The Ohio State University Department of Urology Robotic Surgery Program

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The Ohio State UniversityDepartment of Urology
Robotic Surgery Program

• Vipul R. Patel, MD
• Director, Center for Robotic and
  Computer-Assisted Surgery
• Kenneth J. Palmer, MD
• Visiting Scholar, Caracas-Venezuela

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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 gt1700 robotic-assisted laparoscopic
  radical prostatectomies performed

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Background

• 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)

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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
3 months
12 months
5 months
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The Ohio State UniversityRobotic Surgeons Trained
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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

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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

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Dr. Jeannette Potts CAU Fellowship Coordinator
Michael Van Winkle Training Specialist Intuitive
Surgical
Dr. Hugo Dávila Director, Research Department CAU
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Wiseman Hall
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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

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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

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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

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

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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

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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