https://hdl.handle.net/10807/1 2026-08-26T10:21:22Z https://hdl.handle.net/10807/345134 Titolo: Robotic prostatectomy: facts or fiction? Autori: Rocco B.; Djavan B. Abstract: N/A 2007-01-01T00:00:00Z https://hdl.handle.net/10807/345133 Titolo: Robotic technologies in surgical oncology training and practice Autori: Orvieto M. A.; Marchetti P.; Castillo O. A.; Coelho R. F.; Chauhan S.; Rocco B.; Ardila B.; Mathe M.; Patel V. R. Abstract: The modern-day surgeon is frequently exposed to new technologies and instrumentation. Robotic surgery (RS) has evolved as a minimally invasive technique aimed to improve clinical outcomes. RS has the potential to alleviate the inherent limitations of laparoscopic surgery such as two dimensional imaging, limited instrument movement and intrinsic human tremor. Since the first reported robot-assisted surgical procedure performed in 1985, the technology has dramatically evolved and currently multiple surgical specialties have incorporated RS into their daily clinical armamentarium. With this exponential growth, it should not come as a surprise the ever growing requirement for surgeons trained in RS as well as the interest from residents to receive robotic exposure during their training. For this reason, the establishment of set criteria for adequate and standardized training and credentialing of surgical residents, fellows and those trained surgeons wishing to perform RS has become a priority. In this rapidly evolving field, we herein review the past, present and future of robotic technologies and its penetration into different surgical specialties. © 2011 Elsevier Ltd. All rights reserved. 2011-01-01T00:00:00Z https://hdl.handle.net/10807/345132 Titolo: Robotic vs open prostatectomy in a laparoscopically naive centre: A matched-pair analysis Autori: Rocco B.; Matei D. -V.; Melegari S.; Ospina J. C.; Mazzoleni F.; Errico G.; Mastropasqua M.; Santoro L.; Detti S.; De Cobelli O. Abstract: Objective: To compare the early oncological, perioperative and functional outcomes of robotic-assisted radical prostatectomy (RARP) vs open retropubic RP (RRP) in a laparoscopically naive centre, as robotic assistance aids the laparoscopically naive surgeon in minimally invasive prostate surgery, by offering magnification and superior dexterity. Patients and Methods: From 1 November 2006 to 31 December 2007, 120 patients had RARP; this group was followed prospectively and evaluated for early oncological, perioperative and functional outcomes (measured at 3, 6 and 12 months after surgery), and compared to a historical control group of consecutive patients who had RRP from 20 May 2004 to 28 February 2007. All patients were operated by the same laparoscopically naive surgeons. The comparison was by matched-pair analysis. Results: The baseline characteristics of the two groups were equivalent, although there was a higher percentage of patients with pT3/pT4 disease in the RRP group. As a proxy for oncological outcome, positive surgical margins were equivalent in the two groups (22% RARP vs 25% RRP, P = 0.77). The overall mean (range) surgical duration was significantly longer in RARP group, at 215 (165-450) min vs 160 (90-240) min in the RRP group (P < 0.001). However, RARP had a statistically significant advantage over RRP for estimated blood loss, of 200 vs 800 mL (P < 0.001), duration of catheterization (6 vs 7 days P < 0.001) and length of stay (3 vs 6 days, P < 0.001) The 3, 6 and 12-month continence rates were 70%, 93% and 97% vs 63%, 83% and 88% after RARP and RRP, respectively (P = 0.15, 0.011 and 0.014). The 3, 6 and 12 month overall potency recovery rate was 31%, 43% and 61% vs 18%, 31% and 41%, after RARP and RRP, respectively (P = 0.006, 0.045 and 0.003). Conclusion: Our initial experience showed the feasibility of RARP in a laparoscopically naive centre. RRP seems to be a faster procedure, whereas RARP provided better Results: in terms of estimated blood loss, hospitalization and functional results. The early oncological outcome seemed to be equivalent in the two groups. © 2009 BJU International. 2009-01-01T00:00:00Z https://hdl.handle.net/10807/345131 Titolo: Robotic-assisted radical prostatectomy: A review of current outcomes Autori: Coelho R. F.; Chauhan S.; Palmer K. J.; Rocco B.; Patel M. B.; Patel V. R. Abstract: With the widespread diffusion of the screening for prostate cancer, the disease has been diagnosed more commonly in the organ-confined stage, and in younger and healthier men. For these patients, radical prostatectomy (RP) is still the standard treatment. In an effort to decrease the morbidity associated with open RP, minimally invasive approaches have been described, including robotic-assisted RP (RALP). Almost one decade after the introduction of RALP, large and mature series have now been reported. We reviewed the outcomes of the largest series of RALP published recently. We searched Medline for reports published between 2006 and 2009, to identify articles describing intraoperative data, surgical complications, oncological outcomes, continence and potency rates after RALP. Relevant articles were selected and the outcomes evaluated. © 2009 BJU International. 2009-01-01T00:00:00Z