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Balestrazzi E, Paciotti M, Piro A, Piramide F, Bravi CA, Peraire Lores M, Mottaran A, Sorce G, Ticonosco M, Frego N, Rebuffo S, Colla'-Ruvolo C, Belmonte M, De Groote R, De Naeyer G, Mottrie A. Comparative analysis of robot-assisted simple prostatectomy: the HUGO™ RAS system versus the DaVinci® Xi system. Prostate Cancer Prostatic Dis 2024; 27:122-128. [PMID: 37770613 DOI: 10.1038/s41391-023-00726-7] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2023] [Revised: 08/31/2023] [Accepted: 09/15/2023] [Indexed: 09/30/2023]
Abstract
BACKGROUND Robot-Assisted Simple Prostatectomy (RASP) has emerged as a promising alternative in the treatment of benign prostatic obstruction (BPO). However, there is currently a lack of comparative studies evaluating different robotic platforms for performing RASP. Therefore, we aimed to compare perioperative and functional outcomes of RASP performed using the HUGO™ RAS System versus the DaVinci® Xi System. METHODS Forty consecutive cases of RASP performed between May 2021 and March 2023 with the HUGO™ RAS and the DaVinci® Xi at OLV Hospital (Aalst, Belgium) were included in this retrospective study. All surgeries were performed by three experienced surgeons using the same approach. Baseline characteristics, peri-operative and functional outcomes were collected and compared between the two groups. RESULTS The population was equally divided between the two groups with 20 patients in each group. There were no significant differences in preoperative patient characteristics between the two groups, except for the presence of bladder stones prior to the surgery (p = 0.03). No significant differences in total operative time and console time between the two groups were reported (p = 0.3). No cases required conversion to open surgery or additional port placement. During one case performed with the HUGO™ RAS, a malfunctioning monopolar curved shear had to be replaced. However, there was no statistically significant differences in terms of technical robotic problems between the groups (p = 0.3). There was no significant difference between the two groups in perioperative and functional outcomes (all p ≥ 0.2). CONCLUSIONS We did not observe any statistically significant difference in perioperative and functional outcomes in case of RASP performed with the HUGO™ RAS System and with the DaVinci® Xi System. These findings provide compelling support for considering the HUGO™ RAS as a promising tool for robot-assisted procedures, thereby expanding the utilization of robotics for benign conditions.
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Affiliation(s)
- E Balestrazzi
- Department of Urology, Onze-Lieve-Vrouwziekenhuis, Aalst, Belgium.
- ORSI Academy, Gent, Belgium.
- Division of Urology, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.
| | - M Paciotti
- Department of Urology, Onze-Lieve-Vrouwziekenhuis, Aalst, Belgium
- ORSI Academy, Gent, Belgium
- Department of Urology, Humanitas Research Hospital- IRCCS, Rozzano, Italy
| | - A Piro
- Department of Urology, Onze-Lieve-Vrouwziekenhuis, Aalst, Belgium
- ORSI Academy, Gent, Belgium
- Department of Urology, Azienda Ospedaliero-Universitaria, University of Modena & Reggio Emilia, Modena, Italy
| | - F Piramide
- Department of Urology, Onze-Lieve-Vrouwziekenhuis, Aalst, Belgium
- ORSI Academy, Gent, Belgium
- Department of Oncology, Division of Urology, University of Turin, San Luigi Gonzaga Hospital, Turin, Italy
| | - C A Bravi
- Department of Urology, Onze-Lieve-Vrouwziekenhuis, Aalst, Belgium
- ORSI Academy, Gent, Belgium
| | - M Peraire Lores
- Department of Urology, Onze-Lieve-Vrouwziekenhuis, Aalst, Belgium
- ORSI Academy, Gent, Belgium
| | - A Mottaran
- Division of Urology, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy
| | - G Sorce
- Department of Urology, Onze-Lieve-Vrouwziekenhuis, Aalst, Belgium
- ORSI Academy, Gent, Belgium
- Unit of Urology, Division of Experimental Oncology, Urological Research Institute, IRCCS San Raffaele Scientific Institute, Vita-Salute San Raffaele University, Milan, Italy
| | - M Ticonosco
- Department of Urology, Onze-Lieve-Vrouwziekenhuis, Aalst, Belgium
- ORSI Academy, Gent, Belgium
- Department of Urology, Azienda Ospedaliero-Universitaria, University of Modena & Reggio Emilia, Modena, Italy
| | - N Frego
