Navigation Links
Robotic Surgery May Improve Survival Rate For Prostate Cancer Patients

Performing less invasive laparoscopic surgery using robotic technology may improve survival rates for prostate cancer patients, according to a study by Thomas Jefferson University Hospitals multidisciplinary Genitourinary (GU) cancer center.

In a study presented May 21, 2007 at the annual American Urological Society meeting in Anaheim, Calif., the Jefferson urologists found that performing a laparoscopic radical prostatectomy (LRP) with robot technology can reduce positive surgical margins. Positive surgical margins refers to when cancer, seen under a microscope, goes to the edge of a specimen, meaning that cancerous cells likely remain in the patient. LRP is the surgical removal of the entire prostate gland and surrounding tissue including the seminal vessels through several tiny incisions.

We demonstrated a significant improvement in the positive surgical margin rate with the addition of robotics to an established LRP, said Costas Lallas, M.D., assistant professor of Urology, Jefferson Medical College of Thomas Jefferson University, one of the investigators.Dr. Lallas completed a robotic surgery fellowship at the Mayo Clinic.

Several large studies have demonstrated that a positive surgical margin increases the chances that the prostate-specific antigen (PSA)- a protein produced by the cells of the prostate gland - will rise after surgery, and increase the chances that the disease will reoccur and progress, said Edouard Trabulsi, M.D., assistant professor of Urology, Jefferson, a urologic oncologist and an expert trained in laparoscopic prostatectomy by one of the pioneers of the technique. Therefore, any intervention or technique to lower positive surgical margins, we think, will translate into a better long-term cure rate.

The study demonstrates that even in a high volume center with an established laparoscopic radical prostatectomy program, which has been in place at Jefferson since 2000, the addition of robotic technology leads to a lower positive surgical margin rate, the researchers said. The Jefferson urologists reviewed the cases of 247 men with clinically localized prostate cancer treated at Thomas Jefferson University Hospital with either LRP or robotic assisted laparoscopic prostatectomy (RALP) from March 2000 to August 2006. Of the 247 cases, 197 patients underwent LRP and 50 patients underwent robotic assisted laparoscopic prostatectomy.

The overall positive surgical margin rate for patients who had LRP was 18 percent, as compared to six percent for those who had RALP.

The Jefferson researchers said they believed the results were so positive here because of the way they approach each case.

We individualize each case and consider the patient, as well as his particular anatomy and preoperative cancer-related characteristics to plan his procedure, said Dr. Lallas. In addition, the majority of our patients are evaluated in a multidisciplinary genitourinary cancer clinic, emphasizing our focus on the oncologic aspect of this operation.

Laparoscopic surgery has proven to offer potential advantages to patients including less trauma through smaller incisions, faster recovery and less overall blood loss during surgery, allowing most patients to leave the hospital in one to two days.

The robotic system further refines laparoscopic prostatectomy by allowing a surgeons hand movements to be scaled, filtered and translated into precise movements of micro-instruments within the operative field. The magnified, three-dimensional view the surgeon experiences enables him to perform precise surgery in complex procedures, such as radical prostatectomy, through small surgical incisions.


'"/>




Related medicine news :

1. Recent Study On Rats May Lead To Future Robotics
2. Surgeons Perform Robotic Gastric Bypass Surgery
3. Benefits Of Robotic Prostate Surgery- But At What Cost?
4. Complete Robotic Surgery To Revolutionize Surgical Treatment of Prostate Cancer
5. Remote Robotic Surgery Using Miniature Robots
6. Paralyzed Patients Can Be Trained To Walk With Robotic Treadmill
7. Robotic ovarian transposition helps cancer patient deliver baby
8. Robotic Assisted Knee Replacement Surgery Has Improved Accuracy
9. Brain Controlled Movements Are Studied Using Robotic- Joystick
10. Japanese Scientists Develop Thought-Controlled Robotic Hands
11. Scientists Develop Thought-Controlled Robotic Hands
Post Your Comments:
*Name:
*Comment:
*Email:


(Date:12/8/2016)... ... December 08, 2016 , ... With the increasing demand for dental implants, ... Mouth?” (WIYM) campaign to inform dentists and patients about the safety issues related to ... prosthetic market in the U.S. is projected to reach $6.4 billion in 2018 with ...
(Date:12/8/2016)... ... December 08, 2016 , ... Premier Fitness Camp (PFC) and The ... ultimate weight loss and wellness program, at their world headquarters of Omni La Costa ... and long-term results to anyone seeking weight loss, personal development, a healthy lifestyle, or ...
(Date:12/8/2016)... ... December 08, 2016 , ... ... its innovative Unified Instance Manager architecture, meeting the needs of multichannel growth ... optimizes the unattended auto-dialing system without agents, Presence Robodialer, provides greater operational ...
(Date:12/8/2016)... ... ... STATEN ISLAND, N.Y., Nov. 24, 2016 — Richmond ... of trauma, maternity, cancer and chronic obstructive pulmonary disease (COPD) services from three ... , Among the recognitions, the American College of Surgeons' (ACS) named the hospital's ...
(Date:12/8/2016)... ... December 08, 2016 , ... California Senate Bill (SB) 863, signed into law ... in 2013 and 2014, according to CompScope™ Medical Benchmarks for California, 17th Edition ... to the study, medical payments per claim in California decreased 4 percent in 2013 ...
Breaking Medicine News(10 mins):
(Date:12/8/2016)...  Pennsylvania Physician General Dr. Rachel Levine ... Gary Tennis released safe prescribing guidelines ... developed with the help of a task force. ... frequently prescribed for anxiety or insomnia," said Dr. ... pain medications, benzodiazepines pose a significant risk for ...
(Date:12/8/2016)... Information products and services provider Elsevier ... Scopus , the world,s largest abstract and citation database of peer-reviewed ... journals from over 5,000 publishers. The new set of metrics will ... and when to adjust a journal,s editorial strategy. ... , , ...
(Date:12/8/2016)... 2016 According to the research report, ... is expected to be worth US$9.7 bn by the ... Between the forecast years of 2016 and 2024, the global ... The leading players operating in the global diabetes injection pens ... plc., Biocon Ltd., and Sanofi S.A. Transparency Market Research reports ...
Breaking Medicine Technology: