PRESS-NEWS.org - Press Release Distribution
PRESS RELEASES DISTRIBUTION

Study: Ureteral injury during robot-assisted prostate surgery

2013-11-19
(Press-News.org) Contact information: Dwight Angell
dwight.angell@hfhs.org
313-850-3471
Henry Ford Health System
Study: Ureteral injury during robot-assisted prostate surgery DETROIT – There may be warning signs to help surgeons avoid damaging part of the urinary system during robot-assisted surgical removal of prostate cancer, ultimately preventing the expense of additional surgery, according to researchers at Henry Ford's Vattikuti Urology Institute. Although rare, they found instances when the ureter – tubes that carry urine from the kidneys to the bladder – were cut and required repair. In each case, they identified patient characteristics that may forewarn such damage. The study was recently published in the Journal of Endourology. The study –drawing from Henry Ford Hospital's experience with robot-assisted surgery removal of prostate cancer– was conducted in the context of a steady rise in robot-assisted prostatectomies in the U.S. during the past decade. Robotics permit surgeons to better visualize anatomy, control bleeding, have greater dexterity, and treat prostate cancers more effectively without complications than was previously possible in traditional open surgery. While practitioners have reported various complications during the procedure, little data existed prior to this study regarding injuries to the ureter during robotic prostatectomy. Under guidance of Drs. Mani Menon and James Peabody, a research team at Henry Ford's Vattikuti Urology Institute focused on 6,442 consecutive patients who underwent robotic prostatectomy by one of five surgeons at the hospital from January 2001 to June 2013. "We found three patients in the study group, operated on by two of the five surgeons, who sustained complete transection of the ureter, although these surgeons were highly experienced, having performed more than 1,000 robotic prostatectomies," says Jay Jhaveri, M.D., M.P.H., lead author of the study. "This is well beyond the accepted learning curve of 100 cases." "One of the patients required readmission for further treatment, and we were able to identify risk factors that predisposed all of them to ureteral injury." Among them were a history of infection, abdominal surgery, radiation treatment, enlarged prostate glands and prior transurethral resection of the prostate, in which prostate tissue is surgically trimmed to remove urine flow blockage. "This knowledge can help identify future patients who are at high risk of sustaining ureteral injury during robotic removal of a cancerous prostate gland," Dr. Jhaveri says. "Measures can then be taken either before or during surgery to reduce the probability of such injury." The study concluded that despite its relatively rare occurrence, previous studies have isolated trends for patients who are at high risk for ureteral injury during prostatectomy. All of the Henry Ford patients had previous abdominal surgery and none of their injuries were noted intraoperatively. "We found a 0.046% rate of ureteral injury during robotic prostatectomy which compares favorably with other similar studies and published data for this topic," Dr. Jhaveri says. Besides the clear benefits to the patients, the study shows such preventive measures can also help avoid prolonged, expensive hospitalization, need for additional treatment or surgery, as well as the costs of follow-up treatments. ### For a copy of the study, please email Dwight.angell@hfhs.org


ELSE PRESS RELEASES FROM THIS DATE:

Tropical Cyclone 04B forms in northern Indian Ocean

2013-11-19
Tropical Cyclone 04B forms in northern Indian Ocean The fourth tropical cyclone of the Northern Indian Ocean season formed and is headed for landfall in a couple of days in southeastern India. NASA's TRMM satellite saw broken bands of thunderstorms with moderate ...

NASA sees late season subtropical storm Melissa form in Atlantic

2013-11-19
NASA sees late season subtropical storm Melissa form in Atlantic Hurricane Season ends on November 30, and subtropical storm Melissa formed with less than two weeks to go. Melissa formed on Monday, November 18 about 695 miles/1,120 km east-southeast of Bermuda, near ...

HZDR researchers simulate electrons in astrophysical plasma jets

2013-11-19
HZDR researchers simulate electrons in astrophysical plasma jets "When the wind blows over the ocean, waves form," Michael Bussmann, head of a HZDR junior research group, starts to explain. "At high wind speeds, water and wind swirl about one ...

Social values vary across Canada

2013-11-19
Social values vary across Canada New survey led by Concordia University sheds light on responsible citizenship This news release is available in French. Montreal, November 19, 2013 — Canada: true north, strong and free. But how strong are our beliefs? ...

