Advantages and disadvantages of main surgical approaches for robot-assisted radical prostatectomy

The introduction of robotic-assisted surgery into clinical practice has opened up new possibilities for the surgical treatment of urological patients. Robot-assisted radical prostatectomy (RARP) is one of the most commonly performed robot-assisted surgery. The review is devoted to the main surgical approaches for RARP. An analysis of publications on this topic was carried out using the search engines of the scientific databases PubMed, Medscape, Google Scholar, eLibrary when writing the article The article presents an overview of the advantages and disadvantages of the existing four access options for RARP: anterior, perineal, lateral and posterior, as well as oncological and functional outcomes of operations. It has been shown that a surgeon with different approaches can choose the most suitable one for a given clinical situation, focusing on the stage of the disease, the patients age, anatomical features of the prostate gland, the state of the patients erectile function, and the history of operations on the abdominal cavity and pelvic organs.

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929 ROBOT ASSISTED RADICAL PROSTATECTOMY IN PATIENTS WITH A HISTORY OF ENDOSCOPIC TREATMENT FOR BENIGN HYPERPLASIA OF PROSTATE

The Journal of Urology ◽

10.1016/j.juro.2011.02.847 ◽

2011 ◽

Vol 185 (4S) ◽

Author(s):

Sanket Chauhan ◽

Rafael Coelho ◽

Ananthakrishnan Sivaraman ◽

Kenneth Palmer ◽

Bernardo Rocco ◽

...

Keyword(s):

Radical Prostatectomy ◽

Endoscopic Treatment ◽

Robot Assisted ◽

History Of ◽

Benign Hyperplasia

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Robot assisted radical prostatectomy in patient with a history of Holium laser enucleation of the prostate

European Urology Supplements ◽

10.1016/s1569-9056(16)15285-6 ◽

2016 ◽

Vol 15 (7) ◽

pp. 331

Author(s):

C. Donkyoung ◽

Y.S. Lee ◽

O. Kwon ◽

M. Seung Ki ◽

Y.G. Lee

Keyword(s):

Radical Prostatectomy ◽

Robot Assisted ◽

History Of ◽

Laser Enucleation

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Effect of Prostate Gland Size on the Learning Curve for Robot-Assisted Laparoscopic Radical Prostatectomy: Does Size Matter Initially?

Journal of Endourology ◽

10.1089/end.2009.0325 ◽

2010 ◽

Vol 24 (2) ◽

pp. 261-266 ◽

Cited By ~ 15

Author(s):

Carlos H. Martínez ◽

Venu Chalasani ◽

Darwin Lim ◽

Linda Nott ◽

Reem J. Al-Bareeq ◽

...

Keyword(s):

Radical Prostatectomy ◽

Learning Curve ◽

Prostate Gland ◽

Laparoscopic Radical Prostatectomy ◽

Robot Assisted ◽

Gland Size ◽

Size Matter

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Robot-Assisted Radical Prostatectomy in Patients with a History of Holmium Laser Enucleation of the Prostate: Feasibility and Evaluation of Initial Outcomes

Journal of Endourology ◽

10.1089/end.2014.0767 ◽

2015 ◽

Vol 29 (7) ◽

pp. 764-769 ◽

Cited By ~ 10

Author(s):

Paul T. Gellhaus ◽

M. Francesca Monn ◽

Joshua Leese ◽

Chandra K. Flack ◽

James E. Lingeman ◽

...

