51
|
Manganiello M, Kenney P, Canes D, Sorcini A, Moinzadeh A. Unidirectional barbed suture versus standard monofilament for urethrovesical anastomosis during robotic assisted laparoscopic radical prostatectomy. Int Braz J Urol 2012; 38:89-96. [PMID: 22397770 DOI: 10.1590/s1677-55382012000100013] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/29/2011] [Indexed: 11/21/2022] Open
Abstract
PURPOSE V-Loc™180 (Covidien Healthcare, Mansfield, MA) is a new unidirectional barbed suture that may reduce loss of tension during a running closure. We evaluated the use of the barbed suture for urethrovesical anastomosis (UVA) during robotic assisted laparoscopic prostatectomy (RALP). Time to completion of UVA, post-operative anastomotic leak rate, and urinary incontinence were compared in patients undergoing UVA with 3-0 unidirectional-barbed suture vs. 3-0 Monocryl™ (Ethicon, Somerville, NJ). MATERIALS AND METHODS Data were prospectively collected for 70 consecutive patients undergoing RALP for prostate cancer between November 2009 and October 2010. In the first 35 patients, the UVA was performed using a modified running van Velthoven anastomosis technique using two separate 3-0 monofilament sutures. In the subsequent 35 patients, the UVA was performed using two running novel unidirectional barbed sutures. At 7-12 days postoperatively, all patients were evaluated with a cystogram to determine anastomotic integrity. Urinary incontinence was assessed at two months and five months by total daily pad usage. Clinical symptoms suggestive of bladder neck contracture were elicited. RESULTS Age, PSA, Gleason score, prostate size, estimated blood loss, body mass index, and clinical and pathologic stage between the 2 groups were similar. Comparing the monofilament group and V-Loc™180 cohorts, average time to complete the anastomosis was similar (27.4 vs. 26.4 minutes, p = 0.73) as was the rate of urinary extravasation on cystogram (5.7 % vs. 8.6%, p = 0.65). There were no symptomatic bladder neck contractures noted at 5 months of follow-up. At 2 months, the percentage of patients using 2 or more pads per day was lower in the V-Loc™180 cohort (24% vs. 44%, p < 0.02). At 5 months, this difference was no longer evident. CONCLUSIONS Time to complete the UVA was similar in the intervention and control groups. Rates of urine leak were also comparable. While the V-Loc™180 was associated with improved early continence, this difference was transient.
Collapse
|
52
|
Tsai S, Libertino J, Sorcini A, Hamawy K, Moinzadeh A, Canes D, Gee J. 1589 PATHOLOGIC UPSTAGING FOLLOWING COMPLETE TRANSURETHRAL RESECTION AND EARLY CYSTECTOMY FOR CLINICAL STAGE T1 BLADDER CANCER. J Urol 2012. [DOI: 10.1016/j.juro.2012.02.1362] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
|
53
|
|
54
|
Kozinn SI, Canes D, Sorcini A, Moinzadeh A. Robotic Versus Open Distal Ureteral Reconstruction and Reimplantation for Benign Stricture Disease. J Endourol 2012; 26:147-51. [DOI: 10.1089/end.2011.0234] [Citation(s) in RCA: 70] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
|
55
|
Sotelo R, Carmona O, De Andrade R, Santinelli F, Patel V, Palmer K, Deger S, Giedelman C, Ramirez D, Canes D. VID-07.07 Recognition and Management of Rectal Injury During Robotic Prostatectomy. Urology 2011. [DOI: 10.1016/j.urology.2011.07.519] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/15/2022]
|
56
|
De Andrade R, Carmona O, Ramirez D, Giedelman C, Herrera E, Canes D, Aron M, Desai M, Gill I, Sotelo R. VID-04.06 NOTES Hybrid Transvaginal Upper Pole Heminephrectomy. Urology 2011. [DOI: 10.1016/j.urology.2011.07.1369] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
|
57
|
Sotelo R, Rao P, Garza R, Ramirez D, Carmona O, Canes D, Giedelman C, Mejia C, Gill I, Desai M. VID-01.07 Expanding Indications of Transvesical LESS Surgery. Urology 2011. [DOI: 10.1016/j.urology.2011.07.470] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/15/2022]
|
58
|
Sotelo R, Castle E, Castillo O, Giedelman C, Spinelli M, Saavedra J, De Andrade R, Carmona O, Canes D, Rodriguez C. VID-02.06 Complications in Minimally Invasive Radical Cystectomy. Urology 2011. [DOI: 10.1016/j.urology.2011.07.479] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
|
59
|