- Department of Urology, Onze-Lieve-Vrouwziekenhuis, Aalst, Belgium
- ORSI Academy, Gent, Belgium
- Department of Urology, Humanitas Research Hospital- IRCCS, Rozzano, Italy
| | - S Rebuffo
- Department of Urology, Onze-Lieve-Vrouwziekenhuis, Aalst, Belgium
- ORSI Academy, Gent, Belgium
- Department of Urology, Policlinico San Martino Hospital, University of Genova, Genova, Italy
| | - C Colla'-Ruvolo
- Department of Urology, Onze-Lieve-Vrouwziekenhuis, Aalst, Belgium
- ORSI Academy, Gent, Belgium
- Department of Neurosciences, Reproductive Sciences and Odontostomatology, School of Medicine, University of Naples "Federico II", Naples, Italy
| | - M Belmonte
- Department of Urology, Onze-Lieve-Vrouwziekenhuis, Aalst, Belgium
- ORSI Academy, Gent, Belgium
- Department of Experimental and Clinical Medicine, University of Florence, Florence, Italy
- Unit of Oncologic Minimally-Invasive Urology and Andrology, Careggi Hospital, Florence, Italy
- Unit of Urological Robotic Surgery and Renal Transplantation, Careggi Hospital, Florence, Italy
| | - R De Groote
- Department of Urology, Onze-Lieve-Vrouwziekenhuis, Aalst, Belgium
| | - G De Naeyer
- Department of Urology, Onze-Lieve-Vrouwziekenhuis, Aalst, Belgium
| | - A Mottrie
- Department of Urology, Onze-Lieve-Vrouwziekenhuis, Aalst, Belgium
- ORSI Academy, Gent, Belgium
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Piramide F, Di Maida F, Amparore D, Bravi C, Paciotti M, Dell’Oglio P, Andras I, Turri F, Fiori C, De Naeyer G, De Groote R, Minervini A, Mottrie A, Porpiglia F, Larcher A. Multicenter experience in minimally invasive adrenalectomy for the treatment of Adreno Cortical Carcinoma (ACC): A Junior ERUS/YAU robotic study. Eur Urol 2023. [DOI: 10.1016/s0302-2838(23)01133-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/12/2023]
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Piramide F, Amparore D, Paciotti M, Bravi C, Sarchi L, Busacca G, Checcucci E, Nocera L, Piro A, Peraire Lores M, Balestrazzi E, Fiori C, De Naeyer G, De Groote R, Porpiglia F, Mottrie A. Minimally invasive adrenalectomy for the treatment of malignant adrenal metastasis: Results from two high volume centers. Eur Urol 2023. [DOI: 10.1016/s0302-2838(23)01134-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/12/2023]
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Nocera L, Bravi C, Paciotti M, Piro A, Balestrazzi E, Peraire Lores M, Piramide F, Mottaran A, Sarchi L, Farinha R, D’Hondt F, De Naeyer G, De Groote R, Alexandre M. Robot-assisted radical prostatectomy for prostate cancer: 18-year oncological outcomes from a Belgian high-volume center. Eur Urol 2023. [DOI: 10.1016/s0302-2838(23)01144-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/12/2023]
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Paciotti M, Diana P, Gaglioli A, De Groote R, Farinha R, Ficarra V, Gaston R, Gontero P, Hurle R, Martínez-Piñeiro L, Minervini A, Pansadoro V, Van Cleynenbreugel B, Wiklund P, Casale P, Lughezzani G, Mancon S, Uleri A, Mottrie A, Palou J, Gallagher A, Breda A, Buffi N. International experts consensus on performance metrics for a transurethral resection of bladder (TURB). Eur Urol 2023. [DOI: 10.1016/s0302-2838(23)01094-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/12/2023]
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Nocera L, Bravi C, Balestrazzi E, Paciotti M, Piro A, Peraire Lores M, Sarchi L, Mottaran A, Piramide F, De Groote R, De Naeyer G, Mottrie A. Are we improving rates of pentafecta achievement after robot-assisted partial nephrectomy? A single high-volume institution experience over more than a decade. Eur Urol 2023. [DOI: 10.1016/s0302-2838(23)00898-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/12/2023]
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Paciotti M, Bravi C, Mottaran A, Nocera L, Sarchi L, Farinha R, Piro A, Peraire Lores M, Balestrazzi E, Piramide F, D’Hondt F, De Naeyer G, De Groote R, Mottrie A. Step-by-step description of robot-assisted radical prostatectomy with the novel HUGO RAS robotic system using the Aalst-Technique. Eur Urol 2023. [DOI: 10.1016/s0302-2838(23)01427-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/12/2023]
