Manish N. Patel

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PURPOSE Robot assisted partial nephrectomy is rapidly emerging as an alternative to laparoscopic partial nephrectomy for the treatment of renal malignancy. We present the largest multi-institution comparison of the 2 approaches to date, describing outcomes from 3 experienced minimally invasive surgeons. MATERIALS AND METHODS We performed a retrospective(More)
OBJECTIVE The development of a C-arm cone-beam CT unit coupled with flat detectors has markedly increased anatomic visualization capabilities for interventional radiology procedures. We present technology in which fluoroscopy and 3D imaging from a cone-beam CT-flat-detector C-arm unit are combined with an integrated tracking and navigation system. A(More)
Kaposiform Hemangioendothelioma Beth A. Drolet, MD, Cameron C. Trenor, III, MD, Leonardo R. Brand~ao, MD, Yvonne E. Chiu, MD, Robert H. Chun, MD, Roshni Dasgupta, MD, Maria C. Garzon, MD, Adrienne M. Hammill, MD, PhD, Craig M. Johnson, DO, Brook Tlougan, MD, Francine Blei, MD, Mich ele David, MD, Ravindhra Elluru, MD, PhD, Ilona J. Frieden, MD, Sheila F.(More)
PURPOSE We describe multiple uses of the fourth robotic arm and TilePro on the da Vinci S surgical system to maximize console surgeon independence from the assistant during robot-assisted renal surgery. MATERIALS AND METHODS We prospectively evaluated the use of the fourth robotic arm and TilePro on the da Vinci S during robot-assisted radical nephrectomy(More)
Although use of inferior vena cava (IVC) filters for prophylaxis against pulmonary embolism (PE) is well reported in adults, long-term studies in children are lacking. We performed retrospective review of imaging and clinical database of IVC filters for the last 12 years. Thirty-five patients (mean age: 15.5 y) underwent filter placement and/or retrieval.(More)
BACKGROUND Pilot studies have demonstrated the utility of indocyanine green (ICG) sentinel lymphadenectomy for prostate cancer. Prior work has used ICG with radiocontrast agents injected at a separate procedure and relied on assistant-controlled fluorescence systems, making the technique costly and cumbersome. OBJECTIVE To describe the initial(More)
OBJECTIVE To present surgical tips and describe a novel technique for successful performance of robotic nephroureterectomy with bladder cuff excision (RNUBCE). We report a technique of RNUBCE without intraoperative patient repositioning or redocking of the robot. MATERIALS AND METHODS Nephroureterectomy with bladder cuff excision is the standard(More)
A cloacal malformation is a congenital malformation in which the urinary tract, gynecological system and distal rectum fail to separate and form a common channel with a single perineal opening. Precise anatomical information is required to plan surgery and predict prognosis for children with this abnormality. Conventional fluoroscopic studies provide(More)
The bar has been set high for nephron sparing surgery by experts in both open and laparoscopic approaches. Robotic partial nephrectomy has emerged as an option for minimally invasive nephron sparing surgery. We discuss the current literature for robotic partial nephrectomy in the context of reported outcomes for open and laparoscopic partial nephrectomy.
OBJECTIVES To describe our robot-assisted nephroureterectomy (RNU) technique for benign indications and RNU with en bloc excision of bladder cuff (BCE) and lymphadenectomy (LND) for malignant indications using the da Vinci Si and da Vinci Xi robotic platform, with its pros and cons. The port placement described for Si can be used for standard and S robotic(More)