Laser robotically assisted nerve‐sparing radical prostatectomy: a pilot study of technical feasibility in the canine model

@article{Gianduzzo2008LaserRA,
  title={Laser robotically assisted nerve‐sparing radical prostatectomy: a pilot study of technical feasibility in the canine model},
  author={Troy R J Gianduzzo and Jos{\'e} Roberto Colombo and Georges Pascal Haber and Jason M. Hafron and Cristina Magi-Galluzzi and Monish Aron and Inderbir S. Gill and Jihad H Kaouk},
  journal={BJU International},
  year={2008},
  volume={102}
}
To examine the feasibility of using laser energy during nerve‐sparing robotically assisted radical prostatectomy (RARP), as the energy sources currently used for haemostasis in RARP adversely affect cavernous nerve function, while clips require application by a skilled assistant, but laser energy potentially allows precise dissection with minimal collateral tissue injury. 
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References

SHOWING 1-10 OF 14 REFERENCES
Laser nerve‐sparing laparoscopic radical prostatectomy: a feasibility study
TLDR
The feasibility of laser dissection of the neurovascular bundle during nerve‐sparing laparoscopic radical prostatectomy (NSLRP) is examined to examine the potential of lasers to provide rapid, precise dissection with good haemostasis and minimal adjacent tissue injury. Expand
Modified clipless antegrade nerve preservation in robotic-assisted laparoscopic radical prostatectomy with validated sexual function evaluation.
TLDR
Antegrade dissection of the neurovascular bundle, avoiding the use of clips or monopolar cautery during robotic laparoscopic radical prostatectomy, may result in early return of sexual function and overall outcome similar to that after radical retropubic prostatectome. Expand
Nerve sparing radical prostatectomy: effects of hemostatic energy sources on the recovery of cavernous nerve function in a canine model.
TLDR
In the chronic canine model, use of hemostatic energy sources in proximity to the prostate during dissection of the neurovascular bundle is associated with a significantly decreased erectile response to cavernous nerve stimulation. Expand
Lateral pedicle control during laparoscopic radical prostatectomy: refined technique.
TLDR
A technique of lateral pedicle ligation during laparoscopic radical prostatectomy using monitored cold cutting and delicate 4-0 hemostatic suturing that completely eliminates all electrocautery, ultrasound thermal energy, clips, and bioadhesives is described. Expand
Transperitoneal or extraperitoneal laparoscopic radical prostatectomy: does the approach matter?
TLDR
ELRP is superior to TLRP with respect to operative time, hospitalization and early continence and this might be rectified by the adoption of laparoscopic radical prostatectomy using an extraperitoneal approach. Expand
Laparoscopic radical prostatectomy: the Montsouris technique.
TLDR
Laroscopic radical prostatectomy is now not only feasible, but more importantly reproducible, and has definitively replaced the retropubic approach in the authors' practice. Expand
Laparoscopic radical prostatectomy: initial 70 cases at a U.S. university medical center.
TLDR
The laparoscopic approach shows significant promise for reducing surgical morbidity and improving the anatomic radical prostatectomy, and the operative times, amount of blood loss, and complication rate decreased dramatically with experience. Expand
Experimental and clinical standards, and evolution of lasers in neurosurgery
TLDR
Routine applications of lasers in neurosurgery, including laser interstitial thermotherapy (LITT) and photodynamic therapy of brain tumours are still in the experimental stage, while the availability of new wavelength, tunable, small sized and “smart” laser units, will enlarge the thermal and non-thermal interactions between laser energy and neural tissue leading to new surgical applications. Expand
Comparative study of different laser systems.
TLDR
Enhanced understanding of laser technology will provide unique applications for development in gynecology, and improvements in delivery systems have increased user friendliness, and more developments are anticipated. Expand
...
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2
...