Author: Dr. Savatta
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Robotic Donor Nephrectomy for donating a kidney for transplant
UroToday – AUA 2007 – Experience with Robotic-Assisted Laparoscopic Living Donor Nephrectomy This series demonstrates that robotic-assisted laparoscopic donor nephrectomy can be performed safely with low complication rates and outcomes similar to standard laparoscopic living donor nephrectomy.
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European study shows that prostate cancer screening leads to less advanced prostate cancer
UroToday – Prostate Cancer Screening Decreases the Absolute Risk of Being Diagnosed with Advanced Prostate Cancer—Results from a Prospective, Population-Based Randomized Controlled Trial Between the years1995 and 2004, 1,252 cases of CaP were diagnosed; 810 in the screening arm and 442 in the control arm. Men randomized to active screening had a 1.83-fold increased risk…
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Robotic surgery summary- April 2007
April has been traditionally a slow month in my practice. Last year it was the only month that I did less than 12 robotic surgeries (I only did 9). This year I performed 16 robotic surgeries in April.
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Partial nephrectomy for kidney cancer
UroToday – Renal Artery Occlusion During Nephron-Sparing Surgery: Retrospective Review of 301 Cases The authors report on 301 patients who underwent nephron sparing surgery for a localized renal tumor. Of these, 181 patients had renal artery occlusion with cold ischemia, while the remaining 120 patients were managed with external compression alone to control hemorrhage. Mean…
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Hormonal therapy with radiation for prostate cancer
UroToday – Phase II Study of Neoadjuvant Androgen Deprivation Followed by External-Beam Radiotherapy With 9 Months of Androgen Deprivation for Intermediate- to High-Risk Localized Prostate Cancer Testosterone returned to normal in 69% of patients with a median time to recovery of 9 months. Testosterone returned to it baseline level after ADT in 37% with a…
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Results of a large cryosurgery trial
UroToday – Outcomes of Cryotherapy for Prostate Cancer The mean follow-up was 20 months. A total of 4% of patients who were continent pre-procedure were incontinent after therapy. A total of 39% of patients reported being potent pre-treatment and all men were impotent immediately after cryotherapy. The probability for a man potent prior to treatment…
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Prostate cancer surgery: Small prostates
UroToday – EAU 2007 – Session on Open and Laparoscopic Radical Prostatectomy Tumors Interestingly, in prostate volumes less than 30gm, lap RP was associated with a PSM in 44%, while no such association existed for open RP. I have never thought of this before, but a quick look at my robotic data shows that 4…
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Haptics update from John Hopkins
Johns Hopkins Magazine Robotics, along with stem-cell research, will drive much of the innovation in medicine in the coming decades. Mohsen Mahvash Mohammady, an assistant research professor at the Engineering Research Center for Computer-Integrated Surgical Systems and Technology (ERC CISST) at Johns Hopkins, and a fixture in the haptics lab, says that collaboration is the…