Abstract:
OBJECTIVES:To determine and compare the status of urologic laparoscopic and robot-assisted surgery (RAS) across the world. METHODS:Two hundred ninety-one surveys were completed by urologists at various national and international conferences in 2008. The 58-item questionnaire assessed the individual and institutional practice patterns of minimally invasive surgery with a focus on RAS. Surveys from Europe and North American continents (ENA) were compared with surveys from the Middle East and Asian continents (MEA). RESULTS:One hundred sixty-six (57%) surveys were completed by urologists from MEA and 125 (43%) from ENA. Eighty percent of respondents performed minimally invasive surgery, with 64% having prior formal training. Respondents in ENA were more likely to have had formal training in RAS and performed more RAS cases (p < 0.01). Sixty percent of those surveyed from ENA had used robotic consoles in training courses compared with only 20% in MEA (p < 0.01). Dedicated RAS support teams were less common in MEA (p < 0.01). Lack of a robotic system was the most common deterrent for RAS in MEA (56%). Respondents in ENA performed more robot-assisted radical prostatectomy, robot-assisted radical cystectomy, and robot-assisted nephrectomy. In the more established robotic environment of ENA, robot-assisted radical prostatectomy, robot-assisted radical cystectomy, and robot-assisted nephrectomy represented the gold standard in 34%, 14%, and 26% of surveys, respectively. Comparatively, MEA respondents were more likely to believe RAS represented the gold standard. CONCLUSIONS:Usage of RAS in urology continues to grow across the globe, though to most it represents a surgical alternative rather than benchmark. Even with reduced exposure, training, and access, more urologists in the MEA considered RAS to be the surgical standard for prostatectomy, cystectomy, and nephrectomy. The evolution of attitudinal change should be the focus of further study.
journal_name
J Endouroljournal_title
Journal of endourologyauthors
Yuh BE,Hussain A,Chandrasekhar R,Bienko M,Piacente P,Wilding G,Menon M,Peabody J,Guru KAdoi
10.1089/end.2010.0024subject
Has Abstractpub_date
2010-10-01 00:00:00pages
1637-44issue
10eissn
0892-7790issn
1557-900Xjournal_volume
24pub_type
杂志文章abstract:OBJECTIVE:To evaluate current practice patterns in U.S. emergency departments (EDs) for the diagnosis, treatment, and counseling of patients with ureteral calculi. METHODS:Hospital-based ED physicians were invited by e-mail to participate in a Survey-Monkey survey. E-mails were delivered in March 2008 by Direct Medica...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2008.0615
更新日期:2009-06-01 00:00:00
abstract:: Introduction/Objectives: Despite minimal evidence that evaluates the effect of age on percutaneous nephrolithotomy (PCNL) morbidity, pediatric and elderly patients are considered high-risk groups. Our objective was to assess the effect of the extremes of ages on PCNL readm...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2019.0239
更新日期:2019-09-01 00:00:00
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journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2013.0281
更新日期:2013-10-01 00:00:00
abstract:AIM:To evaluate whether the overall safety and efficacy profile of percutaneous surgery for urinary stone disease in older (>70 years) patients might influence the decision for the procedure in the elderly. MATERIALS AND METHODS:A large database was created from our patients (n = 1058) who underwent percutaneous surge...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2007.0432
更新日期:2008-09-01 00:00:00
abstract:BACKGROUND AND PURPOSE:The role of volumetric estimation is becoming increasingly important in the staging, management, and prognostication of benign and cancerous conditions of the kidney. We evaluated the use of three-dimensional reconstruction volume (3DV) in determining renal parenchymal volumes (RPV) and renal tum...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2013.0796
更新日期:2014-06-01 00:00:00
abstract::Minimal bleeding during endoscopic surgery of the urinary tract may prevent optimum vision. We used neurosurgical patties for dissection during our laparoscopic procedures in the pediatric population and aimed to describe this technique as an alternative to standard ways of dissection during laparoscopic procedures. W...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2010.0435
更新日期:2011-05-01 00:00:00
abstract::Abstract Since the first description of percutaneous nephrolithotripsy (PNL) over 30 years ago, the indications for this procedure in the management of upper tract urinary stones has greatly expanded. Despite recent advances in shock wave lithotripsy and ureteroscopic technologies, PNL maintains a dominant role in the...
