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World Journal of Urology
Published in: World Journal of Urology 2/2006

01-06-2006 | Topic Paper

Robotic radical prostatectomy in Australia: initial experience

Authors: P. J. O’Malley, S. Van Appledorn, D. M. Bouchier-Hayes, H. Crowe, A. J. Costello

Published in: World Journal of Urology | Issue 2/2006

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Abstract

The purpose of this study is to describe the initial experience of robotic-assisted radical prostatectomy (RARP) in Australia. Since the installation of the daVinci® system at the Australian Institute for Robotic Surgery, Epworth Hospital, Melbourne in December 2003, 275 robotic-assisted radical prostatectomies have been performed by two surgeons. A prospective database is compiled for each procedure including patient, operative and outcome details. We report on the initial learning curve, surgical technique and modifications, anaesthetic considerations and surgical results comparative to open radical prostatectomy in a single surgeons experience along with margin positivity rates for the first 200 cases of RARP. RARP is the single most frequent adaptation of robotic-assisted surgery with promising initial results. Increasing availability of this modality will inevitably give rise to further adaptations. We present the initial Australian experience.
Literature
1.
Balaji KC, Yohannes P, McBridge CL, Oleynikov D, Hemstreet GP (2004) Feasibility of robot-assisted totally intracorporeal laparoscopic ileal conduit urinary diversion: initial results of a single institutional pilot study. Urology 63(1):51–55CrossRefPubMed
2.
Costello AJ (2005) Beyond marketing the real value of robotic radical prostatectomy. BJU Int 96(1):1–2CrossRefPubMed
3.
Binder J, Brautigam R, Jonas D et al (2004) Robotic surgery in urology: fact or fantasy? BJU Int 94(8):1183–1187CrossRefPubMed
4.
Herrell SD, Smith JA (2005) Laparoscopic and robotic radical prostatectomy: what are the real advantages. BJU Int 95(1):3–4CrossRefPubMed
5.
Roizen MF, Fleisher LA (2005) Anaesthetic implications of concurrent diseases. In: Miller RD (ed) pI033 in Millers anaesthesia, vol 1, 6th edn. Elsevier Churchill Livingstone, Philadelphia
6.
Lee KL, Hsu TH (2004) Physiologic response to laparoscopic surgery: practical considerations. Contemp Urol 16:36–45
7.
Costello TG, Webb P Anaesthesia for robot-assisted anatomic prostatectomy. Epworth Hospital, Melbourne (in press, personal communications)
8.
9.
Ahlering TE, Skarecky D, Lee D, Clayman RV (2003) Successful transfer of open surgical skills to a laparoscopic environment using a robotic interface: initial experience with laparoscopic radical prostatectomy. J Urol 170:1738–1741CrossRefPubMed
10.
Menon M, Tewari A, Peabody JO, Hemal AK et al (2004) Vattikuti Institute prostatectomy, a technique of robotic radical prostatectomy for the management of localized carcinoma of the prostate experience of over 1100 cases. Urol Clin N Am 31:701–717CrossRef
11.
Menon M, Tewari A, Hemal AK (2003) Vattikuti Institute Prostatectomy Team. Robotic radical prostatectomy and the Vattikuti Urology Institute technique an interim analysis of results and technical points. Urology 61(4 Suppl 1):15–20CrossRefPubMed
12.
Tewari A, Srivasatava A, Menon M (2003) A prospective comparison of radical retropubic and robot-assisted prostatectomy: experience in one institution. BJU Int 92:205–210CrossRefPubMed
13.
Costello AJ, Haxhimolla H, Crowe H et al (2005) Installation of telerobotic surgery and initial experience with telerobotic radical prostatectomy. BJU Int 96(1):34–38CrossRefPubMed
14.
Van Appledorn S, Bouchier-Hayes D, Costello AJ (2006) Robotic laparoscopic radical prostatectomy: refined set-up and procedural techniques after 150 cases. Urology 67(2):364–367CrossRefPubMed
15.
Pick DL, Lee DI, Skarecky DW et al (2004) Anatomic guide for port placement for daVinci robotic radical prostatectomy. J Endourol 18(6):572–575CrossRefPubMed
16.
Walsh PC (1998) Anatomic radical prostatectomy: evolution of the surgical technique. J Urol 160:2418–2424CrossRefPubMed
17.
Guilloneau B, Vallancien G (2000) Laparoscopic radical prostatectomy; the Montsouris technique. J Urol 163:1643–1649CrossRefPubMed
18.
Smith JA (2004) Robotically assisted laparoscopic prostatectomy: an assessment of its contemporary role in the surgical management of localized prostate cancer. Am J Surg 188(4 Suppl 1):63–67CrossRef
19.
Epstein JI, Partin AW, Sauvageot J, Walsh PC (1996) Prediction of progression following radical prostatectomy. A multivariate analysis of 721 men with long-term follow-up. Am J Surg Pathol 20:286CrossRefPubMed
20.
21.
Rassweiler J, Seemann O, Schulze M et al (2003) Laparoscopic versus open radical prostatectomy: a comparative study at a single institution. J Urol 169:1689CrossRefPubMed
22.
Kumar R, Hemal A, Menon M (2005) Robotic renal and adrenal surgery: present and future. BJU Int 96:244–249CrossRefPubMed
Metadata
Title
Robotic radical prostatectomy in Australia: initial experience
Authors
P. J. O’Malley
S. Van Appledorn
D. M. Bouchier-Hayes
H. Crowe
A. J. Costello
Publication date
01-06-2006
Publisher
Springer-Verlag
Published in
World Journal of Urology / Issue 2/2006
Print ISSN: 0724-4983
Electronic ISSN: 1433-8726
DOI
https://doi.org/10.1007/s00345-006-0064-4

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