Publications by authors named "Joshua K Palka"

Dissemination of robotic surgical technology for robot-assisted laparoscopic prostatectomy (RALP) has yielded advancements including the Retzius-sparing (RS) approach and the single-port (SP) platform. The safety and feasibility of each individual advancement have been evaluated, yet there is a lack of literature comparing SP RS-RALP to conventional multi-port (MP) RS-RALP. All patients who underwent RS-RALP at our institution between January 2019 and February 2021 were retrospectively reviewed.

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Article Synopsis
  • Robotic assisted laparoscopic prostatectomy (RALP) is now the main surgical option for prostate cancer, with many patients being discharged the day after surgery, and same-day discharge being considered.
  • Researchers examined 150 RALP surgeries to find links between postoperative pain and factors like patient demographics and surgical variables, focusing on pain scores and narcotic use shortly after surgery.
  • Findings indicated that high pain scores or narcotic usage 2 hours post-surgery were linked to ongoing pain, suggesting that effective pain management at that point could support same-day discharge for patients.
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To determine whether androgen, estrogen, and/or progesterone signaling play a role in the pathophysiology of adherent perinephric fat (APF). We prospectively recruited patients undergoing robotic assisted partial nephrectomy during 2015-2017. The operating surgeon documented the presence or absence of APF.

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The surgical techniques and devices used to perform radical cystectomy have evolved significantly with the advent of laparoscopic and robotic methods. The da Vinci Single-Port (SP) platform (Intuitive Surgical, Inc., Sunnyvale, CA) is an innovation that allows a surgeon to perform robot-assisted radical cystectomy (RARC) through a single incision.

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