Minimally invasive radical prostatectomy.

Abstract:

:The development of advanced laparoscopic techniques and robot-assisted technology has resulted in several new surgical approaches for treating organ-confined prostate cancer. Outcomes with these new or minimally Invasive techniques should be assessed carefully to ensure that they are similar to or surpass patients' oncologic and functional outcomes after open radical prostatectomy. This article reviews the current published experience with minimally Invasive approaches to increase awareness about viability. Several of the larger series of patients who have undergone laparoscopic (transperitoneal and extraperitoneal) or robot-assisted laparoscopic radical prostatectomies are discussed and evaluated critically. Comparisons to published data on open radical prostatectomy are included for completeness. The different minimally invasive techniques are described and contrasted in regard to prostate-specific antigen progression-free survival, surgical margin status, blood loss, transfusion rates, postoperative pain, length of hospitalization, duration of urinary catheterization, potency, continence, and complications. The relative costs of each method are provided. The coexistence of multiple surgical approaches should and can challenge surgeons who perform open and minimally invasive procedures to strive for a new standard of care above and beyond what is accepted today to minimize patient morbidity while maximizing functional and oncologic outcomes.

journal_name

Mayo Clin Proc

journal_title

Mayo Clinic proceedings

authors

Humphreys MR,Gettman MT,Chow GK,Zincke H,Blute ML

doi

10.4065/79.9.1169

keywords:

subject

Has Abstract

pub_date

2004-09-01 00:00:00

pages

1169-80

issue

9

eissn

0025-6196

issn

1942-5546

pii

S0025-6196(11)62601-3

journal_volume

79

pub_type

杂志文章,评审
  • 3. The laboratory investigation of monoclonal gammopathies.

    abstract::The monoclonal gammopathies are a group of disorders characterized by proliferation of a single clone of plasma cells that produce a homogeneous, monoclonal (M) protein. The structure of immunoglobulins, relationship of normal (polyclonal) immunoglobulins to myeloma and macroglobulin (monoclonal) immunoglobulins, patt...

    journal_title:Mayo Clinic proceedings

    pub_type: 杂志文章

    doi:

    authors: Kyle RA,Greipp PR

    更新日期:1978-11-01 00:00:00

  • Tinnitus.

    abstract::Tinnitus, a common complaint, reportedly affects more than 37 million Americans. Most often, it is associated with a sensorineural hearing loss in the high-frequency range. Tinnitus, however, is a symptom and not a disease. Complacency about this symptom complex may cause physicians to overlook a severe underlying pat...

    journal_title:Mayo Clinic proceedings

    pub_type: 杂志文章,评审

    doi:10.1016/s0025-6196(12)60521-7

    authors: Marion MS,Cevette MJ

    更新日期:1991-06-01 00:00:00

  • Sequence of Splenectomy and Rituximab for the Treatment of Steroid-Refractory Immune Thrombocytopenia: Does It Matter?

    abstract:OBJECTIVE:To evaluate the impact of the sequence of treatment with rituximab and/or splenectomy on time to relapse for patients with steroid-refractory immune thrombocytopenia (ITP). PATIENTS AND METHODS:Patients 18 years or older with steroid-refractory immune thrombocytopenia who underwent treatment with splenectomy...

    journal_title:Mayo Clinic proceedings

    pub_type: 杂志文章

    doi:10.1016/j.mayocp.2019.05.024

    authors: Hammond WA,Vishnu P,Rodriguez EM,Li Z,Dholaria B,Shreders AJ,Rivera CE

    更新日期:2019-11-01 00:00:00

  • Long-term results of laparoscopic splenectomy for immune thrombocytopenic purpura.

    abstract:OBJECTIVE:To assess the results of laparoscopic splenectomy as a treatment for immune thrombocytopenic purpura (ITP). MATERIAL AND METHODS:We conducted a retrospective study of all patients who underwent laparoscopic splenectomy for ITP at our institution between August 1992 and May 1997. RESULTS:Of 27 patients who u...