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Bravi C, Dall’Oglio P, Mazzone E, De Groote R, Falagario U, Schiavina R, Piazza P, Borghesi M, Scarcella S, Moschovas M, Turri F, Andras I, Di Maida F, Carrieri G, Terrone C, Autorino R, Patel V, Porpiglia F, Bocciardi A, Minervini A, Montorsi F, Rha K, Mottrie A. The surgical learning curve for positive surgical margins after robot-assisted radical prostatectomy: Results from a multi-institutional collaboration. Eur Urol 2023. [DOI: 10.1016/s0302-2838(23)01145-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/12/2023]
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Bravi C, Mottaran A, Sarchi L, Piro A, Paciotti M, Nocera L, Balestrazzi E, Peraire Lores M, Piramide F, Pauwaert K, Van Herwaarden M, Vinckier M, De Backer P, D’Hondt F, De Groote R, De Naeyer G, Mottrie A. Robot-assisted radical prostatectomy in large (≥100 gr) prostate glands: Results and different techniques for bladder neck dissection. Eur Urol 2023. [DOI: 10.1016/s0302-2838(23)01462-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/12/2023]
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Mottaran A, Balestrazzi E, Bravi C, Nocera L, Paciotti M, Piro A, Peraire Lores M, Sarchi L, Piramide F, De Groote R, De Naeyer G, Schatteman P, Mottrie A. Robot-assisted simple prostatectomy versus holmium laser enucleation for the treatment of benign prostatic hyperplasia in large (>100 ml) prostates: Updated comparative analysis from a high-volume center. Eur Urol 2023. [DOI: 10.1016/s0302-2838(23)01175-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/12/2023]
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Paciotti M, Bravi C, Mottaran A, Sarchi L, Nocera L, Piro A, Piazza P, Puliatti S, De Groote R, De Naeyer G, D’Hondt F, Mottrie A. Surgical setting and perioperative outcomes of robot-assisted radical prostatectomy with the novel “hugo” robotic system: initial experience at a tertiary referral robotic center. EUR UROL SUPPL 2022. [DOI: 10.1016/s2666-1683(22)01203-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
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Uleri A, Paciotti M, Diana P, Amparore D, Lughezzani G, Casale P, De Naeyer G, De Groote R, Sarchi L, Bravi C, Piramide F, Busacca G, Mottaran A, Mottrie A, Porpiglia F, Buffi N. Techniques and outcomes of robot-assisted partial nephrectomy for the treatment of multiple ipsilateral renal masses. EUR UROL SUPPL 2022. [DOI: 10.1016/s2666-1683(22)02226-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022] Open
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Bravi C, Mottaran A, Sarchi L, Piro A, Pacciotti M, Nocera L, Peraire Lores M, Farinha R, De Backer P, D’ Hondt F, De Groote R, De Naeyer G, Mottrie A. Robot-assisted radical prostatectomy in large (≥100 gr) prostate glands: Results from an high-volume robotic center. EUR UROL SUPPL 2022. [DOI: 10.1016/s2666-1683(22)02161-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022] Open
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Mottaran A, Bravi C, Sarchi L, Paciotti M, Nocera L, Piro A, Peraire Lores M, Farinha R, De Naeyer G, De Groote R, Mottrie A. The “collar” technique for apical dissection during robot-assisted radical prostatectomy: Updated series after five years from its introduction. EUR UROL SUPPL 2022. [DOI: 10.1016/s2666-1683(22)02157-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022] Open
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Piro A, Sarchi L, Mottaran A, Bravi C, Piazza P, Paciotti M, Amato M, Puliatti S, De Groote R, Micali S, Mottrie A. Robotic vaso-vasostomy for vasectomy reversal: Results from a tertiary referral robotic center with more than ten years of experience. EUR UROL SUPPL 2022. [DOI: 10.1016/s2666-1683(22)02137-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022] Open
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Scarcella S, Bravi C, Piazza P, Mottaran A, Sarchi L, Paciotti M, Nocera L, Martini A, Piro A, Puliatti S, Beatrici V, De Groote R, Briganti A, Montorsi F, Mottrie A. Validating the comprehensive complication index for assessing cumulative morbidity after robot-assisted radical cystectomy: results from a high-volume institution. EUR UROL SUPPL 2022. [DOI: 10.1016/s2666-1683(22)01130-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022] Open
