English (United Kingdom)

https://curated-unify.zendy.io/wp-json/zendy-region/v1/featured_content/oa?rat=en

https://curated-unify.zendy.io/wp-json/zendy-region/v1/highlighted_journal/

Global: Zendy Plus annual

Presents the access of premium content as premium feature

Premium Content

Presents the keyphrase highlighting as premium feature

Keyphrase Highlighting

Presents the summarisation as premium feature

Summarisation

Insights

Presents the pdf analysis as premium feature

PDF Analysis

Presents the zaia usage as premium feature

ZAIA

Global: Zendy Tools annual

Global: Zendy Free Plan

Global: Zendy Tools monthly

Global: Zendy Plus monthly

s / Urological Science 26 (2015) S1eS25 S10 Conclusion: Learning curve for every 200 cases of RALP showed significantly less blood loss and blood transfusion rate. The keys to prevent complication was preoperation evaluation meticulously and a dedicated robotic team to do RALP intraoperatively. Early diagnosis and management of complication is paramount in patients have any deviation from the normal postoperative course and clinical care pathway. PD5-6: ”ROBOTIC-ASSISTED LAPAROSCOPIC RADICAL PROSTATECTOMY FOR PREOPERATIVELYSUSPICIOUS PROSTATE CANCER PATIENTS IN EXPERIENCE OF 50 CASESIS A NOVEL INDICATION FOR ROBOTIC SURGERY? ” Yen-Chuan Ou M.D., Ph.D., Chun-Kuang Yang M.D., Kuangh-Si Chang , John Wang M.D. , Siu-Wan Hung M.D. . Division of Urology, Department of Surgery, Taichung Veterans General Hospital, Taichung, Taiwan; Department of Research, Taichung Veterans General Hospital, Taichung, Taiwan; Department of Pathology, Taichung Veterans General Hospital, Taichung, Taiwan; Department of Radiation, Taichung Veterans General Hospital, Taichung, Taiwan Purpose: To report the experience of 50 cases of robotic-assisted laparoscopic radical prostatectomy (RALP) by single surgeon (YCOU) for suspicious prostate cancer preoperatively. Materials and Methods: Prostate cancer was suspected and RALP was performed in 50 cases from Feb. 2012 to March 2015. The mean age was 64.21-year-old. The PSA level range 2.5-75 ng/dl (mean: 15) preoperatively. Transrectalsonoguiding biopsy (TRUS) of prostate was done in 41 (82%) cases (once: 26 cases, twice: 12 cases, thrice: 2 cases and four times: one case) and 9 (18%) cases didn't receive biopsy preoperatively. TRUS pathology revealed prostatic intraepithelial neoplasia (PIN) in 5 cases (high grade: 3, low grade: 2), atypical hyperplasia in one case and nodular hyperplasia (with or without inflammation) in 35 cases. All patients have lower urinary tract symptom(LUTS). MRI was performed in 45 cases and showed prostate index (PI)-Rad grade III in 36 cases and PI-Rad grade IV in 9 cases. Patients with full understanding signed informed consent for robotic radical prostatectomy before operation after discussion with operator. Results: Operation parameters included console time 112.6 min, blood loss 92.6 ml and the mean prostate volume was 63.69 ml. No blood transfusion in all patients. Two Clavien system, grade I complications (Ileus in one case and intraoperative urinary bladder perforation with repair in one) was noted. Whole-mount step section of prostate pathology disclosed adenocarcinoma in 19 cases (38%), PIN (high grade: 6, low:5) in 11 cases, atypical hyperplasia in 4 cases and nodular hyperplasia (with or without inflammation) in 16 cases ( 32%). pT2 in 13 cases and pT3 in 6 cases was found. Two positive surgical margin in two cases. Nineteen cases of prostate cancer showed Gleason score (GS) 5 in 3 cases, GS 6 in 9 cases, GS 7 in 6 cases and GS 8 in one case. The tumor volume ranged 0.1 ml to 12 ml with mean 3.59 ml. The tumor percentage in whole prostate was 8.2% (0.1%65%). Preoperatively urodynamic study revealed voided urine volume (VV) 208 ml, maximal/mean flow rate 10.85/4.5 ml/sec and post-void residual urine volume (PVR) 72.42 ml. Postperatively urodynamic study revealed voided urine volume (VV) 234 ml, maximal/mean flow rate 20.66/11.4 ml/ sec and post-void residual urine volume (PVR) 9.36 ml. The international prostate symptom score (IPSS) was statistically significant reduced from 19.82 to 2.67 and also bother score decreased from 4 to 0.125. All patients experienced continence of urination in mean 10.7 post-operative day (POD) ( POD 0-40). Two patient with biochemical recurrence (BCR) was noted. Conclusion: Robotic-assisted laparoscopic radical prostatectomy for suspicious prostate cancer preoperatively and moderate LUTS disclosed 38% with adenocarcinoma and 30% of PIN or atypical hyperplasia. The subset of those patients have most satisfactory outcome. It is a novel application for robotic surgery. Podium-6

urological science

”Robotic-assisted laparoscopic radical prostatectomy for preoperativelysuspicious prostate cancer patients in experience of 50 cases- is a novel indication for robotic surgery? ”