    journal_title:Mayo Clinic proceedings

    pub_type: 杂志文章

    doi:10.4065/74.1.37

    authors: Harold KL,Schlinkert RT,Mann DK,Reeder CB,Noel P,Fitch TR,Braich TA,Camoriano JK

    更新日期:1999-01-01 00:00:00

  • Leiomyosarcoma of the stomach: determinants of long-term survival.

    abstract::To determine factors associated with a favorable long-term prognosis in gastric leiomyosarcoma, we retrospectively reviewed the medical records of 93 Mayo Clinic patients with this biopsy-proven tumor diagnosed during the 25-year period from 1964 through 1988. Six patients who had Carney's triad (gastric epithelioid l...

    journal_title:Mayo Clinic proceedings

    pub_type: 杂志文章

    doi:10.1016/s0025-6196(12)60459-5

    authors: Farrugia G,Kim CH,Grant CS,Zinsmeister AR

    更新日期:1992-06-01 00:00:00

  • Preoperative smoking cessation: the role of the primary care provider.

    abstract::Millions of cigarette smokers require surgery each year. Those who quit smoking may reduce their risk of respiratory, cardiovascular, and wound-related complications. Scheduling of surgery may present a unique opportunity to help smokers quit permanently. Primary care providers can play an important role in helping th...

    journal_title:Mayo Clinic proceedings

    pub_type: 杂志文章,评审

    doi:10.4065/80.2.252

    authors: Warner DO

    更新日期:2005-02-01 00:00:00

  • Treatment of Parkinson's disease with pergolide: a double-blind study.

    abstract::Pergolide is a potent dopamine agonist and is known to have anti-Parkinson properties. We administered pergolide to patients with suboptimal control of Parkinson's disease who had a short-duration response to carbidopa-levodopa in a 6-month, double-blind study. Pergolide added to the carbidopa-levodopa regimen resulte...

    journal_title:Mayo Clinic proceedings

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/s0025-6196(12)64911-8

    authors: Ahlskog JE,Muenter MD

    更新日期:1988-10-01 00:00:00

  • Neurofibrosarcoma of skin and subcutaneous tissues.

    abstract::In this report, we describe 13 cases of primary neurofibrosarcoma of the skin. The tumor presumably arises from small cutaneous nerves, is locally aggressive, and has a potential for metastasis. Characteristic histopathologic features include proliferating atypical spindle cells with slender wavy and pointed nuclei; h...

    journal_title:Mayo Clinic proceedings

    pub_type: 杂志文章

    doi:10.1016/s0025-6196(12)65011-3

    authors: Dabski C,Reiman HM Jr,Muller SA

    更新日期:1990-02-01 00:00:00

  • Safety, diagnostic yield, and therapeutic implications of flexible bronchoscopy in patients with febrile neutropenia and pulmonary infiltrates.

    abstract:OBJECTIVE:To evaluate the safety, diagnostic yield, and therapeutic implications of flexible bronchoscopy with bronchoalveolar lavage (BAL) and transbronchial biopsy in patients with febrile neutropenia and pulmonary infiltrates. PATIENTS AND METHODS:We retrospectively reviewed the medical records of all patients with...

    journal_title:Mayo Clinic proceedings

    pub_type: 杂志文章

    doi:10.4065/80.11.1414

    authors: Peikert T,Rana S,Edell ES

    更新日期:2005-11-01 00:00:00

  • Paraneoplastic anti-neuronal nuclear IgG autoantibodies (type I) localize antigen in small cell lung carcinoma.

    abstract::Type I anti-neuronal nuclear autoantibodies (ANNA-I, also known as "Hu") are a distinctive serologic marker of small cell lung carcinoma (SCLC) in patients who have peripheral neuropathies or encephalomyeloradiculopathies. A tumor antigen reactive with these antibodies has been identified by other investigators by Wes...

    journal_title:Mayo Clinic proceedings

    pub_type: 杂志文章

    doi:10.1016/s0025-6196(12)62471-9

    authors: Kiers L,Altermatt HJ,Lennon VA

    更新日期:1991-12-01 00:00:00

  • Severe infection due to Streptococcus pneumoniae in asplenic renal transplant patients.

