Abstract：
BACKGROUND:In Australia, robotic-assisted radical prostatectomy (RARP) has steadily replaced open and laparoscopic surgery in the management of localized prostate cancer. Given the increased cost of this technology, we aimed to compare the perioperative, pathological, oncological and functional outcomes as well as short-term complications of laparoscopic and RARP. METHODS:We performed a retrospective review of prospectively collected data on 200 consecutive patients during the transition of a single surgeon (DM) from pure laparoscopic (n = 100) to RARP (n = 100) between September 2007 and March 2011. RESULTS:Median operative time and estimated blood loss were the same for both surgical approaches, 195 min (P = 0.29) and 300 mL (P = 0.88) respectively. Median length of hospital stay was shorter for RARP (P = 0.003). Complication rates were not statistically different between groups. There was no significant difference in positive surgical margin rates in pT2 (P = 0.36) or pT3 disease (0.99) or biochemical recurrence rate between groups (P = 0.14). The 12 months continence rate was improved with RARP compared with laparoscopic radical prostatectomy (93% versus 82%; P = 0.025). The potency rate was 56% and 74% at 12 months after laparoscopic radical prostatectomy and RARP respectively (P = 0.12) for a bilateral nerve sparing procedure. CONCLUSION:We conclude from our single-surgeon comparative series that the robotic approach results in a significantly shorter length of hospital stay and improved 12 months continence rates and demonstrated a trend towards better potency rates. Complications, positive surgical margin rates and the requirement for adjuvant therapy are all improved with the robotic approach but did not show statistically significant differences.
journal_name
ANZ J Surgjournal_title
ANZ journal of surgeryauthors
Papachristos A,Basto M,Te Marvelde L,Moon Ddoi
10.1111/ans.12602subject
Has Abstractpub_date
2015-03-01 00:00:00pages
154-8issue
3eissn
1445-1433issn
1445-2197journal_volume
85pub_type
杂志文章abstract：:Carpal tunnel syndrome is a common condition affecting 1% of the population. Open carpal tunnel release is the most commonly performed procedure for this condition. About 70-90% of patients have good to excellent long-term outcomes with open carpal tunnel release. The remainder have poor outcomes. An understanding of ...
journal_title：ANZ journal of surgery
pub_type： 杂志文章,评审
doi：10.1111/j.1445-2197.2009.05175.x
更新日期：2010-01-01 00:00:00
abstract：INTRODUCTION:Ludwig's angina (LA) is an uncommon and potentially life-threatening condition of the upper aero-digestive tract that often requires the coordinated efforts of the surgical, anesthetic and intensive care teams to optimize management. The purpose of the present study was to investigate the documented clinic...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/j.1445-2197.2010.05496.x
更新日期：2011-03-01 00:00:00
abstract：BACKGROUND:The aim of our study was to identify the demographics and complications in elderly cervical spine injuries and predictive factors for surgery, complications and mortality. We hypothesized younger healthier patients were more likely to undergo surgical intervention. METHODS:A retrospective review of 225 cons...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/ans.14875
更新日期：2019-04-01 00:00:00
abstract：AIM:To establish a proinflammatory cytokine profile of the cerebrospinal fluid (CSF) following trauma. BACKGROUND:Trauma is associated with a postinjury syndrome consisting of loss of weight and nitrogen, pyrexia, anorexia and fatigue. It has been proposed that cytokines are pathophysiologically involved in this syndr...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/j.1445-2197.2005.03530.x
更新日期：2005-09-01 00:00:00
abstract：BACKGROUND:Risk factors for bile leakage after hemihepatectomy are unknown. METHODS:A prospectively maintained database review identified patients undergoing hemihepatectomy between 1 January 2009 and 30 September 2014. Patients were divided into B/C and non-B/C bile leakage groups. Risk factors for bile leakage were ...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/ans.13073
更新日期：2017-07-01 00:00:00
abstract：BACKGROUND:Patella infera is a known complication of total knee arthroplasty, and the method of soft tissue closure is a possible contributing factor. The aim of our study was to evaluate the effect of knee position during surgical closure of capsule, subcutaneous tissue and skin on patella tendon length after total kn...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/ans.15034
