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Impact of neurovascular bundle preservation on biochemical recurrence after robot-assisted radical prostatectomy for high-risk prostate cancer.
World J Urol
December 2024
Department of Urology, Kyoto University Graduate School of Medicine, Kyoto, Japan.
Purpose: To evaluate functional and oncological outcomes in patients who underwent unilateral or bilateral nerve-sparing (NS) robot-assisted radical prostatectomy (RARP) for high-risk prostate cancer.
Methods: The cohort comprised 2683 patients with clinical stage T1-4, N0M0 high-risk prostate cancer who underwent RARP in Japanese tertiary care centers from August 2011 to April 2023. High risk was defined using the European Association of Urology risk stratification criteria.
Nerve-sparing techniques in robot-assisted radical prostatectomy - anatomical approach.
Expert Rev Med Devices
December 2024
Department and Chair of Urology and Andrology, Ludwik Rydygier Collegium Medicum, Nicolaus Copernicus University, Bydgoszcz, Poland.
Introduction: Nerve-sparing (NS) techniques in robot-assisted radical prostatectomy (RARP) are foundational to preserving sexual function and urinary continence in prostate cancer (PCa) patients.
Areas Covered: This article aims to classify nerve-sparing (NS) techniques in RARP based on an anatomical approach to the prostate. We have identified three main NS approaches in RARP: anterior, lateral, and posterior.
Hugo™ Versus daVinci™ Robot-Assisted Radical Prostatectomy: 1-Year Propensity Score-Matched Comparison of Functional and Oncological Outcomes.
J Clin Med
November 2024
Department of Medicine and Translational Surgery, Università Cattolica del Sacro Cuore, 00168 Rome, Italy.
: A comprehensive comparison of intraoperative, oncological, and functional outcomes of RARP performed with different robotic surgical platforms is critically needed. Our aim is to compare the oncological and functional outcomes of RARP performed using the novel Hugo™ RAS system with those from the daVinci system, the reference standard, at a high-volume robotic center, with an extended follow-up period (one year). : We analyzed the data of 400 patients undergoing RARP ± pelvic lymph node dissection between 2021 and 2023, using propensity score (PS) matching to correct for treatment selection bias.
View Article and Find Full Text PDFArticle Synopsis
- The Da Vinci robotic platforms have evolved significantly over the last two decades, leading to advancements in surgical techniques and technology used in robotic-assisted surgery, including the introduction of the new Da Vinci 5 model.
- A video compilation was created to compare the Da Vinci 5 and Da Vinci Xi during radical prostatectomy, highlighting the technical improvements and modifications of the new platform.
- The surgical technique remains consistent with previous approaches, emphasizing the steps involved in a radical prostatectomy using the Da Vinci 5, such as anterior bladder neck access and posterior dissection.
Robot-Assisted Nerve-Sparing Eradication of Deep Endometriosis Using the da Vinci SP.
J Minim Invasive Gynecol
October 2024
Department of Obstetrics and Gynecology, Kurashiki Medical Center, Okayama, Japan (all authors).
Article Synopsis
- - The text discusses the advantages of nerve-sparing surgery for deep endometriosis, emphasizing how it can minimize pelvic organ dysfunction post-surgery through improved anatomical knowledge and surgical techniques.
- - It highlights the use of the da Vinci SP robotic system, which has advanced tools that enhance precision in complex surgeries compared to traditional single-port laparoscopic methods, though its full potential is still being explored.
- - A case study is presented involving a 47-year-old woman with chronic pelvic pain, illustrating that the technique used in the surgery mimics conventional robotic procedures, benefiting from the SP system's superior visualization and instrument maneuverability.
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