    abstract::The medical records of 293 patients who underwent renal transplantation were analyzed for the occurrence of Streptococcus pneumoniae and Haemophilus influenzae infections in relation to splenectomy. Splenectomy was done in 236 (81%) graft recipients before or concomitant with transplantation. Bacteremia developed in f...

    journal_title:Mayo Clinic proceedings

    pub_type: 杂志文章

    doi:

    authors: Bourgault AM,Van Scoy RE,Wilkowske CJ,Sterioff S

    更新日期:1979-02-01 00:00:00

  • Effectiveness of sumatriptan in reducing productivity loss due to migraine: results of a randomized, double-blind, placebo-controlled clinical trial.

    abstract:OBJECTIVE:To determine the effect of sumatriptan on migraine-related workplace productivity loss. PATIENTS AND METHODS:In this randomized, double-blind, placebo-controlled, parallel-group trial, adult migraineurs self-injected 6 mg of sumatriptan or matching placebo to treat a moderate or severe migraine within the fi...

    journal_title:Mayo Clinic proceedings

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.4065/75.8.782

    authors: Schulman EA,Cady RK,Henry D,Batenhorst AS,Putnam DG,Watson CB,O'Quinn SO

    更新日期:2000-08-01 00:00:00

  • Preoperative assessment of cardiac patients undergoing noncardiac surgical procedures.

    abstract::A careful clinical history and physical examination are the most important components of the preoperative assessment of the cardiac patient who is to undergo a noncardiac surgical procedure. From these factors and the nature of the surgical procedure planned, a reasonable estimate of potential cardiac risk can be form...

    journal_title:Mayo Clinic proceedings

    pub_type: 杂志文章,评审

    doi:10.1016/s0025-6196(12)64980-5

    authors: Freeman WK,Gibbons RJ,Shub C

    更新日期:1989-09-01 00:00:00

  • Outcomes of atherosclerotic renal artery stenosis managed without revascularization.

    abstract:OBJECTIVE:To determine how often patients with renal artery stenosis (RAS) managed without revascularization progress to accelerated hypertension and/or renal failure. PATIENTS AND METHODS:We examined the outcomes of 68 patients (mean +/- SEM age, 71.8 +/- 0.9 years) with high-grade (>70%) RAS identified between 1989 ...

    journal_title:Mayo Clinic proceedings

    pub_type: 杂志文章

    doi:10.4065/75.5.437

    authors: Chábová V,Schirger A,Stanson AW,McKusick MA,Textor SC

    更新日期:2000-05-01 00:00:00

  • Effect of intraoperative anesthetic events on postoperative patient satisfaction.

    abstract:OBJECTIVE:To assess overall perioperative and anesthetic care-specific patient satisfaction. DESIGN:We mailed questionnaires postoperatively to three groups of surgical patients (those who underwent anesthesia without complications, those who experienced airway management difficulties, and those who had cardiovascular...

    journal_title:Mayo Clinic proceedings

    pub_type: 杂志文章

    doi:10.4065/72.1.20

    authors: Brown DL,Warner ME,Schroeder DR,Offord KP

    更新日期:1997-01-01 00:00:00

  • Chronic coronary artery disease: diagnosis and management.

    abstract::Coronary artery disease (CAD) is the single most common cause of death in the developed world, responsible for about 1 in every 5 deaths. The morbidity, mortality, and socioeconomic importance of this disease make timely accurate diagnosis and cost-effective management of CAD of the utmost importance. This comprehensi...

    journal_title:Mayo Clinic proceedings

    pub_type: 杂志文章,评审

    doi:10.4065/mcp.2009.0391

    authors: Cassar A,Holmes DR Jr,Rihal CS,Gersh BJ

    更新日期:2009-12-01 00:00:00

  • Ectopic pregnancy: current evaluation and treatment.

    abstract::During the past 20 years, the diagnosis and treatment of ectopic pregnancy have improved considerably. With the current diagnostic modalities, patients at risk for ectopic pregnancy can be followed expectantly, and the diagnosis can be made within a few days of the time of anticipated menses. An enhanced understanding...

