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06/06/2012

Surgeon blogs that robotic surgery is all hype and no substance

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The surgeon who blogs as Skeptical Scalpel writes that he (she?) is unable to contain him(her)self any longer and then lunges into a review of evidence (or lack thereof) for robotic surgery. You may disagree with Skeptical Scalpel’s decision to be anonymous, but he/she explains: “I’ve been a surgeon for almost 40 years and a surgical department chairman for over 23 of those years. During much of that time, conforming to the norms, rules and regulations of government agencies, accrediting bodies, hospitals,... Read More
06/06/2012

Comparative Effectiveness of Minimally Invasive vs Open Radical Prostatectomy

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Following the description of consistently reproducible advantages of minimally invasive radical prostatectomy (MIRP) with and without robotic assistance in 2000-2001,1 - 2 use of MIRP has surged.3 - 4In particular, use of robotic-assisted MIRP increased from 1% to 40% of all radical prostatectomies from 2001 to 2006.5 - 6 Many patients intuitively perceive minimally invasive approaches to reduce complications compared with conventional open operations and prefer minimally invasive procedures because of smaller incisions requiring less analgesics and shorter hospital stays, even at greater cost.7 Moreover, the widespread direct-to-consumer advertising... Read More