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Peraire Lores M, Mottaran A, Paciotti M, Bravi C, Sarchi L, Nocera L, Piro A, Farinha R, De Groote R, Mottrie A. Robot-assisted radical nephrectomy with the novel Hugo TM RAS System. EUR UROL SUPPL 2022. [DOI: 10.1016/s2666-1683(22)02228-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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De Backer P, Simoens J, Mestdagh K, Bravi C, Sarchi L, Mottaran A, Paciotti M, Farinha R, Peraire Lores M, Puliatti S, Piro A, De Groote R, Van Praet C, Decaestecker K, Mottrie A. Deep learning video anonymization: Breaking GDPR boundaries in robotic urology. EUR UROL SUPPL 2022. [DOI: 10.1016/s2666-1683(22)02252-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Bravi C, Mazzone E, Dell’Oglio P, Moschovas MC, Martini A, Rosiello G, Piazza P, Mottaran A, Paciotti M, Sarchi L, Puliatti S, Knipper S, De Groote R, Schiavina R, Rocco B, Galfano A, Briganti A, Montorsi F, Patel V, Mottrie A. A nomogram to predict pathologic T2 stage in candidates to robot-assisted radical prostatectomy with iT3 prostate cancer on preoperative multiparametric mri: results from a multi-institutional collaboration. EUR UROL SUPPL 2022. [DOI: 10.1016/s2666-1683(22)01169-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Mottaran A, Sarchi L, Paciotti M, Bravi C, Nocera L, Piro A, Dominguez J, Peraire Lores M, D’hondt F, De Naeyer G, Mottrie A, De Groote R. The Aalst technique for en-bloc extended pelvic lymph node dissection during robot-assisted radical prostatectomy. EUR UROL SUPPL 2022. [DOI: 10.1016/s2666-1683(22)02214-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
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Sarchi L, Bravi C, Mottaran A, Piazza P, Knipper S, Paciotti M, Amato M, Farinha R, Gonzalez Meza F, Corsetti M, Sinatti C, Puliatti S, De Groote R, Mottrie A. Introducing the Synchroseal: A new robotic setting for robot-assisted radical prostatectomy and super-extended lymph node dissection for locally advanced prostate cancer. Eur Urol 2022. [DOI: 10.1016/s0302-2838(22)01295-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Paciotti M, Bravi C, Mottaran A, Sarchi L, Sinatti C, De Groote R, De Naeyer G, Mottrie A. Is robot-assisted simple prostatectomy associated with worse outcomes in obese patients? Eur Urol 2022. [DOI: 10.1016/s0302-2838(22)00964-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Scarcella S, Mottaran A, Bravi C, Van Der Jeugt J, Piazza P, Sarchi L, Paciotti M, Puliatti S, Umari P, Giuloni C, Milanese G, Dell'Atti L, Castellani D, Galosi A, De Groote R, Schatteman P, Mottrie A. Peri-operative outcomes of open versus robot-assisted simple prostatectomy: Results from two high-volume centres. Eur Urol 2022. [DOI: 10.1016/s0302-2838(22)00961-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Puliatti S, Amato M, Mazzone E, Rosiello G, De Groote R, Berquin C, Piazza P, Farinha R, Boret L, Van Respaille E, Wittouck L, Micali S, Mottrie A, Gallagher A. Development and validation of the metric-based assessment of a robotic dissection task on an avian model. Eur Urol 2022. [DOI: 10.1016/s0302-2838(22)00113-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Puliatti S, Amato M, Farinha R, Paludo A, Rosiello G, De Groote R, Langhendries L, Lassel M, Mari A, Bianchi L, Piazza P, Van Cleynenbreugel B, Mazzone E, Van Hove K, Meganck S, Maertens L, Boret L, Migliorini F, Forte S, Rocco B, Kiely P, Micali S, Mottrie A, Gallagher A. A prospective, randomized, multi-centre trial on the efficiency and effectiveness of proficiency based progression robotic surgical skills training. Eur Urol 2022. [DOI: 10.1016/s0302-2838(22)00115-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Sarchi L, Paciotti M, Mottaran A, Bravi C, Sinatti C, Piazza P, Rui F, Knipper S, Corsetti M, Gonzalez Meza F, De Groote R, De Naeyer G, Mottrie A. Robotic vasovasostomy for vasectomy reversal: Results from a tertiary referral robotic center with more than ten years of experience. EUR UROL SUPPL 2021. [DOI: 10.1016/s2666-1683(21)02215-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
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Sarchi L, Bravi C, Mottaran A, Piazza P, Knipper S, Paciotti M, Amato M, Farinha R, Gonzalez-Meza F, Corsetti M, Sinatti C, Puliatti S, De Groote R, Mottrie A. Introducing the Synchroseal: A new robotic setting for robot-assisted radical prostatectomy and super-extended lymph node dissection for locally advanced prostate cancer. EUR UROL SUPPL 2021. [DOI: 10.1016/s2666-1683(21)02284-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