Keyword(s):

Radical Prostatectomy ◽

Holmium Laser ◽

Robot Assisted ◽

History Of ◽

Laser Enucleation ◽

Holmium Laser Enucleation

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TECHNIQUES FOR FIXED DENTAL RESTORATIONS REMOVAL - CLASSIFICATION, DECISION ON THE CORRECT APPROACH, ADVANTAGES AND DISADVANTAGES

Journal of IMAB - Annual Proceeding (Scientific Papers) ◽

10.5272/jimab.2021271.3510 ◽

2021 ◽

Vol 27 (1) ◽

pp. 3510-3517

Author(s):

Radostina Vasileva ◽

Keyword(s):

Clinical Situation ◽

Complete Classification ◽

Literature Study ◽

Scientific Databases ◽

Advantages And Disadvantages ◽

Dental Restorations ◽

Ideal System ◽

Full Classification ◽

Selection Of ◽

The Ideal

Introduction: Fixed dental restorations possess a predefined period of use. Most often they are removed by means of sectioning which renders them unusable. Reasons exist when practitioners shall preserve the restoration, applying conservative approaches for removing. In the literature, apart from the classic destructive technique with sectioning, conservative, semi-conservative and combined techniques for removal are described. The aim of this article is to present a complete classification and description of different approaches to remove permanently and temporarily fixed prosthetic constructions. Materials and methods: A literature study was conducted athe beginning of 2019. Information was gathered using dental textbooks on the topic specified and online scientific databases such as PubMed, ResearchGate, etc. Conclusion Through this article, a conclusion was drawn that a full classification or description of removal techniques for fixed dentures has not been done in the Bulgarian literature so far. It is reported that information for patients about advantages, disadvantages and dangers of removing a permanently cemented restoration is of great importance. Except for the destructive ones, all methods described here may be used when removing temporarily fixated constructions. The selection of the ideal system or a combination depends on the clinical situation. Safest and most atraumatic for underlying structures when removing permanently cemented restorations is the destructive approach. Practitioners must be precisely familiar with the techniques so as to be able to preserve the construction, to avoid any danger connected with the clinical case. According to data gathered, no approach is universally applicable when removing fixed prosthetic restorations.

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Comparative Effectiveness of Robot-Assisted and Open Radical Prostatectomy in the Postdissemination Era

Journal of Clinical Oncology ◽

10.1200/jco.2013.53.5096 ◽

2014 ◽

Vol 32 (14) ◽

pp. 1419-1426 ◽

Cited By ~ 129

Author(s):

Giorgio Gandaglia ◽

Jesse D. Sammon ◽

Steven L. Chang ◽

Toni K. Choueiri ◽

Jim C. Hu ◽

...

Keyword(s):

Radical Prostatectomy ◽

Length Of Stay ◽

Lower Risk ◽

Surgical Approaches ◽

First Year ◽

Blood Transfusions ◽

Cancer Therapies ◽

Robot Assisted ◽

Prolonged Length ◽

Open Radical Prostatectomy

Purpose Given the lack of randomized trials comparing robot-assisted radical prostatectomy (RARP) and open radical prostatectomy (ORP), we sought to re-examine the outcomes of these techniques using a cohort of patients treated in the postdissemination era. Patients and Methods Overall, data from 5,915 patients with prostate cancer treated with RARP or ORP within the SEER-Medicare linked database diagnosed between October 2008 and December 2009 were abstracted. Postoperative complications, blood transfusions, prolonged length of stay (pLOS), readmission, additional cancer therapies, and costs of care within the first year after surgery were compared between the two surgical approaches. To decrease the effect of unmeasured confounders, instrumental variable analysis was performed. Multivariable logistic regression analyses were then performed. Results Overall, 2,439 patients (41.2%) and 3,476 patients (58.8%) underwent ORP and RARP, respectively. In multivariable analyses, patients undergoing RARP had similar odds of overall complications, readmission, and additional cancer therapies compared with patients undergoing ORP. However, RARP was associated with a higher probability of experiencing 30- and 90-day genitourinary and miscellaneous medical complications (all P ≤ .02). Additionally, RARP led to a lower risk of experiencing blood transfusion and of having a pLOS (all P < .001). Finally, first-year reimbursements were greater for patients undergoing RARP compared with ORP (P < .001). Conclusion RARP and ORP have comparable rates of complications and additional cancer therapies, even in the postdissemination era. Although RARP was associated with lower risk of blood transfusions and a slightly shorter length of stay, these benefits do not translate to a decrease in expenditures.

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