Category: Reconstructive and Other Urologic Robotic Surgeries
Robotic versus open distal ureteral reconstruction and reimplantation for benign stricture disease.
Four neocystostomies, four psoas hitches, and two Boari flaps were performed in the RAUR group. Estimated blood loss 30.6 vs 327.5 mL, P=0.001 and length of hospital stay 2.4 vs 5.1 d, P=0.01 were significantly reduced in the robotic group. Median BMI 29.4±5.3 vs 26.5±5.2, P=0.130 and operative time in minutes 306.6 vs 270.0 min, […]
UroToday – Laparoscopic mesh herniorrhaphy: Impact on outcomes associated with radical retropubic prostatectomy
Source: Urotoday Eighteen patients with a prior LMH underwent RRP. Five of the 18 had bilateral LMH, with unilateral LMH in the remainder. Outcomes in this group were compared with 38 patients without prior LMH. There was no difference between the groups in terms of age, preoperative PSA, prostate size, preoperative Gleason score, or body […]
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.
Surgery for Xanthogranulomatous Pyelonephritis
UroToday – Laparoscopic Versus Open Radical Nephrectomy for Xanthogranulomatous Pyelonephritis: Contemporary Outcomes Analysis BERKELEY, CA (UroToday.com) – It was not until 9 years after the initial laparoscopic nephrectomy, that the first report on using this technique for xanthogranulomatous pyelonephritis (XGP) emerged from Washington University. At that time, we noted the procedures were much longer than […]
Are da Vinci Pyeloplasties "Experimental"
I recently had an encounter with United Healthcare that initially resulted in a denial of a request to treat one of their patients with UPJ stenosis (partial obstruction of the drainage leading from the kidney to the bladder) with a robotic repair of the condition. The denial was initially based on the perception that such […]
Port placement in robotic renal surgery from Henry Ford and Kuala Lumpur
A structured process for achieving optimal port placement for robotic transperitoneal renal surgery From the World Congress of Endourology Source: UroToday M.J. Fumo1, K.K. Badani , S. Kaul , A. Shrivastava , S. Dusik-Fenton , F. Ogunfitidimi , S. Murali , N. Ashani , K. Arumunga , R.H Littleton , J.O. Peabody , R.M. Sahabudin […]
Previous Laparoscopic Hernia Repair with mesh in prostate cancer patients
This past month 2 patients of mine with prior laparoscopic hernia repairs with mesh had successful dvPs. I have done several of these now and do not get overly concerned with this finding in a patient. One of the patient’s was from Florida and was advised against robotic prostatectomy from 2 urologists that performed robotics […]
Adrenal surgery: right vs left
I have performed several robotic adrenalectomies and about a dozen laparoscopic adrenalectomies. I have had excellent results with robotic and lap, and have not had any trouble with either the right of the left side. There is a study from China that concludes that right or left laparoscopic adrenalectomies are similar in outcomes. I have […]
New procedure for robotic repair of vesicovaginal fistula- Malaysia
Robotic repair of vesicovaginal fistula: Case series of five patients from Department of Urology, Hospital Sultanah Aminah, Johor Bahru, Malaysia Source: Science Direct Original Article: Urology
New Robotic Surgical Procedure: Robotic Bladder Diverticulectomy
Today, Dr. Marc Greenstein and I performed the first robotic diverticulectomy at our hospital, and likely among one of the first on the country. This procedure was done for recurrent bladder infections, but can also be done for bladder cancer. The operation went extremely well and much better than the typical open version of the […]