HapticV1, PascalFrancis, Corpus, bibRecord, 000059

Influence of Magnetic Resonance Imaging in the Decision to Preserve or Resect Neurovascular Bundles at Robotic Assisted Laparoscopic Radical Prostatectomy

Identifieur interne : 000059 ( PascalFrancis/Corpus ); précédent : 000058; suivant : 000060

Influence of Magnetic Resonance Imaging in the Decision to Preserve or Resect Neurovascular Bundles at Robotic Assisted Laparoscopic Radical Prostatectomy

Auteurs : BONG HEE PARK ; HWANG GYUN JEON ; BYONG CHANG JEONG ; SEONG IL SEO ; HYUN MOO LEE ; HAN YONG CHOI ; SEONG SOO JEON

Source :

The Journal of urology [ 0022-5347 ] ; 2014.

RBID : Pascal:14-0174420

Descripteurs français

Pascal (Inist)
- Tumeur de la prostate, Imagerie RMN, Décision, Prise de décision, Résection chirurgicale, Robotique, Télémédecine, Chirurgie endoscopique, Prostatectomie, Coeliochirurgie, Néphrologie, Urologie, Traitement, Paquet neurovasculaire.

English descriptors

KwdEn :
- Decision, Decision making, Endoscopic surgery, Laparoscopic surgery, Nephrology, Nuclear magnetic resonance imaging, Prostate tumor, Prostatectomy, Robotics, Surgical resection, Telemedicine, Treatment, Urology.

Abstract

Purpose: We evaluated the accuracy of preoperative multiparametric 3.0-T magnetic resonance imaging for local staging of prostate cancer and its influence in the decision to preserve neurovascular bundles at robotic assisted laparoscopic radical prostatectomy. Materials and Methods: The study included 353 patients who had confirmed prostate cancer and underwent preoperative magnetic resonance imaging and robotic assisted laparoscopic radical prostatectomy between 2008 and 2011. The extent of neurovascular bundle sparing was initially determined on the basis of the clinical information and the nerve sparing surgical plan was reevaluated after review of the magnetic resonance imaging report. The value of preoperative magnetic resonance imaging in the prediction of extracapsular extension and in the decision of surgical plan according to D'Amico risk classification was analyzed. Results: The magnetic resonance imaging performed correct staging, over staging and under staging in 261 (73.9%), 43 (12.2%), and 49 (13.9%) patients, respectively. After review of the magnetic resonance imaging reports, the initial surgical plan was not changed in 260 patients (74%) and was changed in 93 patients (26%). Robotic assisted laparoscopic radical prostatectomy was changed to a more preservable neurovascular bundle sparing procedure in 53 patients (57%) and changed to a more aggressive neurovascular bundle resecting procedure in 40 patients (43%). For the patients with a change to more conservative surgery, the appropriateness was 91%. The sensitivity of magnetic resonance imaging in predicting extracapsular extension showed a tendency to increase from low to high risk groups (33%, 46%, 80%, respectively, p <0.001). In intermediate and high risk groups, there was a surgical plan change in 40 patients (of 129, 31%) and 27 patients (of 67, 40%), respectively. Conclusions: Preoperative magnetic resonance imaging significantly improves the decision making to preserve or resect the neurovascular bundle at robotic assisted laparoscopic radical prostatectomy, which lacks haptic feedback.

Notice en format standard (ISO 2709)

Pour connaître la documentation sur le format Inist Standard.

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A11	`02`	`1`		`@1 HWANG GYUN JEON`
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A11	`05`	`1`		`@1 HYUN MOO LEE`
A11	`06`	`1`		`@1 HAN YONG CHOI`
A11	`07`	`1`		`@1 SEONG SOO JEON`
A14	`01`			`@1 Department of Urology, Samsung Medical Center, Sungkyunkwan University School of Medicine @2 Seoul @3 KOR @Z 1 aut. @Z 2 aut. @Z 3 aut. @Z 4 aut. @Z 5 aut. @Z 6 aut. @Z 7 aut.`
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C01	`01`		`ENG`	@0 Purpose: We evaluated the accuracy of preoperative multiparametric 3.0-T magnetic resonance imaging for local staging of prostate cancer and its influence in the decision to preserve neurovascular bundles at robotic assisted laparoscopic radical prostatectomy. Materials and Methods: The study included 353 patients who had confirmed prostate cancer and underwent preoperative magnetic resonance imaging and robotic assisted laparoscopic radical prostatectomy between 2008 and 2011. The extent of neurovascular bundle sparing was initially determined on the basis of the clinical information and the nerve sparing surgical plan was reevaluated after review of the magnetic resonance imaging report. The value of preoperative magnetic resonance imaging in the prediction of extracapsular extension and in the decision of surgical plan according to D'Amico risk classification was analyzed. Results: The magnetic resonance imaging performed correct staging, over staging and under staging in 261 (73.9%), 43 (12.2%), and 49 (13.9%) patients, respectively. After review of the magnetic resonance imaging reports, the initial surgical plan was not changed in 260 patients (74%) and was changed in 93 patients (26%). Robotic assisted laparoscopic radical prostatectomy was changed to a more preservable neurovascular bundle sparing procedure in 53 patients (57%) and changed to a more aggressive neurovascular bundle resecting procedure in 40 patients (43%). For the patients with a change to more conservative surgery, the appropriateness was 91%. The sensitivity of magnetic resonance imaging in predicting extracapsular extension showed a tendency to increase from low to high risk groups (33%, 46%, 80%, respectively, p <0.001). In intermediate and high risk groups, there was a surgical plan change in 40 patients (of 129, 31%) and 27 patients (of 67, 40%), respectively. Conclusions: Preoperative magnetic resonance imaging significantly improves the decision making to preserve or resect the neurovascular bundle at robotic assisted laparoscopic radical prostatectomy, which lacks haptic feedback.
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Format Inist (serveur)

NO :	PASCAL 14-0174420 INIST
ET :	Influence of Magnetic Resonance Imaging in the Decision to Preserve or Resect Neurovascular Bundles at Robotic Assisted Laparoscopic Radical Prostatectomy
AU :	BONG HEE PARK; HWANG GYUN JEON; BYONG CHANG JEONG; SEONG IL SEO; HYUN MOO LEE; HAN YONG CHOI; SEONG SOO JEON
AF :	Department of Urology, Samsung Medical Center, Sungkyunkwan University School of Medicine/Seoul/Corée, République de (1 aut., 2 aut., 3 aut., 4 aut., 5 aut., 6 aut., 7 aut.)
DT :	Publication en série; Niveau analytique
SO :	The Journal of urology; ISSN 0022-5347; Coden JOURAA; Etats-Unis; Da. 2014; Vol. 192; No. 1; Pp. 82-88; Bibl. 23 ref.
LA :	Anglais
EA :	Purpose: We evaluated the accuracy of preoperative multiparametric 3.0-T magnetic resonance imaging for local staging of prostate cancer and its influence in the decision to preserve neurovascular bundles at robotic assisted laparoscopic radical prostatectomy. Materials and Methods: The study included 353 patients who had confirmed prostate cancer and underwent preoperative magnetic resonance imaging and robotic assisted laparoscopic radical prostatectomy between 2008 and 2011. The extent of neurovascular bundle sparing was initially determined on the basis of the clinical information and the nerve sparing surgical plan was reevaluated after review of the magnetic resonance imaging report. The value of preoperative magnetic resonance imaging in the prediction of extracapsular extension and in the decision of surgical plan according to D'Amico risk classification was analyzed. Results: The magnetic resonance imaging performed correct staging, over staging and under staging in 261 (73.9%), 43 (12.2%), and 49 (13.9%) patients, respectively. After review of the magnetic resonance imaging reports, the initial surgical plan was not changed in 260 patients (74%) and was changed in 93 patients (26%). Robotic assisted laparoscopic radical prostatectomy was changed to a more preservable neurovascular bundle sparing procedure in 53 patients (57%) and changed to a more aggressive neurovascular bundle resecting procedure in 40 patients (43%). For the patients with a change to more conservative surgery, the appropriateness was 91%. The sensitivity of magnetic resonance imaging in predicting extracapsular extension showed a tendency to increase from low to high risk groups (33%, 46%, 80%, respectively, p <0.001). In intermediate and high risk groups, there was a surgical plan change in 40 patients (of 129, 31%) and 27 patients (of 67, 40%), respectively. Conclusions: Preoperative magnetic resonance imaging significantly improves the decision making to preserve or resect the neurovascular bundle at robotic assisted laparoscopic radical prostatectomy, which lacks haptic feedback.
CC :	002B14D02; 002B20B02
FD :	Tumeur de la prostate; Imagerie RMN; Décision; Prise de décision; Résection chirurgicale; Robotique; Télémédecine; Chirurgie endoscopique; Prostatectomie; Coeliochirurgie; Néphrologie; Urologie; Traitement; Paquet neurovasculaire
FG :	Imagerie médicale; Pathologie de l'appareil génital mâle; Pathologie de l'appareil urinaire; Pathologie de la prostate
ED :	Prostate tumor; Nuclear magnetic resonance imaging; Decision; Decision making; Surgical resection; Robotics; Telemedicine; Endoscopic surgery; Prostatectomy; Laparoscopic surgery; Nephrology; Urology; Treatment
EG :	Medical imagery; Male genital diseases; Urinary system disease; Prostate disease
SD :	Tumor prostata; Imaginería RMN; Decisión; Toma decision; Resección quirúrgica; Robótica; Telemedicina; Cirugía endoscópica; Prostatectomía; Cirugía laparoscopica; Nefrología; Urología; Tratamiento
LO :	INIST-2081.354000501858500150
ID :	14-0174420

