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