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Text
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<a href="http://doi.org/10.1016/j.urolonc.2020.10.071" target="_blank" rel="noreferrer noopener">http://doi.org/10.1016/j.urolonc.2020.10.071</a>
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ISSN
1873-2496 1078-1439
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<a href="http://neomed.idm.oclc.org/login?url=http://doi.org/10.1016/j.urolonc.2020.10.071" target="_blank" rel="noreferrer noopener">NEOMED Full-text Holding (if available) - Proxy DOI: 10.1016/j.urolonc.2020.10.071</a>
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Update Year & Number
October 2020 List
NEOMED College
NEOMED College of Medicine Student
NEOMED Department
NEOMED Student Publications
Dublin Core
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Title
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Robotic fatigue? - The impact of case order on positive surgical margins in robotic-assisted laparoscopic prostatectomy.
Publisher
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Urologic Oncology
Date
A point or period of time associated with an event in the lifecycle of the resource
2020
2020-11-04
Subject
The topic of the resource
Prostate cancer; Outcomes; Fatigue; Robotic-assisted surgery; Task performance and analysis
Creator
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Bukavina L;Mishra K;Mahran A;Fernstrum A;Ray A 3rd;Markt S;Schumacher F;Conroy B;Abouassaly R;MacLennan G;Smith G;Ferry E;Wong D;Lotan Y;Chaparala H;Sharp D;Alazem K;Moinzadeh A;Adamic B;Zagaja G;Kang P;Lawry H;Lee B;Calaway A;Ponsky L
Description
An account of the resource
PURPOSE: Multiple robotic-assisted surgeries are often performed within a single operating day; however, the impact of this practice on patient outcomes has not been examined. We aim to determine whether outcomes for robotic-assisted laparoscopic prostatectomy (RALP) differed when performed sequentially. MATERIALS AND METHODS: A multi-institutional, retrospective cohort study was conducted involving a total of 8 academic centers between years 2015 and 2018. Participants were adult males undergoing RALP for localized prostate cancer on operative days in which 2 RALP cases were performed sequentially by the same resident-attending team. The primary outcome of the study was presence of positive surgical margin (PSM). Secondary outcomes were lymph node yield, operative time, and estimated blood loss. The primary analysis was a random effects meta-analysis model for PSM. RESULTS: Overall, 898 RALP cases (449 sequential pairs) were included in the study. There was no significant difference in PSM rate (27.2% vs. 30.3%, P= 0.338) between first and second case groups, respectively. Utilizing random effects meta-analysis, the second case cohort had no increased risk of PSM (OR (0.76)1.23(1.97), P= 0.40). Higher blood loss was noted in the second case cohort (186.7 ml vs. 221.7 ml, P = 0.002). Additionally, factors associated with PSM were increasing prostate specific antigen, higher percent tumor involvement, extraprostatic extension, and seminal vesicle invasion. CONCLUSION: Case sequence was not associated with PSM, lymph node yield, or operative time for RALP. Disease specific factors and institutional experience are associated with increased risk for positive surgical margin which can aid providers in scheduling of patients.
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<a href="http://doi.org/10.1016/j.urolonc.2020.10.071" target="_blank" rel="noreferrer noopener">10.1016/j.urolonc.2020.10.071</a>
Format
The file format, physical medium, or dimensions of the resource
journalArticle
2020
Abouassaly R
Adamic B
Alazem K
Bukavina L
Calaway A
Chaparala H
Conroy B
fatigue
Fernstrum A
Ferry E
journalArticle
Kang P
Lawry H
Lee B
Lotan Y
MacLennan G
Mahran A
Markt S
Mishra K
Moinzadeh A
NEOMED College of Medicine Student
NEOMED Student Publications
October 2020 List
outcomes
Ponsky L
Prostate cancer
Ray A 3rd
Robotic-assisted surgery
Schumacher F
Sharp D
Smith G
Task Performance and Analysis
Urologic Oncology
Wong D
Zagaja G
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1016/j.urolonc.2020.07.026" target="_blank" rel="noreferrer noopener">http://doi.org/10.1016/j.urolonc.2020.07.026</a>
ISSN
1873-2496
Search for Full-text
Locate full-text within NEOMED Library's e-journal collections
<a href="http://neomed.idm.oclc.org/login?url=http://doi.org/10.1016/j.urolonc.2020.07.026" target="_blank" rel="noreferrer noopener">NEOMED Full-text Holding (if available) - Proxy DOI: 10.1016/j.urolonc.2020.07.026</a>
<p>Users with a NEOMED Library login can search for full-text journal articles at the following url: <a href="https://libraryguides.neomed.edu/home">https://libraryguides.neomed.edu/home</a></p>
Update Year & Number
September 2020 List
NEOMED College
NEOMED College of Medicine
NEOMED Department
Department of General Surgery
Affiliated Hospital
Summa Health System Akron City Hospital
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
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Inguinal lymph node dissection in the era of minimally invasive surgical technology.
Publisher
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Urologic Oncology
Date
A point or period of time associated with an event in the lifecycle of the resource
2020
2020-08-25
Subject
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Melanoma; Penile cancer; Endoscopic; Inguinal lymph nodes; Inguinal lymphadenectomy; Minimally invasive; Robotic; Video-assisted; Vulvar cancer
Creator
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Nabavizadeh R;Petrinec B;Nabavizadeh B;Singh A;Rawal S;Master VA
Description
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Background: Inguinal lymph node dissection (ILND) is an essential step in both treatment and staging of several malignancies including penile and vulvar cancers. Various open, video endoscopic, and robotic-assisted techniques have been utilized so far. In this review, we aim to describe available minimally invasive surgical approaches for ILND, and review their outcomes and complications.; Methods: The PubMed, Wiley Online Library, and Science Direct databases were reviewed in February 2020 to find relevant studies published in English within 2000-2020.; Findings: There are different minimally invasive platforms available to accomplish dissection of inguinal nodes without jeopardizing oncological results while minimizing postoperative complications. Video Endoscopic Inguinal Lymphadenectomy and Robotic Video Endoscopic Inguinal Lymphadenectomy are safe and achieve the same nodal yield, a surrogate metric for oncological adequacy. When compared to open technique, Video Endoscopic Inguinal Lymphadenectomy and Robotic Video Endoscopic Inguinal Lymphadenectomy may offer faster postoperative recovery and fewer postoperative complications including wound dehiscence, necrosis, and infection. The relatively high rate and severity of postoperative complications hinders utilization of recommended ILND for oncologic indications. Minimally invasive approaches, using laparoscopic or robotic-assisted platforms, show some promise in reducing the morbidity of this procedure while achieving adequate short and intermediate term oncological outcomes. (Copyright © 2020 Elsevier Inc. All rights reserved.)
Identifier
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<a href="http://doi.org/10.1016/j.urolonc.2020.07.026" target="_blank" rel="noreferrer noopener">10.1016/j.urolonc.2020.07.026</a>
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Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
Format
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journalArticle
2020
Department of General Surgery
Endoscopic
Inguinal lymph nodes
Inguinal lymphadenectomy
journalArticle
Master VA
Melanoma
Minimally invasive
Nabavizadeh B
Nabavizadeh R
NEOMED College of Medicine
Penile cancer
Petrinec B
Rawal S
Robotic
September 2020 List
Singh A
Summa Health System Akron City Hospital
Urologic Oncology
Video-assisted
Vulvar cancer