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This digital document is an article from Family Practice News, published by International Medical News Group on July 1, 2004. The length of the article is 1064 words. The page length shown above is based on a typical 300-word page. The article is delivered in HTML format and is available in your Amazon.com Digital Locker immediately after purchase. You can view it with any web browser.

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Is robotic-assisted surgery clearly superior for radical prostatectomy for prostate cancer?: An article from: Family Practice News

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Endoscopic/ laparoscopic extraperitoneal radical prostatectomy (EERPE) has become established as a therapeutic option for localized prostate cancer. This book is an atlas, not a conventional textbook. Its main goal is to guide the urologist step by step through EERPE, aiming to make this highly standardized technique reproducible. Every stage of the procedure is presented with numerous endoscopic images and diagrams so that the reader can fully comprehend the differ… More >>

Endoscopic Extraperitoneal Radical Prostatectomy: Laparoscopic and Robot-Assisted Surgery

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Robotic trained surgeons at Fox Chase Cancer Center in Philadelphia presented a new and novel approach to surgically treat urothelial cancer (in the lining of the bladder or kidney) on April 26 at the American Urological Association’s Annual Meeting. Using da VinciĀ® robot-assisted technology, urologic cancer surgeons perform complicated urologic cases using minimally invasive surgery.

Standard treatment for ureteral cancer is surgical resection of the tumor, called a distal ureterectomy, or removal of the entire kidney, called a nephro-ureterectomy. Depending on the experience of the surgeon, this procedure can be performed using open surgery, while others may elect a laparoscopic approach. In either instance, the surgeon’s experience is vital for preserving function of the kidney.

“A minimally invasive approach to this procedure is challenging for even the most experienced laparoscopist. This is due to the technical challenge of re-implanting the ureter into the bladder,” says Rosalia Viterbo, MD, robotic surgeon at Fox Chase and co-author on the study. “Robotic assistance can make a minimally invasive approach more technically feasible.”

In this video abstract, Fox Chase urologic cancer surgeons, Viterbo and her colleague David Y.T. Chen, MD, demonstrate the four-arm technique for robot assisted distal ureterectomy.

In the video, Viterbo is shown performing the robotic distal ureterectomy on a 73-year-old man with a distal left ureteral tumor. She explains, “The patient presented with stage 3 chronic kidney disease, so a nephron-sparing approach was taken to preserve kidney function. During the surgery, the four robotic arms and two assistant ports were successfully positioned in a manner similar to robot assisted radical prostatectomy.”

This approach resulted in the usual benefits associated with minimally invasive surgeries, such as less bleeding and scarring, shorter hospital stay, faster recovery and return to normal activity and with his kidney function preserved.

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