Publications by authors named "Tiago Mendonca Lopez Castilho"
Introduction: Recent data suggest that robotic platform has become the most accessible minimal invasive surgery even for surgeons without previous training in laparoscopy. Laparoscopic partial nephrectomy (LPN) is a well-stablished procedure, however, with high level of complexity and long learning curve that limit its use.
Objective: To describe safety, efficiency and learning curve of a single surgeon without previous experience in LPN to reach "TRIFECTA" at robot-assisted partial nephrectomy (RAPN).
Article Synopsis
- The study examines the effectiveness of ultrasound-magnetic resonance imaging (US-MRI) fusion biopsy (FB) versus traditional transrectal ultrasound (TRUS) systematic random biopsies (SRB) in detecting prostate cancer.
- A comparison of the Gleason upgrading (GU) rates showed that TRUS SRB had higher GU rates (31.5%) compared to US-MRI FB (16.4%), indicating that US-MRI FB may provide more accurate assessments.
- The findings suggest that US-MRI FB enhances the accuracy of prostate cancer diagnosis and may lead to better treatment decisions, shown by reduced GU rates and improved concordance between biopsy results and final pathology.