更新日期：2019-03-01 00:00:00
abstract：BACKGROUND:Removal of part or all of the parotid gland may leave a visible contour defect and may also be associated with complications such as Frey's syndrome. These aesthetic and functional issues can be addressed using dermofat graft reconstruction. The aim of this study is to assess patient satisfaction and complic...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/ans.13608
更新日期：2017-12-01 00:00:00
abstract：BACKGROUND:The purpose of this study was to clarify the post-operative prognosis of pancreatic head cancer with pathologic portal vein (PV) or superior mesenteric vein (SMV) invasion. METHODS:From May 1995 to December 2009, preoperative, intra-operative and post-operative data from 276 patients who underwent pancreati...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/ans.12502
更新日期：2015-04-01 00:00:00
abstract：BACKGROUND:The objective of the research was to validate our results on sentinel lymph node biopsy (SLNB) and to determine factors affecting false-negative (FN) rates of SLNB in Chinese patients with invasive breast cancers. METHODS:A retrospective study of patients with clinically node-negative invasive breast cancer...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/j.1445-2197.2007.04260.x
更新日期：2007-10-01 00:00:00
abstract：BACKGROUND:The role of minimally invasive approach for pancreaticoduodenectomy has not yet been well defined in Australia. We present our early experience with laparoscopic pancreaticoduodenectomy (LPD) from Brisbane, Australia. METHODS:Retrospective review in a prospectively collected database of patients undergoing ...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/ans.14020
更新日期：2018-05-01 00:00:00
abstract：:Three cases of occult metastatic thyroid carcinoma presenting with neurological deficits are reviewed. In each case the patient's initial presentation was with symptoms of neurological deficiency secondary to a spinal cord compression. All patients received a combination of surgery, external beam radiotherapy and post...
journal_title：ANZ journal of surgery
pub_type： 杂志文章,评审
doi：10.1111/j.1445-2197.2006.03898.x
更新日期：2006-10-01 00:00:00
abstract：BACKGROUND:To formulate clinical pathways for identifying clinically significant prostate cancer (csPC) and avoiding insignificant prostate cancer (isPC) in those without suspicious regions of interest on multi-parametric magnetic resonance imaging (mpMRI) of the prostate. METHODS:A retrospective review identified pat...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/ans.16583
更新日期：2021-01-21 00:00:00
abstract：BACKGROUND:Deficiencies in daily ward rounds are increasingly identified. A ward safety checklist has recently been devised to improve the fast-paced surgical ward round. METHODS:Over 2 weeks the morning post-take surgical ward round was evaluated using the ward safety checklist. In order to avoid the Hawthorne effect...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/ans.12496
更新日期：2014-10-01 00:00:00
abstract：BACKGROUND:Intestinal anastomotic healing is a complex procedure in which several mediators, cytokines and other substances play roles, as well as calcitonin gene-related peptide (CGRP). CGRP is capable of stimulating DNA synthesis and cell proliferation in endothelial cells by increasing vasodilatation and inflammator...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/j.1445-2197.2005.03616.x
更新日期：2005-12-01 00:00:00
abstract：BACKGROUND:Emergency laparotomies (ELs) are associated with high mortality and substantial outcome variation. There is no prospective Australian data on ELs. The aim of this study was to audit outcome after ELs in Western Australia. METHODS:A 12-week prospective audit was completed in 10 hospitals. Data collected incl...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/ans.14208
更新日期：2017-11-01 00:00:00
abstract：BACKGROUND:The volume of orthopaedic literature is increasing exponentially, becoming more widely scattered among journals. The rate of increase in orthopaedics is greater than other specialties. We aimed to identify the number of different journals an orthopaedic surgeon would need to read to stay up-to-date with curr...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/ans.12902
更新日期：2015-06-01 00:00:00
abstract：BACKGROUND:Recent analyses of the surgical literature have suggested a general trend towards increasing numbers of published articles and an improved quality of evidence produced. The aim of this bibliometric analysis was to identify trends in the publication of general surgical research in New Zealand from 1996 to 201...