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Piazza P, Bravi C, Puliatti S, Cacciamani G, Knipper S, Amato M, Dell’Oglio P, Mazzone E, Rosiello G, Mottaran A, Sarchi L, Paciotti M, Farinha R, Scarcella S, Wisz P, Schiavina R, Brunocilla E, Bianchi L, Develtere D, Sinatti C, Berquin C, De Groote R, De Backer P, D’Hondt F, Mottrie A. External validation of radical cystectomy pentafecta, achievement assessment and its association with surgical experience. EUR UROL SUPPL 2021. [DOI: 10.1016/s2666-1683(21)02259-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
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Puliatti S, Amato M, Mazzone E, Rosiello G, De Groote R, Berquin C, Piazza P, Farinha R, Mottrie A, Gallagher A. Development and validation of the metric-based assessment of a robotic dissection task on an avian model. EUR UROL SUPPL 2021. [DOI: 10.1016/s2666-1683(21)02263-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
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Puliatti S, Amato M, Farinha R, Paludo A, Rosiello G, De Groote R, Langhendries L, Lassel M, Mari A, Bianchi L, Piazza P, Van Cleynenbreugel B, Mazzone E, Migliorini F, Forte S, Rocco B, Kiely P, Mottrie A, Gallagher A. A prospective, randomized, multi-centre trial on the efficiency and effectiveness of proficiency based progression robotic surgical skills training. EUR UROL SUPPL 2021. [DOI: 10.1016/s2666-1683(21)02264-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
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Amato M, Puliatti S, Farinha R, Piazza P, Sarchi L, Mazzone E, Rosiello G, Bravi C, Scarcella S, Knipper A, De Groote R, Van Cleynenbreugel B, Rocco B, Bianchi G, Micali S, Mottrie A, Gallagher A. Proficiency based progression (PBP): A scientific approach to training (robotic) surgical skills. EUR UROL SUPPL 2021. [DOI: 10.1016/s2666-1683(21)02310-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
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Nathan A, Fricker M, De Groote R, Arora A, Phuah Y, Flora K, Patel S, Kasivisvanathan V, Sridhar A, Shaw G, Kelly J, Briggs T, Rajan P, Sooriakumaran P, Nathan S. 283 Salvage Versus Primary Robot-Assisted Radical Prostatectomy: A Propensity-Matched Comparative Effectiveness Study from A High-Volume Tertiary Centre. Br J Surg 2021. [DOI: 10.1093/bjs/znab259.1075] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
Abstract
Aim
Salvage Robot-Assisted Radical Prostatectomy (sRARP) is a potential treatment option for locally recurrent Prostate Cancer after non-surgical primary treatment. There are minimal data comparing outcomes between propensity-matched salvage and primary Robot-Assisted Radical Prostatectomy (RARP). We compare perioperative, oncological, and functional outcomes of sRARP with primary RARP and between sRARP post-whole and focal gland therapy.
Method
1:1 propensity-matched comparison of 146 sRARP with primary RARP from a cohort of 3,852 consecutive patients from a high-volume tertiary centre.
Results
There were no significant differences in patient characteristics between the salvage and primary RARP groups. Grade III-V Clavien-Dindo complication rates were 1.3% and 0% in the salvage and primary groups, respectively (p = 0.310). Median (IQR) follow-up was 16 (10,30) and 21 (13,33) months in the salvage and primary groups, respectively. BCR rates were 30.8% and 13.7% in the salvage and primary groups, respectively (p < 0.001). Pad-free continence rates were 79.1% and 85.4% at two years in the salvage and primary groups, respectively (p = 0.160). ED rates were 95.2% and 77.4% in the salvage and primary groups, respectively (p < 0.001). Comparing the whole gland and focal gland groups, BCR rates were 33.3% and 29.1%, respectively (p = 0.687), pad-free continence rates were 66% and 89.3%, respectively (p = 0.001), and ED rates were 98.3% and 93%, respectively (p = 0.145).
Conclusions
SRARP has similar perioperative but inferior oncological outcomes to primary RARP. Continence rates are similar to primary RARP, but potency is worse. Perioperative and oncological outcomes of sRARP after focal gland therapy are similar but continence outcomes are superior compared to sRARP after whole gland therapy.