Demand for details on food labels includes the good -- and the bad

2013-11-19
Demand for details on food labels includes the good -- and the bad ITHACA, N.Y. – It's no surprise that labels are becoming the "go to" place when people have questions about how food is produced. But new Cornell University research finds that consumers crave more information, ...

New study reports on the high cost of cardiac surgery healthcare associated infections

2013-11-19
New study reports on the high cost of cardiac surgery healthcare associated infections Findings reported at AHA Scientific Sessions 2013 reveal the economic impact of HAIs following cardiac surgery After cardiac surgery, ...

Preschoolers can learn lasting heart-healthy lessons

2013-11-19
Preschoolers can learn lasting heart-healthy lessons Research team led by Dr. Valentin Fuster, Director of Mount Sinai Heart at The Mount Sinai Hospital, present promising 3-year follow-up study results in late-breaking clinical ...

LVAD patients benefit from heart injection with millions of powerful cells

2013-11-19
LVAD patients benefit from heart injection with millions of powerful cells New study results presented at AHA Scientific Sessions 2013 show a single dose of stem cell therapy during surgery may improve new LVAD patients' heart ...

Study may impact guidelines for mitral valve surgery for severe ischemic mitral regurgitation

2013-11-19
Study may impact guidelines for mitral valve surgery for severe ischemic mitral regurgitation New findings showing mitral valve replacement may be more effective than mitral valve repair reported at AHA Scientific Sessions ...

Long-lasting gene therapy benefits advanced heart failure patients

2013-11-19
Long-lasting gene therapy benefits advanced heart failure patients Cardiovascular Research Center at Icahn School of Medicine at Mount Sinai report promising long-term follow-up results for its single dose AAV1/SERCA2a gene ...

LAST 30 PRESS RELEASES:

Newly discovered molecule may explain reduced muscle mass in type 2 diabetes

Rheumatoid arthritis and muscle wasting: New review points to overlooked complications

Overcoming intrinsic dispersion locking by misaligned bilayer metagratings

Vaccines work: Cohort data from Denmark show real-world evidence of stable protection against HPV-related cervical cancer

Underwater shaped charge explosions: a comprehensive experimental study on coupling dynamics

Wristband sensor provides all-in-one monitoring for diabetes and cardiovascular care

Unveiling the spatiotemporal landscape of Ganoderma lingzhi: insights into ganoderic acid distribution and biosynthesis

Quality and antibiotic resistance risks in livestock probiotics in China

Genomic study reveals deep roots of human survival and adaptation in Himalayas

Differential obesity trends in Asian and Native Hawaiian or other Pacific Islander US adults

Cumulative anticholinergic exposure and change in gait speed and grip strength in older adults

Study suggests lemurs age differently than humans

Hypothermia alters glucose metabolism and may reveal mechanisms of metabolic disease

Content or form? The two possible paths of our memories

Research team produces low-loss spin waveguide network

PolyU-led research reveals that sensory and motor inputs help large language models represent complex concepts

Premature babies should have early skin-to-skin contact with their mother

New research in JNCCN offers reassurance about localized prostate cancer prognosis

Fluorinated polyimide: High toughness and low dielectric properties pave new path for high-frequency communication materials

Radar-based control of a helical microswimmer in 3-Dimensional space with dynamic obstacles

Short-term physical activity reduces metabolic-associated steatohepatitis by promoting the degradation of branched-chain amino acids in skeletal muscle

A multimodal amphibious robot driven by soft electrohydraulic flippers

US vacation renters waste $2 billion worth of food annually

Automatized vocabulary knowledge in predicting speech fluency

Uncovering the relationship between oral function and lifestyle-related diseases

Drone herbicide applications prove effective for common reed control

New report shows China dominates in AI research – and is western world’s leading collaborator on AI

Hot weather causes children to sweat at the same rate as adults, study shows

New CZI AI model could help scientists pinpoint signs of cancer cells

Sugar-coated ‘sticky’ stem cells could unlock surgery-free liver treatments

[Press-News.org] Study: Ureteral injury during robot-assisted prostate surgery