    journal_title:Mayo Clinic proceedings

    pub_type: 杂志文章

    doi:10.1016/s0025-6196(12)61764-9

    authors: Ory SJ

    更新日期:1989-07-01 00:00:00

  • Prevalence of use of herbal products by adults in the Minneapolis/St Paul, Minn, metropolitan area.

    abstract:OBJECTIVES:To document the prevalence of use of herbal products among adults in a large metropolitan area and to examine issues surrounding such use. SUBJECTS AND METHODS:Of people aged 18 years and older residing in the Minneapolis/St Paul, Minn, metropolitan area, 752 were randomly selected from Minnesota Department...

    journal_title:Mayo Clinic proceedings

    pub_type: 杂志文章

    doi:10.4065/76.7.688

    authors: Harnack LJ,Rydell SA,Stang J

    更新日期:2001-07-01 00:00:00

  • An appraisal of endoscopic removal of malignant colonic polyps.

    abstract::The issue of whether patients who have invasive carcinoma in an otherwise benign polyp should undergo surgical resection of that bowel segment is controversial. We examined the records of 83 patients with such polyps that were removed endoscopically between 1978 and 1981. After exclusion of 18 patients from the study ...

    journal_title:Mayo Clinic proceedings

    pub_type: 杂志文章

    doi:10.1016/s0025-6196(12)65198-2

    authors: Fucini C,Wolff BG,Spencer RJ

    更新日期:1986-02-01 00:00:00

  • Management of prenatally detected fetal hydronephrosis.

    abstract::The increased frequency of prenatal ultrasonography has resulted in an increase in the detection of fetal genitourinary abnormalities, many of which are of minimal clinical significance. Severe fetal urinary tract obstruction with associated oligohydramnios results in a recognizable constellation of physical findings,...

    journal_title:Mayo Clinic proceedings

    pub_type: 杂志文章,评审

    doi:10.4065/70.2.145

    authors: Gloor JM

    更新日期:1995-02-01 00:00:00

  • Venous and pulmonary thromboembolism: an algorithmic approach to diagnosis and management.

    abstract::The frequently encountered disorder of venous thromboembolism (VTE) can cause serious morbidity and even death. Nevertheless, in more than 70% of patients who die of pulmonary embolism (PE), the diagnosis is not considered before death. Thus, clinicians should have a high index of suspicion for VTE, especially in high...

    journal_title:Mayo Clinic proceedings

    pub_type: 杂志文章,评审

    doi:10.1016/S0025-6196(11)64664-8

    authors: Rosenow EC 3rd

    更新日期:1995-01-01 00:00:00

  • Symptomatic hyperthyroidism in a patient taking the dietary supplement tiratricol.

    abstract::An 87-year-old woman was referred for evaluation of nervousness, tremor, insomnia, and fatigue of 2 months' duration. Initial laboratory evaluation revealed a suppressed thyrotropin level and an elevated triiodothyronine level. A review of her medications revealed that she had started taking several dietary supplement...

    journal_title:Mayo Clinic proceedings

    pub_type: 杂志文章

    doi:10.4065/77.6.587

    authors: Bauer BA,Elkin PL,Erickson D,Klee GG,Brennan MD

    更新日期:2002-06-01 00:00:00

  • Precision of health-related quality-of-life data compared with other clinical measures.

    abstract::To many clinicians, the assessment of health-related quality of life (HRQL) seems more art than science. This belief is due in part to the lack of formal training available to clinicians regarding HRQL measurement and interpretation. When HRQL is used systematically, it has been shown to improve patient-physician comm...

    journal_title:Mayo Clinic proceedings

    pub_type: 杂志文章

    doi:10.4065/82.10.1244

    authors: Hahn EA,Cella D,Chassany O,Fairclough DL,Wong GY,Hays RD,Clinical Significance Consensus Meeting Group.