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Affiliation(s)
- A Nathan
- Department of Uro-oncology, University College London Hospitals NHS Foundation Trust, London, United Kingdom
- University College London, London, United Kingdom
| | - M Fricker
- University of Newcastle, Newcastle, United Kingdom
| | - R De Groote
- Department of Urology, Onze Lieve Vrouw Hospital Aalst, Aalst, Belgium
| | - A Arora
- Department of Urology, Tata Memorial Hospital, Mumbai, India
| | - Y Phuah
- University College London, London, United Kingdom
| | - K Flora
- University College London, London, United Kingdom
| | - S Patel
- University College London, London, United Kingdom
| | - V Kasivisvanathan
- Department of Uro-oncology, University College London Hospitals NHS Foundation Trust, London, United Kingdom
- University College London, London, United Kingdom
| | - A Sridhar
- Department of Uro-oncology, University College London Hospitals NHS Foundation Trust, London, United Kingdom
| | - G Shaw
- Department of Uro-oncology, University College London Hospitals NHS Foundation Trust, London, United Kingdom
| | - J Kelly
- Department of Uro-oncology, University College London Hospitals NHS Foundation Trust, London, United Kingdom
| | - T Briggs
- Department of Uro-oncology, University College London Hospitals NHS Foundation Trust, London, United Kingdom
| | - P Rajan
- Department of Uro-oncology, University College London Hospitals NHS Foundation Trust, London, United Kingdom
- Barts Cancer Institute, CR-UK Barts Centre, Queen Mary University of London, London, United Kingdom
| | - P Sooriakumaran
- Department of Uro-oncology, University College London Hospitals NHS Foundation Trust, London, United Kingdom
- Nuffield Department of Surgical Sciences, University of Oxford, Oxford, United Kingdom
| | - S Nathan
- Department of Uro-oncology, University College London Hospitals NHS Foundation Trust, London, United Kingdom
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Rosiello G, Piazza P, Tames V, Farinha R, Paludo A, Puliatti S, Amato M, Mazzone E, Bravi C, De Groote R, Berquin C, Develtere D, Veys R, Sinatti C, De Naeyer G, Schatteman P, Montorsi F, D’hondt F, Mottrie A. The impact of previous prostate surgery on surgical outcomes in patients treated with robot-assisted radical cystectomy for bladder cancer. Eur Urol 2021. [DOI: 10.1016/s0302-2838(21)01642-0] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Martini A, Turri F, Barod R, Rocco B, Mottrie A, Okhawere K, Martinez O, Khene ZE, Sonpreet R, Campain N, De Groote R, Dell’Oglio P, Grivas N, Goonewardene S, Hemal A, Rivas J, Challacombe B, Lagerveld B, Bensalah K, Abaza R, Badani K, Mehrazin R, Buscarini M, Larcher A. Salvage robot-assisted renal surgery for local recurrence after surgical resection or renal mass ablation: Classification, techniques and clinical outcomes. Eur Urol 2021. [DOI: 10.1016/s0302-2838(21)01630-4] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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De Groote R, Puliatti S, Amato M, Mazzone E, Rossiello G, Farihna R, Paludo A, Uvin P, Decoene J, Tuyten T, D’Hondt M, Hubert N, Chatzopoulos C, De Troyer B, Desender L, Van Cleynenbreugel B, Mottrie A, Gallagher A. Proficiency based progression training versus the Halsted’s model for learning to perform a robotic vesico-urethral anastomosis on an avian tissue model: A prospective, randomized, multicenter, cross-specialty and blinded clinical trial. Eur Urol 2021. [DOI: 10.1016/s0302-2838(21)01344-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Nathan A, Fricker M, De Groote R, Arora A, Phuah Y, Flora K, Pavan N, Kasivisvanathan V, Collins J, Kelkar A, Sridhar A, Shaw G, Rajan P, Kelly J, Briggs T, Sooriakumaran P, Nathan S. Salvage versus primary robot-assisted radical prostatectomy: A propensity-matched comparative effectiveness study from a high-volume tertiary center. Eur Urol 2021. [DOI: 10.1016/s0302-2838(21)01569-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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37
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Gallagher A, De Groote R, Puliatti S, Mazzone E, Amato M, Rosiello G, Paludo A, Mottrie A. The reliability, sensitivity, and specificity of Global Evaluative Assessment of Robotic Skills (GEARS) and binary scoring metrics of robotic suturing and knot tying skills in a Vesico Urethral Anastomosis (VUA) task. Eur Urol 2021. [DOI: 10.1016/s0302-2838(21)01343-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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38
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Puliatti S, Amato M, Farinha R, Paludo A, Rosiello G, De Groote R, Mari A, Bianchi L, Piazza P, Van Cleynenbreugel B, Mazzone E, Migliorini F, Forte S, Bravi C, Rocco B, Kiely P, Mottrie A, Gallagher A. Does quality assured eLearning provide adequate preparation for robotic surgical skills; A prospective, randomized and multi-center study. Eur Urol 2021. [DOI: 10.1016/s0302-2838(21)01354-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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39
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Develtere D, Rosiello G, Piazza P, Pandey A, Berquin C, Sinatti C, Van Puyvelde H, Puliatti S, Amato M, Farinha R, De Groote R, Schatteman P, De Naeyer G, D’Hondt F, Mottrie A. Very early catheter removal on postoperative day 2 after robot-assisted radical prostatectomy: reporting on early complications and functional results. Eur Urol 2021. [DOI: 10.1016/s0302-2838(21)01481-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Piazza P, Rosiello G, Tames V, Puliatti S, Amato M, Farinha R, Bravi C, Schiavina R, Brunocilla E, Berquin C, Dries D, Sinatti C, Van Puyvelde H, De Groote R, Schatteman P, De Naeyer G, D’hondt F, Mottrie A. Robot-assisted cystectomy with intracorporeal urinary diversion after pelvic irradiation for prostate cancer: Technique and results from a single high-volume center. Eur Urol 2021. [DOI: 10.1016/s0302-2838(21)01565-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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41