journal_title:Journal of endourology
pub_type: 杂志文章,评审
doi:10.1089/end.2009.1518
更新日期:2009-10-01 00:00:00
abstract:AIM:To analyze the impact of slowing the shockwave delivery during extracorporeal shockwave lithotripsy (SWL) on the clinical patient outcome and the cost of delivering this service in a community practice. PATIENTS AND METHODS:The data from 1745 consecutive SWL procedures were analyzed at a freestanding surgery cente...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2009.0656
更新日期:2010-09-01 00:00:00
abstract:BACKGROUND AND PURPOSE:To evaluate the safety and efficacy of percutaneous nephrolithotomy (PCNL) for the management of complete staghorn calculi in children journal_title:Journal of endourology pub_type: 杂志文章 doi:10.1089/end.2005.19.968 更新日期:2005-10-01 00:00:00
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pub_type: 杂志文章
doi:10.1089/end.2007.0338
更新日期:2008-07-01 00:00:00
abstract::After urinary diversion, access to the distal ureter for either resection or repair, especially in patients with history of infection, extravasation, radiation, or other abdominal surgery, can be hazardous. We report two cases where the endoscopic placement of a coaxial balloon dilating catheter prior to open explorat...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.1996.10.57
更新日期:1996-02-01 00:00:00
abstract::We describe flexible ureteroscopy-directed retrograde nephrostomy access using a puncture wire to achieve renal access. This is a natural extension of modern retrograde intrarenal surgical techniques and a modernization of the original Lawson technique for retrograde nephrostomy tract creation. In appropriately select...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2012.0160
更新日期:2012-10-01 00:00:00
abstract:PURPOSE:To compare the outcomes of retroperitoneoscopic nephroureterectomy (RNU) with those of open retroperitoneal nephroureterectomy (ORNU) for upper urinary tract cancer. PATIENTS AND METHODS:This study included 240 consecutive patients who received a clinical diagnosis of localized upper urinary tract cancer and u...
journal_title:Journal of endourology
pub_type: 临床试验,杂志文章
doi:10.1089/end.2007.0154
更新日期:2008-08-01 00:00:00
abstract:OBJECTIVE:To evaluate the role of the fascial dilators modified with a scale marker in reducing fluoroscopy time during percutaneous nephrolithotomy (PCNL). METHOD:In a randomized clinical trial, eligible 100 consecutive patients anticipated to undergo single-tract PCNL were randomly assigned into two groups by the cl...
journal_title:Journal of endourology
pub_type: 杂志文章,随机对照试验
doi:10.1089/end.2012.0671
更新日期:2013-11-01 00:00:00
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journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.1993.7.527
更新日期:1993-12-01 00:00:00
abstract::Since the advantages of using ureteral stents in conjunction with extracorporeal shock wave lithotripsy were first recognized, the growing demand for outpatient stone treatment has made stent use much more frequent. However, prophylactic stent placement must be judicious to maximize success and minimize associated mor...
journal_title:Journal of endourology
pub_type: 杂志文章,评审
doi:10.1089/end.1993.7.155
更新日期:1993-04-01 00:00:00
abstract::Patients with large median prostate lobes undergoing robot-assisted radical prostatectomy are at potential risk of ureteric orifice injury, during posterior bladder neck transection and vesicourethral anastomosis reconstruction. We describe our technique of in situ robot-assisted ureteral stenting with double-pigtail ...
journal_title:Journal of endourology
pub_type: 临床试验,杂志文章
doi:10.1089/end.2009.0133
更新日期:2009-12-01 00:00:00
abstract::Liver injury during percutaneous nephrolithotomy (PCNL) is very rare and is usually overlooked. In this report, we present a case of inadvertent liver injury during right supracostal PCNL and describe diagnostic tools, conservative management measures, and outcome. A literature review of potential risk factors and sug...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2008.0147
更新日期:2008-08-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Laparoscopic adrenalectomy remains a controversial procedure for large tumors. We examined the outcome and complications of laparoscopic adrenalectomy for such lesions. PATIENTS AND METHODS:A total of 178 patients underwent laparoscopic adrenalectomy, of whom 29 patients had large (>or =5 cm) tu...
journal_title:Journal of endourology
pub_type: 临床试验,杂志文章
doi:10.1089/end.2005.19.537
更新日期:2005-06-01 00:00:00
abstract:INTRODUCTION:Irreversible electroporation (IRE) is a non-thermal minimally invasive technique that is used to treat small renal masses (SRMs). Prior work has demonstrated greater narcotic requirements after radiofrequency ablation (RFA) for tumors that are closer to body-wall musculature. We hypothesized that pain afte...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2017.0201
更新日期:2017-08-01 00:00:00
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journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.1998.12.545
更新日期:1998-12-01 00:00:00
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journal_title:Journal of endourology
pub_type: 杂志文章,随机对照试验
doi:10.1089/end.2014.0381
更新日期:2015-03-01 00:00:00
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journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.1999.13.83
更新日期:1999-03-01 00:00:00
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journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2009.0542
更新日期:2010-05-01 00:00:00
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journal_title:Journal of endourology
pub_type: 杂志文章,评审
doi:10.1089/end.2006.0382
更新日期:2008-05-01 00:00:00
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journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2016.0215
更新日期:2017-02-01 00:00:00
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journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2014.0544
更新日期:2015-06-01 00:00:00
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journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2017.0438
更新日期:2017-10-01 00:00:00
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journal_title:Journal of endourology
pub_type: 杂志文章,评审
doi:10.1089/end.2007.9981
更新日期:2007-03-01 00:00:00
abstract::The authors have developed an ultrasonic aspirator to assist in urologic endoscopic surgery. It appeared that ultrasonic aspiration of bladder tumors was clinically efficient in transurethral surgery. Tumors 1 to 2 cm in diameter could be aspirated completely with this instrument alone. The application of the ultrason...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.1994.8.285
更新日期:1994-08-01 00:00:00