Historical Considerations and Surgical Quality Improvement in Robotic Prostatectomy
Laparoscopic prostatectomy was technically challenging and not widely adopted. Robotics led to the widespread adoption of minimally invasive prostatectomy, which has been used heavily, supplanting the open and traditional laparoscopic approach. The benefits of robotic prostatectomy are disputed. Data suggest that robotic prostatectomy outcomes have improved over time. (Source: Urologic Clinics of North America)
Source: Urologic Clinics of North America - November 18, 2020 Category: Urology & Nephrology Authors: Danly O. Omil-Lima, Karishma Gupta, Adam C. Calaway, Michael A. Zell Source Type: research
Two Decades of Robotics in Urology: Origins, Current Practice, and Directions
We describe how the conversion to robotics has been accompanied by efforts to improve training, quality, diagnostics, and oncologic control, while limiting morbidity. Despite early concerns about cost, and oncologic control, it is increasingly clear that the changes to this operation are, to a certain extent, irreversible; most urologic trainees currently have minimal training and exposure to many major open operations. (Source: Urologic Clinics of North America)
Source: Urologic Clinics of North America - November 18, 2020 Category: Urology & Nephrology Authors: Jim C. Hu, Jonathan E. Shoag Tags: Preface Source Type: research
Robotic Urology: The Next Frontier
UROLOGIC CLINICS OF NORTH AMERICA (Source: Urologic Clinics of North America)
Source: Urologic Clinics of North America - November 18, 2020 Category: Urology & Nephrology Authors: Jim C. Hu, Jonathan E. Shoag Source Type: research
Copyright
ELSEVIER (Source: Urologic Clinics of North America)
Source: Urologic Clinics of North America - November 18, 2020 Category: Urology & Nephrology Source Type: research
Contributors
KEVIN R. LOUGHLIN, MD, MBA (Source: Urologic Clinics of North America)
Source: Urologic Clinics of North America - November 18, 2020 Category: Urology & Nephrology Source Type: research
Contents
Kevin R. Loughlin (Source: Urologic Clinics of North America)
Source: Urologic Clinics of North America - November 18, 2020 Category: Urology & Nephrology Source Type: research
Forthcoming Issues
The Changing Landscape of Urologic Practice (Source: Urologic Clinics of North America)
Source: Urologic Clinics of North America - November 18, 2020 Category: Urology & Nephrology Source Type: research
Robotic Ureteral Reconstruction
Robotically assisted laparoscopic techniques may be used for proximal and distal ureteral strictures. Distal strictures may be approached with ureteroneocystotomy, psoas hitch, and Boari flap. Ureteroureterostomy, buccal mucosa graft ureteroplasty, and appendiceal flap ureteroplasty are viable techniques for strictures anywhere along the ureter. Ileal ureteral substitution is reserved for more extensive disease, and autotransplantation is reserved for salvage situations. (Source: Urologic Clinics of North America)
Source: Urologic Clinics of North America - November 4, 2020 Category: Urology & Nephrology Authors: Alice Drain, Min Suk Jun, Lee C. Zhao Source Type: research
Robotic Radical Cystectomy in the Contemporary Management of Bladder Cancer
“The robotic approach for radical cystectomy has become increasingly adopted by the urologic oncology community, as it has been shown to have equivalent oncologic outcomes with shorter hospital stay and fewer perioperative transfusions. Consensus guidelines from expert surgeons have been published to provide guidance on all aspects of how to implement the robotic approach in the urologic oncology clinic.” (Source: Urologic Clinics of North America)
Source: Urologic Clinics of North America - November 4, 2020 Category: Urology & Nephrology Authors: Peter Y. Cai, Aleem I. Khan, Douglas S. Scherr, Jonathan E. Shoag Source Type: research
Current Trends in Artificial Intelligence Application for Endourology and Robotic Surgery
With the advent of electronic medical records and digitalization of health care over the past 2 decades, artificial intelligence (AI) has emerged as an enabling tool to manage complex datasets and deliver streamlined data-driven patient care. AI algorithms have the ability to extract meaningful signal from complex datasets through an iterative process akin to human learning. Through advancem ents over the past decade in deep learning, AI-driven innovations have accelerated applications in health care. Herein, the authors explore the development of these emerging AI technologies, focusing on the application of AI to endou...