Canes D. Editorial comment. Urology 2011; 77:1369. [PMID: 21624597 DOI: 10.1016/j.urology.2010.10.061] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/07/2010] [Revised: 10/07/2010] [Accepted: 10/11/2010] [Indexed: 11/24/2022]
|
60
|
Canes D, Moinzadeh A, Sorcini A. Re: Saint Elie et al.: impact of laparoscopic inguinal hernia mesh on open radical retropubic prostatectomy (Urology 2010;76:1078-1082). Urology 2011; 77:1012-3; author reply 1013. [PMID: 21477736 DOI: 10.1016/j.urology.2010.12.062] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/08/2010] [Revised: 12/08/2010] [Accepted: 12/11/2010] [Indexed: 10/18/2022]
|
61
|
Canes D. Editorial comment. Urology 2011; 77:974; author reply 974-5. [PMID: 21477728 DOI: 10.1016/j.urology.2010.07.518] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/29/2010] [Revised: 07/29/2010] [Accepted: 07/31/2010] [Indexed: 11/19/2022]
|
62
|
DeLong J, Canes D. V862 TECHNIQUE FOR SAFE ENDOSCOPIC URETERAL BIOPSY USING A LARGE, BACKLOADING FORCEPS WITHOUT AN ACCESS SHEATH. J Urol 2011. [DOI: 10.1016/j.juro.2011.02.684] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
|
63
|
Manganiello M, Libertino J, Faust W, Sorcini A, Hamawy K, Moinzadeh A, Canes D, Gee J. 1606 COMPLICATIONS AFTER RADICAL CYSTECTOMY ACCORDING TO THE CLAVIEN SYSTEM AND THEIR IMPACT ON SURVIVAL – A SINGLE CENTER EXPERIENCE. J Urol 2011. [DOI: 10.1016/j.juro.2011.02.2711] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
|
64
|
Gettman MT, White WM, Aron M, Autorino R, Averch T, Box G, Cadeddu JA, Canes D, Cherullo E, Desai MM, Frank I, Gill IS, Gupta M, Haber GP, Humphreys MR, Irwin BH, Kaouk JH, Kavoussi LR, Landman J, Liatsikos EN, Lima E, Ponsky LE, Rane A, Ribal M, Rabenhalt R, Rao P, Richstone L, Sawyer MD, Sotelo R, Stolzenburg JU, Tracy CR, Stein RJ. Where Do We Really Stand With LESS and NOTES? Eur Urol 2011; 59:231-4. [PMID: 21122977 DOI: 10.1016/j.eururo.2010.11.016] [Citation(s) in RCA: 69] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/04/2010] [Accepted: 11/10/2010] [Indexed: 12/24/2022]
|
65
|
Stein RJ, Berger AK, Brandina R, Patel NS, Canes D, Irwin BH, Aron M, Autorino R, Shah G, Desai MM. Laparoendoscopic single-site pyeloplasty: a comparison with the standard laparoscopic technique. BJU Int 2010; 107:811-815. [PMID: 20804488 DOI: 10.1111/j.1464-410x.2010.09558.x] [Citation(s) in RCA: 48] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
OBJECTIVE • To compare laparoendoscopic single-site (LESS) and standard laparoscopic pyeloplasty procedures with the aim of defining whether perioperative, recovery or health-related quality of life (HRQL) benefits exist for the LESS procedure. PATIENTS AND METHODS • From November 2007 to August 2008, sixteen patients underwent LESS pyeloplasty at a tertiary care referral centre. These patients were compared with a matched cohort of patients undergoing standard laparoscopic pyeloplasty. • Matching criteria included gender and age (within 10 years), as well as preoperative degree of obstruction (T(½) within 15 min) and differential renal function (within 10% ipsilaterally) based on diuretic radionuclide scanning. Mean follow-up was 13 ± 4 months for the LESS group and 17 ± 3 months for the standard laparoscopic group. • LESS pyeloplasty procedures were all performed using a single-port device in the umbilicus and suturing was assisted with a 2-mm grasping instrument. Perioperative variables, successful relief of obstruction and HRQL measurements were compared between the two groups. RESULTS • Except for a lower body mass index in the LESS group (23 ± 6 kg/m² vs 30 ± 7 kg/m², P = 0.002), no difference was noted for perioperative variables between the two cohorts, including hospital stay and analgesic requirement. • No significant HRQL advantage was noted for either group based on a six-item non-validated questionnaire. • All patients in both groups experienced clinical resolution of their symptoms. A patient in the standard laparoscopy group and two patients in the LESS group had T(½) > 20 min (0.063% vs 0.125%, P= 1.00) on diuretic radionuclide scanning. • Limitations include the retrospective nature of the present study, as well as the relatively small study population and short follow-up. CONCLUSIONS • No benefit was noted for LESS pyeloplasty over the standard laparoscopic procedure beyond aesthetic advantages. • Further comparisons are needed to determine whether these results are generalizable to other LESS procedures.