    更新日期:2007-10-01 00:00:00

  • Management of colonoscopic perforations.

    abstract:OBJECTIVE:To document our evolving surgical management of colonoscopic perforation and examine factors crucial to the improvement of patient care. DESIGN:We conducted a computer-based retrospective analysis of medical records (1980 through 1995). MATERIAL AND METHODS:Among 57,028 colonoscopic procedures performed, 43...

    journal_title:Mayo Clinic proceedings

    pub_type: 杂志文章

    doi:10.1016/S0025-6196(11)63592-1

    authors: Farley DR,Bannon MP,Zietlow SP,Pemberton JH,Ilstrup DM,Larson DR

    更新日期:1997-08-01 00:00:00

  • Evaluation and management of amenorrhea.

    abstract::All women who enter menopause experience amenorrhea unless they receive hormone replacement therapy. In younger women, amenorrhea unrelated to pregnancy and lactation can be a distressing symptom. In addition to its psychologic morbidity, amenorrhea may be the manifesting feature of a wide array of anatomic and endocr...

    journal_title:Mayo Clinic proceedings

    pub_type: 杂志文章,评审

    doi:10.4065/72.12.1161

    authors: McIver B,Romanski SA,Nippoldt TB

    更新日期:1997-12-01 00:00:00

  • Lymphoma associated with human immunodeficiency virus infection.

    abstract:OBJECTIVE:To describe lymphoma associated with human immunodeficiency virus (HIV) infection. DESIGN:A review of HIV-related lymphoma and its associated epidemiology, etiopathogenesis, and clinicopathologic characteristics is presented. Major studies of therapeutic regimens for HIV-related lymphoma are discussed. Facto...

    journal_title:Mayo Clinic proceedings

    pub_type: 杂志文章,评审

    doi:10.4065/70.7.665

    authors: Wang CY,Snow JL,Su WP

    更新日期:1995-07-01 00:00:00

  • Surgical technique and pitfalls of breast reconstruction immediately after mastectomy for carcinoma: initial experience.

    abstract::Breast reconstruction immediately after mastectomy is being used with increasing frequency. In a study of the first 100 consecutive patients at our institution who underwent this procedure, with (21 patients) or without (79 patients) later nipple reconstruction, 85% responded affirmatively on a follow-up questionnaire...

    journal_title:Mayo Clinic proceedings

    pub_type: 杂志文章

    doi:10.1016/s0025-6196(12)62440-9

    authors: van Heerden JA,Jackson IT,Martin JK Jr,Fisher J

    更新日期:1987-03-01 00:00:00

  • Bronchogenic carcinoma: immunologic aspects.

    abstract::Evidence that host immunologic function may influence the behavior of lung cancer is accumulating. Non-small-cell lung cancers are heavily infiltrated by host lymphocytes. The fact that monoclonal antibodies have been developed against lung cancer cells implies that such cells express surface antigens and are therefor...

    journal_title:Mayo Clinic proceedings

    pub_type: 杂志文章,评审

    doi:10.1016/s0025-6196(12)60137-2

    authors: Pisani RJ

    更新日期:1993-04-01 00:00:00

  • Subclinical hyperthyroidism: possible danger of overzealous thyroxine replacement therapy.

    abstract::Many patients taking customary doses of levothyroxine have slightly elevated serum thyroxine (T4), apparently normal serum triiodothyronine, suppressed serum thyrotropin (thyroid-stimulating hormone; TSH) concentrations, and no clinical symptoms of hyperthyroidism. Recent reports suggest that these patients may have a...

    journal_title:Mayo Clinic proceedings

    pub_type: 杂志文章,评审

    doi:10.1016/s0025-6196(12)65409-3

    authors: Ross DS

    更新日期:1988-12-01 00:00:00

  • Marine fish oils: role in prevention of coronary artery disease.

    abstract::Since the early 1970s, investigators have been interested in the relationship between dietary marine fish oils and plasma lipoproteins. Previous studies have shown that consumption of a diet rich in marine fatty acids results in altered lipid profiles, prolonged bleeding times, reduced platelet aggregation, and decrea...

    journal_title:Mayo Clinic proceedings

    pub_type: 临床试验,杂志文章,评审

    doi:10.1016/s0025-6196(12)61879-5

    authors: Ballard-Barbash R,Callaway CW

    更新日期:1987-02-01 00:00:00