Source: Urologic Clinics of North America - November 4, 2020 Category: Urology & Nephrology Authors: Timothy C. Chang, Caleb Seufert, Okyaz Eminaga, Eugene Shkolyar, Jim C. Hu, Joseph C. Liao Source Type: research
Intracorporeal Urinary Diversion in Robotic Radical Cystectomy
Robotic-assisted radical cystectomy has gained increasing popularity over the past decade. Initially, the procedure was performed with extracorporeal urinary diversion given the technical challenges of the intracorporeal approach. Since then, innovative techniques have been described to facilitate bowel manipulation, assess ureteral and mesenteric vasculature, and perform ureteroenteric and urethro-ileal anastomosis. Overcoming the learning curve associated with intracorporeal urinary diversion can lead to decreased blood loss, shorter operative times, and faster convalescence, particularly with enhanced recovery protocols...
Source: Urologic Clinics of North America - November 4, 2020 Category: Urology & Nephrology Authors: Prithvi B. Murthy, Rebecca A. Campbell, Byron H. Lee Source Type: research
Competing Robotic Systems
“The new frontier of robotic surgery is well under way. Current research and development is rapidly progressing, allowing for the creation of many new robotic companies. Each company has its own identity and platform for what their vision for the future entails. The competition generated between t hese companies will shortly be forcing newer, cheaper, more accessible robotic systems worldwide.” (Source: Urologic Clinics of North America)
Source: Urologic Clinics of North America - November 4, 2020 Category: Urology & Nephrology Authors: Michael Wilson, Ketan Badani Source Type: research
Robotics in Pediatric Urology
Almost 30 years have passed since the inception of minimally invasive surgery in urology and specifically in pediatric urology. Laparoscopy has now become an essential tool in the pediatric urologic armamentarium. The application of robot-assisted surgery in pediatrics has allowed for widespread utilization for common reconstructive procedures such as pyeloplasty and ureteral reimplantation. Understanding the implementation, technical considerations, and outcomes are critical for continued success and adoption. This has allowed for increased use in more complex urologic procedures such as redo pyelopl asty, dismembered u...
Source: Urologic Clinics of North America - November 4, 2020 Category: Urology & Nephrology Authors: Sameer Mittal, Arun Srinivasan Source Type: research
Robotic Surgery for Male Infertility
This article reviews the application of robotic surgery to each of the 4 primary male infertility procedures: vasectomy reversal, varicocelectomy, testicular sperm extraction, and spermatic cord denervation. Historical perspective is presented alongside the available outcomes data, which are limited in most cases. Before the robotic approach can be widely adopted, further clinical trials are needed to compare outcomes and costs with those of other validated surgical techniques. (Source: Urologic Clinics of North America)
Source: Urologic Clinics of North America - November 4, 2020 Category: Urology & Nephrology Authors: Annie Darves-Bornoz, Evan Panken, Robert E. Brannigan, Joshua A. Halpern Source Type: research
Robot-Assisted Surgery for Upper Tract Urothelial Carcinoma
This article discusses the evaluation of patients with upper tract urothelial carcinoma and definitive management using robot-assisted surgical approaches. Patients with urothelial carcinoma of the upper tract can be treated with robot-assisted nephroureterectomy, distal ureterectomy, and segmental ureterectomy. (Source: Urologic Clinics of North America)
Source: Urologic Clinics of North America - November 4, 2020 Category: Urology & Nephrology Authors: Eric M. Lo, Hyung L. Kim Source Type: research
