High-level evidence clarifies use of minimally invasive surgeries

This artcle is part of the State of Urology 2013

Image guidance during surgery, use of lasers and other light-based therapies for upper tract disease, and clarification of the impact of surgical modifications using high-level evidence are the major themes of minimally invasive surgery that you can expect at this year’s AUA annual meeting.

“In order to justify our technical modifications of minimally invasive surgery, we need to assess with higher-level evidence, such as randomized clinical trials and well-done meta-analyses,” said J. Stuart Wolf, Jr., MD, of the University of Michigan, Ann Arbor. “Several such reports are being presented at the AUA annual meeting this year.”

According to Dr. Wolf, the key abstracts for minimally invasive surgery include:

826: Fine tilt tuning of a laparoscopic camera by local magnetic actuation: Two-Port Laparoscopic Nephrectomy Experience on Human Cadavers

Ryan Pickens

849: RARP and Localized Hypothermia’s Impact on Continence and Inflammatory Response

Bianca Morales

857: Comparison of perioperative outcomes and complications of transperitoneal versus extraperitoneal robot-assisted radical prostatectomy: A meta-analysis

Joo Yong Lee

861: Computer Controlled Adaptive Optical Laser Beam Steering Through Endoscope for Laser Surgery in Kidney

Anne Dudley

1408: Prospective, randomized controlled trial of suprapubic tube versus urethral catheter drainage following robot-assisted radical prostatectomy

Sandip Prasad

1413: Histologic characterization and comparison of ablations produced by irreversible electroporation, vascular targeted photodynamic therapy, radiofrequency ablation, and cryotherapy: implications for focal therapy.

Simon Kimm

In addition, be sure to check out these abstracts on laparoscopic technology and instruments recommended by Stephen Y. Nakada, MD, of the University of Wisconsin, Madison:

881: Can Laparoscopic Suturing be Taught in Three Hours?-Metrics from AUA Laparoscopic Skills Training Course

David Ludlow

882: The psychological factor, metacognition, is associated with the advantage of learning suturing techniques in robot-assisted surgery.

Jun Teishima

884: Tracking and Assessment of Technical Skills Acquisition Among Urology Residents for Open, Laparoscopic, and Robotic Skills Over 4 years: Is There a Trend?

Ashleigh Menhadji

1560: Does the da Vinci Robot System Eliminate Hand Dominance in Performing Surgical Skills? A Randomized Evaluation of Multispecialty Surgical Trainees’ Hand Dominance in the Open and Robotic Surgical Settings

Ari Bergman

1562: A Global Perspective on Simulation-Based Training for Robot-Assisted Surgery: Is there a consensus?

Ahmed Aboumohamed