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40
2
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Text
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<a href="http://doi.org/" target="_blank" rel="noreferrer noopener">http://doi.org/</a>
Pages
365-365
Issue
6
Volume
39
ISSN
1078-1439
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June 2021 List
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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
A name given to the resource
“Robotic fatigue?” – The impact of case order on positive surgical margins in robotic-assisted laparoscopic prostatectomy
Publisher
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Urologic Oncology: Seminars And Original Investigations
Date
A point or period of time associated with an event in the lifecycle of the resource
2021
2021-06-01
Subject
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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 III Al; 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
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Highlights •Case Sequence of robotic prostatectomy was not associated with worse surgical outcomes including surgical margin rate.•Factors associated with increased rate of positive surgical margin include higher pre-operative PSA, higher percent tumor involvement, extra prostatic extension, and presence of seminal vesicle invasion.•Second case of the day did experience statistically higher blood loss compared to the first prostatectomy of the day.•Overall, a trend for a higher positive surgical margin rate in second case of the day was observed, a finding that was variable amongst institutions.
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<a href="http://doi.org/" target="_blank" rel="noreferrer noopener"></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).
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journalArticle
2021
Abouassaly R
Adamic B
Alazem K
Bukavina L
Calaway A
Chaparala H
Conroy B
fatigue
Fernstrum A
Ferry E
journalArticle
June 2021 List
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
outcomes
Ponsky L
Prostate cancer
Ray III Al
Robotic-assisted surgery
Schumacher F
Sharp D
Smith G
Task Performance and Analysis
Urologic Oncology: Seminars And Original Investigations
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.
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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>
Rights
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
ISSN
1873-2496 1078-1439
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.2020.10.071" target="_blank" rel="noreferrer noopener">NEOMED Full-text Holding (if available) - Proxy DOI: 10.1016/j.urolonc.2020.10.071</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
October 2020 List
NEOMED College
NEOMED College of Medicine Student
NEOMED Department
NEOMED Student Publications
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
A name given to the resource
Robotic fatigue? - The impact of case order on positive surgical margins in robotic-assisted laparoscopic prostatectomy.
Publisher
An entity responsible for making the resource available
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
An entity primarily responsible for making the resource
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.
Identifier
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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