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De Groote R, Pugliatti S, Amato M, Mazzone E, Rossiello G, Farinha R, Paludo A, Uvin P, Decoene J, Tuyten T, D'Hondt M, Hubert N, Chatzopoulos C, De Troyer B, Desender L, Van Cleynenbreugel B, Mottrie A, Gallagher T. Proficiency based progression training for robotic vesico-urethral anastomosis chicken model versus the Halsted’s model: A prospective, randomized and blinded clinical trial. Preliminary outcomes of the PROVESA trial. EUR UROL SUPPL 2020. [DOI: 10.1016/s2666-1683(20)35871-7] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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Develtere D, Veys R, Berquin C, Van Parys B, Pauwels E, De Naeyer G, De Groote R, Schatteman P, Mottrie A, D'Hondt F. Cystoscopy guided robot-assisted partial cystectomy for the treatment of an inflammatory myofibroblastic tumour. EUR UROL SUPPL 2020. [DOI: 10.1016/s2666-1683(20)35880-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
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43
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De Groote R, Puliatti S, Amato M, Mazzone E, Rosiello G, Farinha R, Paludo A, Uvin P, Decoene J, Tuyten T, D'Hondt M, Hubert N, Chatzopoulos C, De Troyer B, Desender L, Van Cleynenbreugel B, Mottrie A, Gallagher T. Is surgical skill related to surgical discipline? Results of the PROVESA trial. EUR UROL SUPPL 2020. [DOI: 10.1016/s2666-1683(20)35872-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
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Goonewardene S, Turri F, Martini A, De Groote R, Dell'oglio P, Grivas N, Everaerts W, De Naeyer G, Larcher A. Critical evaluation of the available tools to improve clinical outcomes during robot-assisted radical prostatectomy: A YAU and Junior-ERUS survey. EUR UROL SUPPL 2020. [DOI: 10.1016/s2666-1683(20)35854-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022] Open
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Dell’Oglio P, Farinha R, Pandey A, Yaddav S, De Groote R, Puliatti S, De Naeyer G, Schatteman P, D’Hondt F, Mottrie A, Mazzone E. Risk adapted comparison between cancer recurrence and non-cancer related death in patients treated with robot-assisted radical cystectomy for muscle invasive bladder cancer. EUR UROL SUPPL 2020. [DOI: 10.1016/s2666-1683(20)33690-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022] Open
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Lambert E, Goossens M, Palagonia E, Vollemaere J, Pauwels E, De Groote R, D’hondt F, Mottrie A, De Naeyer G, Schatteman P. Changes in serum PSA after Holmium Laser Enucleation of the Prostate (HoLEP) are predictive for the future diagnosis of prostate cancer. EUR UROL SUPPL 2020. [DOI: 10.1016/s2666-1683(20)32915-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
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Pandey A, Yadav S, Farinha R, Mazonne E, D´hondt F, De Groote R, Mottrie A, De Naeyer G. Feasibility of the transurethral catheter removal after two days post robotic assisted radical prostatectomy a retrospective observational study. EUR UROL SUPPL 2020. [DOI: 10.1016/s2666-1683(20)33782-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
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Mazzone E, Beato S, Andras I, Vollemaere J, Lambert E, De Groote R, De Naeyer G, Schatteman P, D’Hondt F, Mottrie A, Dell’Oglio P. Robot-assisted radical cystectomy with intracorporeal urinary diversion decreases post-operative complications only in highly comorbid patients: Findings that rely on a standardized methodology recommended by European Association of Urology guidelines. EUR UROL SUPPL 2020. [DOI: 10.1016/s2666-1683(20)34133-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022] Open
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De Groote R, Nathan A, De Bleser E, Pavan N, Sridhar A, Kelly J, Sooriakumaran P, Briggs T, Nathan S. Techniques and Outcomes of Salvage Robot-Assisted Radical Prostatectomy (sRARP). Eur Urol 2020; 78:885-892. [PMID: 32461073 DOI: 10.1016/j.eururo.2020.05.003] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2020] [Accepted: 05/03/2020] [Indexed: 12/01/2022]
Abstract
BACKGROUND Salvage Robot-Assisted Radical Prostatectomy (sRARP) has been described as feasible treatment for the management of localised prostate cancer (PCa) recurrence after primary treatment. However, no large reports have published cancer and quality outcomes. OBJECTIVE To report perioperative, functional and oncologic outcomes of sRARP in patients with localised PCa recurrence. DESIGN, SETTING, AND PARTICIPANTS We retrospectively evaluated 106 patients with local recurrence eligible for sRARP. SURGICAL PROCEDURE Surgery was performed using the DaVinci Si system similar to the standard approach but with adaptation to the primary treatment. MEASUREMENTS Peri-operative outcomes included 90-day complication rate. Functional outcomes included rates of incontinence and erectile dysfunction. Oncological outcomes included tumour staging, margin rate and recurrence. RESULTS AND LIMITATIONS Primary treatment was High Intensity Focused Ultrasound (HIFU) in 59 (56%) patients, 27 (25%) radiotherapy, 10 (9%) seed brachytherapy, 8 (8%) solitary androgen deprivation therapy (ADT), one (1%) cryotherapy and one (1%) electroporation / Nanoknife. Median follow-up was 2.1 years. 90-day complication rate was 8%. At two years or more, 50% were fully continent and 33% were socially continent. Continence rates tended to be better after focal compared to whole-gland treatments. Erectile dysfunction was present in 95%. Positive surgical margin rate was 39%. Biochemical recurrence occurred in 13% and local or metastatic recurrence in 11%. CONCLUSIONS sRARP is technically more challenging but is a feasible option in high-volume centres for treatment of recurrent PCa. Patients should be counselled that functional outcomes are inferior to primary RARP. Adjustment of surgical technique according to the primary treatment is key for good surgical outcomes. PATIENT SUMMARY We report our experience with sRARP for the management of localised PCa recurrence after primary treatment. This represents a feasible approach with acceptable peri-operative complications and cancer outcomes. Functional outcomes are inferior to RARP in the primary setting.
