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Medical Forum / Diseases and Disorders / Prostate Cancer / February 2005

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Robotic surgery

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yelnats - 16 Feb 2005 03:15 GMT
Since robotic LRP is relatively new, it is hard to find a surgeon who has a
lot of experience with the procedure.  Also, it is hard to find one who
publishes their results in regards to continency, potency, positive margin
percentages, etc.  When you pull up the daVinci web site they list several
surgeons that use the robot. Aside from contacting each and every one, how
does one differentiate one from the other?   Does anyone know of a site
that rates these docs and gives their statistics?  
jhhtexas@ieee.org - 16 Feb 2005 06:58 GMT
> Since robotic LRP is relatively new, it is hard to find a surgeon who has a
> lot of experience with the procedure.  Also, it is hard to find one who
[quoted text clipped - 3 lines]
> does one differentiate one from the other?   Does anyone know of a site
> that rates these docs and gives their statistics?

I queried Natonal Library of Medicine MEDLINE and got 9 references on
LRP for you (www.pubmed.gov):

:     Menon M, Shrivastava A, Sarle R, Hemal A, Tewari A.     Related
Articles, Links
Abstract     Vattikuti Institute Prostatectomy: a single-team experience
of 100 cases.
J Endourol. 2003 Nov;17(9):785-90.
PMID: 14642044 [PubMed - indexed for MEDLINE]
2:     Lepor H, Kaci L.     Related Articles, Links
Abstract     Contemporary evaluation of operative parameters and
complications related to open radical retropubic prostatectomy.
Urology. 2003 Oct;62(4):702-6.
PMID: 14550447 [PubMed - indexed for MEDLINE]
3:     Ahlering TE, Skarecky D, Lee D, Clayman RV.     Related Articles,
Links
Abstract     Successful transfer of open surgical skills to a laparoscopic
environment using a robotic interface: initial experience with
laparoscopic radical prostatectomy.
J Urol. 2003 Nov;170(5):1738-41.
PMID: 14532766 [PubMed - indexed for MEDLINE]
4:     Bentas W, Wolfram M, Jones J, Brautigam R, Kramer W, Binder J.
    Related Articles, Links
Abstract     Robotic technology and the translation of open radical
prostatectomy to laparoscopy: the early Frankfurt experience with
robotic radical prostatectomy and one year follow-up.
Eur Urol. 2003 Aug;44(2):175-81.
PMID: 12875935 [PubMed - indexed for MEDLINE]
5:     Gettman MT, Hoznek A, Salomon L, Katz R, Borkowski T, Antiphon P,
Lobontiu A, Abbou CC.     Related Articles, Links
Abstract     Laparoscopic radical prostatectomy: description of the
extraperitoneal approach using the da Vinci robotic system.
J Urol. 2003 Aug;170(2 Pt 1):416-9.
PMID: 12853789 [PubMed - indexed for MEDLINE]
6:     Antiphon P, Hoznek A, Benyoussef A, de lataille A, Cicco A, Elard
S, Gettman MT, Katz R, Vordos D, Salomon L, Chopin DK, Abbou CC.
    Related Articles, Links
Abstract     Complete solo laparoscopic radical prostatectomy: initial
experience.
Urology. 2003 Apr;61(4):724-8; discussion 728-9.
PMID: 12670553 [PubMed - indexed for MEDLINE]
7:     Menon M, Tewari A; Vattikuti Institute Prostatectomy Team.     Related
Articles, Links
Abstract     Robotic radical prostatectomy and the Vattikuti Urology
Institute technique: an interim analysis of results and technical
points.
Urology. 2003 Apr;61(4 Suppl 1):15-20.
PMID: 12657356 [PubMed - indexed for MEDLINE]
8:     Menon M, Tewari A, Baize B, Guillonneau B, Vallancien G.     Related
Articles, Links
Abstract     Prospective comparison of radical retropubic prostatectomy
and robot-assisted anatomic prostatectomy: the Vattikuti Urology
Institute experience.
Urology. 2002 Nov;60(5):864-8.
PMID: 12429317 [PubMed - indexed for MEDLINE]
9:     Guillonneau B, Cappele O, Martinez JB, Navarra S, Vallancien G.
    Related Articles, Links
Abstract     Robotic assisted, laparoscopic pelvic lymph node dissection
in humans.
J Urol. 2001 Apr;165(4):1078-81.
PMID: 11257641 [PubMed - indexed for MEDLINE]
motownbob - 17 Feb 2005 21:55 GMT
I had Robotic Prostate Surgery on Dec. 20. It was done by Mani Menon at
the Vattikuti institute at Henry Ford Hospital in Detroit. Overall, i
am very pleased! I was in the hospital only overnite, back to work in
three weeks, and i am currently almost completly continent, with only
an occasional accident, mainly at nite.It Is fantastic, especially when
compared to the other types  of surgery. Dr. Menon has done hundreds of
the surgeries, perhaps more than anyone around. I have some ways to go
to regain normal sexual function, but, considering that my surgery was
fairly extensive, iam going to be patient.
jerick - 19 Feb 2005 00:21 GMT
I had the daVinci robotic laparoscopic surgery 11 months ago at University
of California, San Francisco, at age 67.  All went very well.  I stayed in
hospital for 2 nights, only because we had to drive 200 miles home (I drove
half way).  Catheter was removed after 10 days.  Wore a pad about 4 weeks
for security, but did not really need it.  I have been totally continent
since then.  Four days after surgery I started walking one mile each morning
which I think contributed to a good recovery.  The only department not up to
snuff is the erections, but with the help of injections they are quite
satisfactory.  I've done half a dozen and they are pretty easy to do.
 
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