Advances in Robotic-Assisted Urologic Surgery, An Issue of Urologic Clinics

Ashok K. Hemal

Description

Robotic-assisted laparoscopic urologic surgery is a major evolution in the field and has now become a major subspecialty. This issue of Urologic Clinics of North America aims to provide comprehensive, state-of-the-art information about the recent developments in the areas of Uro-Oncology, Reconstructive Urology, and Female Urology. Topics such as issue of training, evidence-based practice, the economics of robotic surgery, and the impact on public and global health are also covered.The contributors are truly pioneers and the best experts in the field.

Sujets

• Médecine
• Médecine Générale
• Medical
• Urology

Informations

• Publié par: Elsevier
• Date de parution: 22 novembre 2014
• Nombre de lectures: 0
• EAN13: 9780323323925
• Langue: English
• Poids de l'ouvrage: 2 Mo

Extrait

Clinics Review Articles Urologic Clinics of North America
Advances in Robotic-Assisted Urologic Surgery

Dr, Ashok K. Hemal, MD, MCh, FAMS, FACS
Robotics and Minimally Invasive Surgery, Wake Forest Baptist Medical Center, Wake Forest School of Medicine, Winston-Salem, NC, USA
ISSN  0094-0143 Volume 41 • Number 4 • November 2014
Elsevier
Table of Contents
Cover image
Title page
CME Accreditation Page
Target Audience
Learning Objectives
Accreditation
Disclosure of Conflicts of Interest
Unapproved/Off-Label Use Disclosure
To Enroll
Method of Participation
CME Inquiries/Special Needs
Contributors
Consulting Editor
Editor
Authors
Forthcoming Issues
Forthcoming Issues
Recent Issues
Foreword: Advances in Robotic-Assisted Urologic Surgery
Preface: Urology Robotic Surgery: 15-year Path
Robot-Assisted Radical Prostatectomy
Key points
Introduction
Historical perspective
Indications and contraindications
Technical advancements in cancer control
Technical advancements in urinary continence
Technical advancements in potency preservation
Summary
Robot-Assisted Laparoscopic Simple Anatomic Prostatectomy
Key points
Introduction
Methods and patients
Results
Discussion
Summary
Best Evidence Regarding the Superiority or Inferiority of Robot-Assisted Radical Prostatectomy
Key points
Introduction
Oncologic outcomes
Lymph node dissection
Perioperative outcomes
Functional outcomes
Summary
Robot-assisted Intracorporeal Urinary Diversion
Key points
Introduction
Operative considerations
Perioperative outcomes and complications
Functional outcomes
Learning curve
Future directions
Summary
Emerging Technologies to Improve Techniques and Outcomes of Robotic Partial Nephrectomy
Key points
Patient selection and immediate perioperative management for prevention of complications
Minimizing warm ischemia time
Indocyanine green dye and near-infrared fluorescence for identification of renal vasculature, minimizing ischemia, and decreasing margin rate
Single port and laproendoscopic single site surgery (LESS) RPN
Intraoperative ultrasound and Tile-Pro
Reconstruction of renal defect
Expanding the indications for RPN
Augmented reality in RPN
New robotic system
Summary
Robot-Assisted Surgery for the Treatment of Upper Urinary Tract Urothelial Carcinoma
Key points
Introduction
Preoperative preparation
NU
Part 1: nephrectomy
Part 2: bladder cuff excision
DU and ureteral reimplant
Lymphadenectomy
Outcomes
Summary
Robot-Assisted Adrenalectomy (Total, Partial, & Metastasectomy)
Key points
Introduction
Evaluation
Endocrine evaluation
Surgical indications
Surgical technique
Surgical steps
Outcomes
Summary
Robotic-assisted Sacrocolpopexy for Pelvic Organ Prolapse
Key points
Introduction
Patient evaluation and preparation
Robotic sacrocolpopexy: technique and nuances
Cost considerations of robotic sacrocolpopexy
Climate of fear: synthetic mesh in the treatment of POP
Summary
Robot-Assisted Microsurgery in Male Infertility and Andrology
Key points
Introduction
Robotic-assisted microsurgical vasectomy reversal
Robotic-assisted microsurgical subinguinal varicocelectomy
Robotic-assisted microsurgical testicular sperm extraction
Robotic-assisted microsurgical targeted denervation of the spermatic cord
Summary
Image-Guided Surgery and Emerging Molecular Imaging
Key points
Introduction
General principles of IGS
Image-guided partial nephrectomy
Image-guided minimally invasive radical prostatectomy
Molecular imaging for urologic surgery
Molecular imaging during prostatectomy
Fluorescence during renal surgery
Summary
Training in Robotic Surgery
Key points
Introduction
Cognitive resources
Surgical simulation
Example curricula
FRS
Credentialing
Summary
Economics of Robotic Surgery
Key points
Introduction
Consequences of rapid adoption of robotic surgery
The costs of robotic surgery
Provider factors associated with costs: room to improve
Costs: lessons learned from rapid adoption of robotic prostatectomy
Summary
Models of Assessment of Comparative Outcomes of Robot-Assisted Surgery
Key points
Introduction
Outcomes definition
Observational studies
Prospective randomized trials
Summary
Index
CME Accreditation Page


Program Objective
The goal of Urologic Clinics of North America is to keep practicing urologists and urology residents up to date with current clinical practice in urology by providing timely articles reviewing the state of the art in patient care.