journal_title：ANZ journal of surgery
pub_type： 杂志文章,评审
doi：10.1111/ans.13821
更新日期：2017-01-01 00:00:00
abstract：:Adenoid cystic carcinoma of the trachea, although rare, is the second most common primary tumour of the trachea. It is a slow-growing tumour found in younger patients than the more common squamous cell carcinoma and is relatively resistant to treatment, but metastasizes late in the course of disease and even in unrese...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/j.1445-2197.2006.03848.x
更新日期：2006-08-01 00:00:00
abstract：BACKGROUND:Few studies have investigated the risk factors associated with developing intestinal stoma complications using appropriate multivariable methods. We aimed to determine the prevalence of, and risk factors for, stomal complications. METHODS:A retrospective, case-control methodology was used to investigate 12 ...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/ans.13397
更新日期：2017-10-01 00:00:00
abstract：BACKGROUND:Trapidil has various properties including vasodilatation, inhibition of lipid peroxidation and platelet aggregation as well as, and reduction of, the inflammatory response to injury. The aim of the present study was to investigate the effects of trapidil on dexamethasone-impaired colonic anastomotic healing ...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1046/j.1445-2197.2003.02683.x
更新日期：2003-11-01 00:00:00
abstract：BACKGROUND:Patients with centrally located tumours involving the nipple-areolar complex (NAC) who undergo breast-conserving treatment (BCT) are at high risk for breast deformity and asymmetry. Immediate oncoplastic breast reconstruction (OBR) can have a favourable impact on surgical outcome. METHODS:We retrospectively...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/ans.15078
更新日期：2019-05-01 00:00:00
abstract：:It is now expected that medical practitioners around the world will engage in ongoing professional development. Many Colleges, medical associations and societies have made completion of appropriate continuing professional development (CPD) mandatory and medical registration in some jurisdictions is predicated on parti...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/j.1445-2197.2008.04842.x
更新日期：2009-03-01 00:00:00
abstract：BACKGROUND:Subglottic hemangiomas (SGH) are a rare tumour, often associated with significant airway obstruction in infants. Current treatment options, while effective, often expose the infant to potential complications. Emerging evidence suggests a role for the beta blocker propranolol in the initial management of SGH....
journal_title：ANZ journal of surgery
pub_type： 杂志文章,多中心研究
doi：10.1111/j.1445-2197.2010.05643.x
更新日期：2011-06-01 00:00:00
abstract：INTRODUCTION:Chronic venous insufficiency is a major cause of morbidity in the community. The purpose of the present study was to assess the efficacy and safety of repairing multiple deep venous valves with an External Valvular Stent. METHODS:Forty-two limbs with chronic venous disease were operated on between 1987 an...
journal_title：ANZ journal of surgery
pub_type： 临床试验,杂志文章
doi：10.1046/j.1445-2197.2003.02604.x
更新日期：2003-05-01 00:00:00
abstract：BACKGROUND:The role of carotid endarterectomy in octogenarians is unclear as this age group was not included in the major trials of carotid surgery. The aim of the present study was to determine the trends and early outcome of carotid endarterectomy performed in octogenarians at a single institution. METHODS:A retrosp...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/j.1445-2197.2004.02949.x
更新日期：2004-04-01 00:00:00
abstract：BACKGROUND:The Consolidated Standards of Reporting Trials (CONSORT) Statement outlines acceptable ways of performing and reporting clinical trials. The objective of the present study was to identify evolving patterns in the methodological standards of surgical trials. METHODS:Compliance with 12 key standards from the ...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/j.1445-2197.2005.03554.x
更新日期：2005-10-01 00:00:00
abstract：:The gastrocnemius muscle is versatile in flap repair of defects from anterior knee to lower leg. We describe a case of extensor reconstruction using an extended medial gastrocnemius myocutaneous flap. A medial gastrocnemius flap was raised distal to its musculotendinous insertion. At its point of rotation, it was anch...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/j.1445-2197.2006.03951.x
更新日期：2006-12-01 00:00:00
abstract：:There are currently over 700 active female Fellows of the Royal Australasian College of Surgeons, accounting for just less than 10% of the surgical workforce. The first female Fellow of the College was Lillian Violet Cooper, of Queensland, who was admitted to Fellowship on 17 June 1927. Over the following half century...
journal_title：ANZ journal of surgery
pub_type： 历史文章,杂志文章,评审
doi：10.1111/ans.13369
更新日期：2016-01-01 00:00:00
abstract：BACKGROUND:To review the outcomes of the patients who undergo orbital exenteration for malignancy. METHODS:A retrospective review of patients who underwent orbital exenteration performed at Royal Prince Alfred and Concord Hospitals between 1990 and 2008. RESULTS:A total of 38 patients were identified. The most common...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/j.1445-2197.2010.05592.x
更新日期：2011-05-01 00:00:00
abstract：BACKGROUND:Precursor colonic polyps of varied subtypes correlate with the known neoplastic pathways. When patients present with synchronous pre-malignant polyps of multiple histologies, multiple genetic mechanisms are likely to be active, potentially resulting in a more unstable, tumourigenic mucosa. METHODS:We hypoth...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/ans.15662
更新日期：2020-05-01 00:00:00