Collapse
|
66
|
Gould JJ, Kenney PA, Rieger-Christ KM, Silva Neto B, Wszolek MF, LaVoie A, Holway AH, Spurrier B, Austin J, Cammarata BK, Canes D, Libertino JA, Summerhayes IC. Identification of tumor and invasion suppressor gene modulators in bladder cancer by different classes of histone deacetylase inhibitors using reverse phase protein arrays. J Urol 2010; 183:2395-402. [PMID: 20403623 DOI: 10.1016/j.juro.2010.02.004] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/11/2009] [Indexed: 10/19/2022]
Abstract
PURPOSE We assessed the ability of different classes of histone deacetylase inhibitors to target tumor and invasive suppressor genes in a panel of bladder carcinoma cell lines using reverse phase protein arrays. MATERIALS AND METHODS Three poorly, moderately and highly invasive cell lines were exposed to histone deacetylase inhibitors, trichostatin A, apicidin, valproic acid (Sigma) and MS-275 (AXXORA) for 0 to 36 hours. Lysates were harvested and arrayed in a 10-fold dilution series in duplicate. Data points were collected and analyzed using a concentration interpolation methodology after normalization. RESULTS Protein expression profiles revealed up-regulation of gamma-catenin in highly invasive lines, and alpha-catenin in moderately and highly invasive lines after exposure to all histone deacetylase inhibitors, apicidin and MS-275, respectively. Gelsolin was up-regulated in poorly and moderately invasive lines after exposure to all histone deacetylase inhibitors. Desmoglein was down-regulated in poorly and moderately invasive cell lines by all 4 histone deacetylase inhibitors, in addition to decreased FAK (Transduction Laboratories) expression in moderately and highly invasive lines exposed to valproic acid and MS-275. CONCLUSIONS Different histone deacetylase inhibitor classes have the potential to modulate tumor and invasive suppressor gene expression, identifying histone deacetylase inhibitors as potential therapeutic agents for bladder cancer. Reverse phase protein arrays enable high throughput screening of multiple compounds to assess the expression profile of specific protein groups targeted for therapy.
Collapse
|
67
|
Sotelo R, Rao P, Garza R, Carmona O, Ramirez D, Giedelman C, De Andrade R, Canes D, Gill I, Desai M. V1689 EXPANDING INDICATIONS OF TRANSVESICAL LESS SURGERY. J Urol 2010. [DOI: 10.1016/j.juro.2010.02.1535] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
|
68
|
Giedelman C, Ramirez D, Carmona O, De Andrade R, Mejia C, Canes D, Tuerk I, Miranda M, Sotelo R. V770 MANAGEMENT ALTERNATIVES FOR URINE LEAK AFTER LAPAROSCOPIC OR ROBOTIC PROSTATECTOMY. J Urol 2010. [DOI: 10.1016/j.juro.2010.02.1364] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
|
69
|
Smith G, Moinzadeh A, Sorcini A, Hamawy K, Canes D. V2000 LAPARO-ENDOSCOPIC SINGLE SITE (LESS) LEFT STONE EXTRACTION AND CALYCEAL DIVERTICULECTOMY. J Urol 2010. [DOI: 10.1016/j.juro.2010.02.2012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
|
70
|
Sotelo R, Carmona O, Mejia C, Di Grazia E, Patel V, Palmer K, Canes D, Abaza R, Tuerk I, Carpentier P, Mottrie A, Moinzadeh A. V469 COMPLICATIONS DURING ROBOTIC RADICAL PROSTATECTOMY. J Urol 2010. [DOI: 10.1016/j.juro.2010.02.543] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
|
71
|
De Andrade R, Carmona O, Ramirez D, Mejia C, Giedelman C, Herrera E, Canes D, Aron M, Desai M, Gill I, Sotelo R. V1994 NOTES HYBRID TRANSVAGINAL UPPER POLE HEMINEPHRECTOMY. J Urol 2010. [DOI: 10.1016/j.juro.2010.02.2006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
|
72
|
Desai MM, Ganpule A, Berger A, Andonian S, Herati A, Canes D, Aron M, Brandina R, Irwin B, Desai M, Kavoussi LR, Gill IS, Richestone L. 903 LAPAROENDOSCOPIC SINGLE SITE (LESS) DONOR NEPHRECTOMY: MULTI-INSTITUTIONAL EXPERIENCE OF 50 CASES. J Urol 2010. [DOI: 10.1016/j.juro.2010.02.1659] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
|
73
|
Gill IS, Advincula AP, Aron M, Caddedu J, Canes D, Curcillo PG, Desai MM, Evanko JC, Falcone T, Fazio V, Gettman M, Gumbs AA, Haber GP, Kaouk JH, Kim F, King SA, Ponsky J, Remzi F, Rivas H, Rosemurgy A, Ross S, Schauer P, Sotelo R, Speranza J, Sweeney J, Teixeira J. Consensus statement of the consortium for laparoendoscopic single-site surgery. Surg Endosc 2009; 24:762-8. [PMID: 19997938 DOI: 10.1007/s00464-009-0688-8] [Citation(s) in RCA: 180] [Impact Index Per Article: 12.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/13/2009] [Accepted: 03/14/2009] [Indexed: 01/24/2023]
|
74
|
Canes D. Urology 2009; 74:1180. [DOI: 10.1016/j.urology.2009.06.038] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
|
75
|
Sotelo R, Astigueta J, Carmona O, De Andrade R, Velasquez A, Canes D. VID-02.04: Chicken Gizzard: A Novel Training Model for Laparoscopic Urethrovesical Anastomosis. Urology 2009. [DOI: 10.1016/j.urology.2009.07.728] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
|