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Affiliation(s)
- R De Groote
- Department of Urology, University College London Hospital. NHS Foundation Trust. London. UK; Department of Urology, Onze Lieve Vrouw Hospital Aalst, Aalst, Belgium.
| | - A Nathan
- Department of Urology, University College London Hospital. NHS Foundation Trust. London. UK
| | - E De Bleser
- Department of Urology, Ghent University Hospital, Ghent, Belgium
| | - N Pavan
- Department of Urology, University College London Hospital. NHS Foundation Trust. London. UK; Department of Medicine, Surgery and Health Sciences, Urological Clinic, University of Trieste, Trieste, Italy
| | - A Sridhar
- Department of Urology, University College London Hospital. NHS Foundation Trust. London. UK
| | - J Kelly
- Department of Urology, University College London Hospital. NHS Foundation Trust. London. UK
| | - P Sooriakumaran
- Department of Urology, University College London Hospital. NHS Foundation Trust. London. UK
| | - T Briggs
- Department of Urology, University College London Hospital. NHS Foundation Trust. London. UK
| | - S Nathan
- Department of Urology, University College London Hospital. NHS Foundation Trust. London. UK
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Waterloos M, Ploumidis A, Pappas A, De Bleser E, De Groote R, Weyers S, Van Laecke E, Hoebeke P, Spinoit AF. Robot-assisted resection of ectopic kidney in children: An anatomical illustration. J Pediatr Urol 2019; 15:87-88. [PMID: 30473475 DOI: 10.1016/j.jpurol.2018.10.018] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/14/2018] [Accepted: 10/17/2018] [Indexed: 11/28/2022]
Abstract
INTRODUCTION Failure of kidney migration during embryonic life results in an ectopic kidney, with an incidence varying from 1 in 500 to 1 in 1200. Pelvic kidney can be a rare cause of recurrent urinary tract infection (UTI), warranting nephrectomy in some cases. MATERIAL AND METHODS A 7-year-old girl with a history of recurrent UTIs and vaginal discharge was diagnosed with a dysplastic afunctional ectopic kidney located in the pelvis, with ureter draining into the cervix or vaginal wall. RESULTS A robot-assisted approach was chosen, with side docking of the robot to allow concurrent vaginoscopic/hysteroscopic exploration. A uterus bicornis was found. The ectopic ureter was dissected toward its drainage in the vaginal wall, where it was sutured and resected. The dysplastic kidney and ureter were removed. Compared to pure laparoscopic approach, dissection deep into the pelvis toward the vaginal wall is aided by the robotic dexterity and facilitates complete resection of the structure, which avoids leaving a ureteric stump into the vaginal wall. CONCLUSIONS Robot-assisted surgery is a safe and effective option for resection of ectopic kidneys with ectopic ureter in children. Dissection up until the vaginal wall in children is aided by robotic dexterity, making this kind of surgery the ideal indication for robotic-assisted surgery.
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Affiliation(s)
- M Waterloos
- Department of Urology, Ghent University Hospital, Belgium
| | - A Ploumidis
- Department of Urology, Athens Medical Center, Athens, Greece
| | - A Pappas
- Department of Urology, Athens Medical Center, Athens, Greece
| | - E De Bleser
- Department of Urology, Ghent University Hospital, Belgium
| | - R De Groote
- Department of Urology, Ghent University Hospital, Belgium
| | - S Weyers
- Department of Gynecology, Ghent University Hospital, Belgium
| | - E Van Laecke
- Department of Urology, Ghent University Hospital, Belgium
| | - P Hoebeke
- Department of Urology, Ghent University Hospital, Belgium
| | - A F Spinoit
- Department of Urology, Ghent University Hospital, Belgium.
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