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  • Open Access

    RESIDENT’S CORNER

    Robotic-assisted laparoscopic pyelolithotomy in a horseshoe kidney

    Stephanie Aron, Anthony Galvez, Ryan Nasseri, Susana Berrios, Tyler Sheetz

    Canadian Journal of Urology, Vol.31, No.6, pp. 12077-12080, 2024

    Abstract Nephrolithiasis is one of the most common indications for surgery in patients with a horseshoe kidney. Robotic assisted surgery has become a staple in urologic practice, yet its application in stone management is largely undefined. We present a patient with a horseshoe kidney, who underwent a robotic-assisted laparoscopic pyelolithotomy (RPL) to treat a 3 cm stone burden. This procedure allowed for safe access that could not be obtained with percutaneous nephrolithotomy (PCNL) and stone removal without fragmentation, which would have been challenging with traditional laparoscopy. We advocate for the use of robotic-assisted laparoscopic pyelolithotomy in More >

  • Open Access

    ARTICLE

    Single-port robotic laparoscopic ureterocalicostomy: surgical technique and clinical outcomes

    Alex J. Xu1, Jeffery S. Lin1, Po Yen Chen2, Samuel Carbunaru1, Yeonsoo S. Lee3, Lee C. Zhao1

    Canadian Journal of Urology, Vol.31, No.6, pp. 12072-12076, 2024

    Abstract Introduction: We describe a method of robotic ureterocalicostomy (RALUC) with the Da Vinci Single Port (SP) platform and present clinical outcomes in our cohort of patients.
    Materials and methods: We retrospectively reviewed all patients undergoing RALUC with the SP platform in a single-institution, IRB-approved database between 2020 2023. Demographics, preoperative, intraoperative, and postoperative outcomes were collated. Surgical success was defined as freedom from hardware, avoidance of additional surgical reconstruction, and no obstruction on follow up imaging/ureteroscopy.
    An incision is made 1/3rd the distance from anterior superior iliac spine to the umbilicus. The retroperitoneal space is entered and SP… More >

  • Open Access

    ARTICLE

    Cost-effectiveness analysis of arterial catheter insertion on robotic-assisted laparoscopic prostatectomy

    Rogelio Valdez1,2, Johnathan Drevik3, Megan Prunty1,2, Ilaha Isali1,2, Mohit Sindhani4, Lee Ponsky1,2, Alberto Castro Bigalli5, David Chen5, Kirtishri Mishra1,2, Alexander Kutikov5, Adam Calaway1,2, Laura Bukavina1,5

    Canadian Journal of Urology, Vol.30, No.2, pp. 11495-11501, 2023

    Abstract Introduction: To evaluate the utility, outcomes, and cost of arterial line placement in a single institution cohort of patients undergoing robotic-assisted laparoscopic prostatectomy (RALP).
    Materials and methods: A retrospective chart review was performed at a large tertiary care center from July 2018 through January 2021. Hospital costs and cost-effective analysis was performed on patients with and without arterial line placement. Means with standard deviations were used to report continuous variables, while numbers and percentages were utilized to describe categorical variables. T-tests and Chi-square tests compared categorical and continuous variables across study cohorts, respectively. Multivariable analyses were used… More >

  • Open Access

    ARTICLE

    Effects of Ulinastatin Combined with Dexmedetomidine on Postoperative Cognitive Function and Central Nerve Specific Protein Level in Elderly Colorectal Cancer Patients after Laparoscopic

    Li Bao1, Xiaowei Tian2, Jing Zhang3, Li Chen4, Kui Gao5,*

    Oncologie, Vol.22, No.3, pp. 167-178, 2020, DOI:10.32604/oncologie.2020.012495

    Abstract Ulinastatin combined with dexmedetomidine can improve postoperative cognitive function and central nerve specific protein (S-100β) level in elderly colorectal cancer (CC) patients after laparoscopic. Altogether 178 elderly patients who underwent laparoscopic colorectal cancer surgery in our hospital from February 2018 to August 2019 were selected and divided into two groups according to the treatment methods. Those anesthetized by dexmedetomidine were regarded as the routine group (RG, 83 cases), and those anesthetized by ulinastatin and dexmedetomidine were considered as the combined group (CG, 95 cases). The operation conditions of the two groups, the pain scores (VAS)… More >

  • Open Access

    ARTICLE

    Laparoscopic Training Exercises Using HTC VIVE

    Ayesha Hoor Chaudhry*, Faisal Bukhari, Waheed Iqbal, Zubair Nawaz, Muhammad Kamran Malik

    Intelligent Automation & Soft Computing, Vol.26, No.1, pp. 53-59, 2020, DOI:10.31209/2019.100000149

    Abstract Laparoscopic surgery is a relatively new field in developing countries. There is a scarcity of laparoscopically trained doctors due to a lack of training and resources available in hospitals. Training and evaluation of medical professionals to develop laparoscopic surgical skills are important and essential as it improves the success rate and reduces the risk during real surgery. The purpose of this research is to develop a series of training exercises based on virtual reality using HTC Vive headset to emulate real-world training of doctors. This virtual training not only gives the trainee doctors mastery in More >

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