Advances in Laparoscopy

 ISSN: 2578-6474

Advances in Laparoscopy

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Table of Content: Volume 4, Issue 1

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Mini Review Pages 102-105

Outpatient Robotic-Assisted Simple Prostatectomy (O-RASP): A New Era for Large BPH Surgery?

Authors: Marcos Tobias-Machado, Antonio F S Rodrigues and Cristiano Linck Pazeto

Abstract: Surgical treatment of large benign prostatic hyperplasia (BPH) is applied worldwide. Contemporary options include open simple prostatectomy (OSP) (either by transvesical or retropubic route), bipolar TURP, laser enucleation with HoLEP, or ThuLEP, robotic-assisted simple prostatectomy (RASP) and laparoscopic simple prostatectomy (LSP). The transurethral enucleation technique provides some advantages-mainly related to the endoscopic approach. Significant limitations though, are the availability of this technology and the relatively long learning curve for having proficiency

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Case Report Pages 98-101

Robotic Assisted Bulbar Urethroplasty: Feasibility and Preliminar Results of the First Case-Report in Brazil

Authors: Marcos Tobias-Machado, Marcio Lima and Thairo A Pereira

Abstract: A 45-years-old man, with bulbar urethral stricture due to trauma, complained about progressive obstructive symptoms. He has previously undergone an endoscopic urethrotomy, with an improvement to void at the beginning, but he returned to have symptoms 40 days after on. The urethrogram showed a single 1.5 cm bulbar urethral stricture. According to that, it was indicated an urethroplasty with a direct end-to-end anastomosis. The surgeons discussed with the patient the possibility of using the platform DaVinci SI to assist the surgery. He was aware of the experimental use of the robot, and agreed with that, signing an informed consent form.

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Case Report Pages 96-97

3D Prostate Reconstruction and Cognitive Fusion to Improve Planning of Retzius Sparing Robotic Assisted Radical Prostatectomy (RS-RARP): Initial Report

Authors: Marcos Tobias-Machado and Aurus Dourado

Abstract: The aim of this report is to present 3D reconstruction as a tool for improve our identification of anatomical details of bladder neck, apex, and lateral borders of prostate during RSRARP. We expect that better localization of these important anatomical landmarks can improve sexual and urinary function preservation and has potential to reduce surgical margins. 50-years-old male with intermediate risk prostate cancer with PSA = 12, clinical stage p T2b and Gleason score = 7(3 + 4). Our propose was RS-RARP. Our figure comparing reconstruction performed at Docdo software and intraoperative endoscopic dissection shows to the perfect correlation between anatomic appearance of bladder neck

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Case Report Pages 93-95

Minimally Invasive Approach for Treatment of Renal Calycenal Diverticulum

Authors: Ricardo Zerati, Marcos Tobias-Machado

Abstract: The treatment of patients with renal intra-diverticular stones with minimal invasive surgery is always a challenge for the surgeon. We present here a report of a case of pure laparoscopic nephrolithotomy and another with a robotic approach for multiple calculi in renal calycenal diverticulum in two young female patients, previously treated by unsuccessful ureteroscopy in addition to two previous lumbotomies in one of the patients due to renal abscess.

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Review Article Pages 87-92

Updated Statement on Endosurgical Training and Skills

Authors: Mohamed Mahmood Nasr, MB, BCh, MSc, FRCSI, MD, FIMSAT (Dundee, UK), Maged Mahmoud Nasr, MB, BCh, MSc, MRCOGI, Lamia Hamed Shehata, MB, BCh, MSc

Abstract: The surgical training for endoscopic proficiency program is a collaborative project between “Society of American Gastrointestinal and Endoscopic Surgeons” (SAGES) and Olympus America Inc. dedicated to providing flexible endoscopy Training to surgery residency programs. Currently it lacks models for proficiency-based training. A “Surgical Training for Endoscopic Proficiency” (STEP) Program has been suggested through several research projects.

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