The Ohio State University Department of Urology Robotic ...

The Ohio State UniversityDepartment of Urology Robotic Surgery Program

The Ohio State UniversityDepartment of Urology Robotic Surgery Program

Vipul R. Patel, MDDirector, Center for Robotic and Computer-Assisted Surgery

Kenneth J. Palmer, MDVisiting Scholar, Caracas-Venezuela

Vipul R. Patel, MDDirector, Center for Robotic and Computer-Assisted Surgery

Kenneth J. Palmer, MDVisiting Scholar, Caracas-Venezuela

Background

• Vipul R. Patel, MD– Director of Robotic & Minimally Invasive Urologic

Surgery – Associate Clinical Professor of Urology– Associate Clinical Professor of Bioinformatics– Editor-in-Chief Journal of Robotic Surgery– Fellowship Director Minimally Invasive Surgery OSU– Experience: >1700 robotic-assisted laparoscopic

radical prostatectomies performed

• Kenneth J. Palmer, MD– First Robotic Urology Fellow in Latin America

(2007)– Urologist: Caracas, Venezuela (2005)– Neurourology, Urodynamics and Female Urology

Fellowship, Caracas-Venezuela (Jan-Dec 2006)

Background

The Ohio State UniversityRobotic Surgery Program

• Multi-specialty: Urology, Ob/Gyn, General Surgery, Cardiothoracic surgery

• International training center: Australia, Canada, China, France, Germany, Greece, India, Italy, Japan, Korea, Malaysia, Spain, Sweden, Switzerland, Thailand, Turkey, United Kingdom, Venezuela

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The Ohio State UniversityRobotic Training Programs

Date Trainees

Sept-Dec 2005 38

Jan-Dec 2006 155

Jan-May 2007 62

The Ohio State UniversityRobotic Surgeons Trained

Research Fellowship Program

• To observe live surgery, record for teaching purposes and follow-up discussion

• To develop research protocols, collect and report data

• To develop and fine-tune robotic surgery skills in a state-of-the-art laboratory using animal models

Resources

• Center for Robotic and Computer-Assisted Surgery, Department of Urology, OSU

• Wiseman Hall: International training center for robotic surgery

• da Vinci Surgical System® (Intuitive Surgical Inc., Sunnyvale, CA) located at Wiseman Hall

• Animals used: Pigs

Dr. Jeannette Potts

CAU Fellowship Coordinator

Michael Van Winkle

Training Specialist Intuitive Surgical

Dr. Hugo Dávila

Director, Research Department CAU

Wiseman Hall

Projects undertaken

• Peri-operative outcomes of 1500 consecutive robotic-assisted laparoscopic radical prostatectomies

• Robotic-assisted radical cystectomy• Robotic-assisted laparoscopic radical prostatectomy in

patients with penile implants: Technique and outcome• Technical refinements essential for urethral preservation and

early regain of urinary continence in robotic-assisted radical prostatectomy

• Robotic-assisted laparoscopic pyeloplasty: “Tricks of the trade”

• Early retrograde release of the neurovascular bundle during robotic radical prostatectomy

Projects undertaken

• Robotic radical prostatectomy: Technical refinements essential for success

• Motivating influences for patients seeking consultation for robotic prostatectomy

• Robotic-assisted laparoscopic ureteral reimplantation with psoas-hitch: A multi-institutional multi-national evaluation of 13 cases

• Histopathology after robotic-assisted laparoscopic radical prostatectomy

• Evaluation of the continuous vesicourethral anastomosis after robotic-assisted radical prostatectomy

Projects undertaken

• Robotic-assisted laparoscopic radical prostatectomy in patients with previous inguinal meshplasty: Technique and peri-operative outcome

• Development of a multi-specialty robotic surgery program

• Radiofrequency ablation of renal tumors: An alternative for patients with imperative indication for nephron-sparing surgery or those with significant co-morbidities

• Robotic equipment malfunction during robotic prostatectomy: A multi-institutional study

• The advanced learning curve in robotic prostatectomy: A multi-institutional survey

Projects undertaken

• Examining the financial costs of robotic-assisted laparoscopic radical prostatectomy

• Operative complications of robotic-assisted laparoscopic radical prostatectomy: The learning curve and beyond – A single surgeon’s series

• High resolution imaging of the radical prostatectomy specimen: feasibility to predict positive margin status

Projects undertaken

• Professional speaking engagements– Robotic Prostatectomy Advanced Course

• Orlando, Florida, February 1-2, 2007

– Robotic Prostatectomy Course & Expert Panel Review• Chicago, Illinois, March 2-3, 2007

– Robotic Prostatectomy Advanced Course in conjunction with the World Robotic Urology Symposium 2007.

• The Ohio State University, April 25-27, 2007

– Peri-Operative outcomes of 1500 consecutive Robotic-Assisted Laparoscopic Radical Prostatectomies: A single surgeon experience in conjunction with AUA Annual Meeting 2007

• Anaheim, California, May 19-24, 2007

Future Directions

• Research Fellowship accreditation by CAU• Teaching missions back to Latin America

– (3) Mexico 2007– (2) Venezuela 2007-2008

• Introduce new techniques, ideas and technology to Latin America

• Develop state-of-the-art Robotic Surgery Programs in Latin America