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Robotic Surgery Expert Dr. David B. Samadi, MD Discusses New Evidence That Proves The Low Complication Rates of Robotic Prostatectomy
Date:8/17/2010

uired an invasive intervention, with or without general anesthesia. There were no grade IV or V complications, which indicated life-threatening complications or death.

"What's important to note about the study was that there were no significant differences between the group with complications and the group without in regards to age, body-mass index, Gleason score and operating time," explained Dr. Samadi. The patients who experienced complications did have higher PSAs, higher blood loss and longer hospital stays. None of the 200 patients needed a blood transfusion.

"The results of the study are positive because it demonstrates a very low complication rate of twelve percent, which is very encouraging considering this study took place three to four years ago, and the technology and experience has improved substantially," said Dr. Samadi, Samadi is fellowship trained in urologic oncology and laparoscopy. He is considered an internationally recognized expert in both fields.

The study also proves how surgical experience greatly impacts success rate. The doctor who led this study performed over 650 procedures over the last five years. Dr. Samadi has performed over 500 robotic prostatectomy surgeries since his arrival at Mount Sinai in 2007. He averages 40-50 new cases per month.

Dr. Samadi's vast knowledge and experience led him to create the SMART Surgery Technique (Samadi Modified Advanced Robotic Technique), which he uses at Mount Sinai. With this technique, he duplicates the traditional open anatomical surgical technique on the robotic surgery platform for prostate cancer treatment. "The SMART technique was developed after years of practice and perfection," explained Samadi, "It should not be performed early in a robotic surgeon's learning curve."

Dr. Samadi believes that it's the surgical experience that is crucial to the success of the robotic prostatectomy. "The da Vinci robot and the SMART technique are merely tools that a
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SOURCE RoboticOncology.com
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