in / Sign up

Export Citation Format

Share Document