Target Audience
Practicing urologists, urology residents and other health care professionals practicing in the discipline of urology.

Learning Objectives
Upon completion of this activity, participants will be able to:

1.  Recognize the economics of robotic urologic surgery.
2.  Review robot-assisted adrealectomy, robot-assisted partial nephrectomy, and robot-assisted adrenalectomy.
3.  Discuss simulators, surgery and credentialing with respect to training in robotic surgery.

Accreditation
The Elsevier Office of Continuing Medical Education (EOCME) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
The EOCME designates this enduring material for a maximum of 15 AMA PRA Category 1 Credit (s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
All other health care professionals requesting continuing education credit for this enduring material will be issued a certificate of participation.

Disclosure of Conflicts of Interest
The EOCME assesses conflict of interest with its instructors, faculty, planners, and other individuals who are in a position to control the content of CME activities. All relevant conflicts of interest that are identified are thoroughly vetted by EOCME for fair balance, scientific objectivity, and patient care recommendations. EOCME is committed to providing its learners with CME activities that promote improvements or quality in healthcare and not a specific proprietary business or a commercial interest.
The planning committee, staff, authors and editors listed below have identified no financial relationships or relationships to products or devices they or their spouse/life partner have with commercial interest related to the content of this CME activity:
Ali AL-Daghmin; Mohamad E. Allaf, MD; Clinton D. Bahler, MD; Mark W. Ball, MD; Jamin V. Brahmbhatt; Michael S. Cookson, MD; John B. Eifler, MD; Robert F. Elder, MD; Farzeen Firoozi; Giorgio Gandaglia, MD; Ahmet Gudeloglu, MD; Khurshid A. Guru; Kristen Helm; Ashok K. Hemal, MD; Kerry Holland; Jim C. Hu; Brynne Hunter; Wooju Jeong, MD; L Spencer Krane, MD; Indu Kumari; Sandy Lavery; Susan Marshall; Jill McNair; Mani Menon, MD; Christopher R. Mitchell; Sijo J. Parekattil, MD; Lindsay Parnell; Manish N. Patel, MD; James O. Peabody, MD; Ryan B. Pickens, MD; Kristopher Prado; Johar Raza Syed, MD, MRCS, FCPS (Urol); Akshay Sood, MD; Chandru P. Sundaram, MD; Mohammed Tawfeeq; Stephen B. Williams, MD.
The planning committee, staff, authors and editors listed below have identified financial relationships or relationships to products or devices they or their spouse/life partner have with commercial interest related to the content of this CME activity:
S. Duke Herrell, MD is a consultant/advisor for and has a research grant from Galil Medical.
Michael Stifelman is on speakers bureau and has stock ownership with Intuitive Surgical, Inc.; is a consultant/advisor for Vascular Technology, Inc. and Surgiquest, Inc.
Samir S. Taneja, MD is a consultant/advisor for Eigen Pharma LLC, GTx, Inc., Bayer Healthcare Pharmaceuticals, Healthtronics, Inc. and Hitachi, Ltd.
Quoc-Dien Trinh, MD is on speakers bureau for Intuitive Surgical.
Wesley M. White, MD is a consultant/advisor for Coloplast.

Unapproved/Off-Label Use Disclosure
The EOCME requires CME faculty to disclose to the participants:

1.  When products or procedures being discussed are off-label, unlabelled, experimental, and/or investigational (not US Food and Drug Administration [FDA] approved); and
2.  Any limitations on the information presented, such as data that are preliminary or that represent ongoing research, interim analyses, and/or unsupported opinions. Faculty may discuss information about pharmaceutical agents that is outside of FDA-approved labelling. This information is intended solely for CME and is not intended to promote off-label use of these medications. If you have any questions, contact the medical affairs department of the manufacturer for the most recent prescribing information.

To Enroll
To enroll in the Urologic Clinics of North America Continuing Medical Education program, call customer service at 1-800-654-2452 or sign up online at http://www.theclinics.com/home/cme . The CME program is available to subscribers for an additional annual fee of $270 USD.

Method of Participation
In order to claim credit, participants must complete the following:

1.  Complete enrolment as indicated above.
2.  Read the activity.
3.  Complete the CME Test and Evaluation. Participants must achieve a score of 70% on the test. All CME Tests and Evaluations must be completed online.

CME Inquiries/Special Needs
For all CME inquiries or special needs, please contact [e-mail] .
Contributors

Consulting Editor
SAMIR S. TANEJA, MD
The James M. Neissa and Janet Riha Neissa Professor of Urologic Oncology; Professor of Urology and Radiology; Director, Division of Urologic Oncology; Co-Director, Smilow Comprehensive Prostate Cancer Center, Department of Urology, NYU Langone Medical Center, New York, New York

Editor
ASHOK K. HEMAL, MD, MCh, FAMS, FACS, FRCS(Glasg)
Professor, Departmen