Links to Exploration step

Pascal:14-0174420

Le document en format XML

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<term>Télémédecine</term>
<term>Chirurgie endoscopique</term>
<term>Prostatectomie</term>
<term>Coeliochirurgie</term>
<term>Néphrologie</term>
<term>Urologie</term>
<term>Traitement</term>
<term>Paquet neurovasculaire</term>
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<front><div type="abstract" xml:lang="en">Purpose: We evaluated the accuracy of preoperative multiparametric 3.0-T magnetic resonance imaging for local staging of prostate cancer and its influence in the decision to preserve neurovascular bundles at robotic assisted laparoscopic radical prostatectomy. Materials and Methods: The study included 353 patients who had confirmed prostate cancer and underwent preoperative magnetic resonance imaging and robotic assisted laparoscopic radical prostatectomy between 2008 and 2011. The extent of neurovascular bundle sparing was initially determined on the basis of the clinical information and the nerve sparing surgical plan was reevaluated after review of the magnetic resonance imaging report. The value of preoperative magnetic resonance imaging in the prediction of extracapsular extension and in the decision of surgical plan according to D'Amico risk classification was analyzed. Results: The magnetic resonance imaging performed correct staging, over staging and under staging in 261 (73.9%), 43 (12.2%), and 49 (13.9%) patients, respectively. After review of the magnetic resonance imaging reports, the initial surgical plan was not changed in 260 patients (74%) and was changed in 93 patients (26%). Robotic assisted laparoscopic radical prostatectomy was changed to a more preservable neurovascular bundle sparing procedure in 53 patients (57%) and changed to a more aggressive neurovascular bundle resecting procedure in 40 patients (43%). For the patients with a change to more conservative surgery, the appropriateness was 91%. The sensitivity of magnetic resonance imaging in predicting extracapsular extension showed a tendency to increase from low to high risk groups (33%, 46%, 80%, respectively, p <0.001). In intermediate and high risk groups, there was a surgical plan change in 40 patients (of 129, 31%) and 27 patients (of 67, 40%), respectively. Conclusions: Preoperative magnetic resonance imaging significantly improves the decision making to preserve or resect the neurovascular bundle at robotic assisted laparoscopic radical prostatectomy, which lacks haptic feedback.</div>
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<fA03 i2="1"><s0>J. urol.</s0>
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<fA05><s2>192</s2>
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<fA08 i1="01" i2="1" l="ENG"><s1>Influence of Magnetic Resonance Imaging in the Decision to Preserve or Resect Neurovascular Bundles at Robotic Assisted Laparoscopic Radical Prostatectomy</s1>
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<fA11 i1="01" i2="1"><s1>BONG HEE PARK</s1>
</fA11>
<fA11 i1="02" i2="1"><s1>HWANG GYUN JEON</s1>
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<fA11 i1="03" i2="1"><s1>BYONG CHANG JEONG</s1>
</fA11>
<fA11 i1="04" i2="1"><s1>SEONG IL SEO</s1>
</fA11>
<fA11 i1="05" i2="1"><s1>HYUN MOO LEE</s1>
</fA11>
<fA11 i1="06" i2="1"><s1>HAN YONG CHOI</s1>
</fA11>
<fA11 i1="07" i2="1"><s1>SEONG SOO JEON</s1>
</fA11>
<fA14 i1="01"><s1>Department of Urology, Samsung Medical Center, Sungkyunkwan University School of Medicine</s1>
<s2>Seoul</s2>
<s3>KOR</s3>
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<sZ>2 aut.</sZ>
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<fC01 i1="01" l="ENG"><s0>Purpose: We evaluated the accuracy of preoperative multiparametric 3.0-T magnetic resonance imaging for local staging of prostate cancer and its influence in the decision to preserve neurovascular bundles at robotic assisted laparoscopic radical prostatectomy. Materials and Methods: The study included 353 patients who had confirmed prostate cancer and underwent preoperative magnetic resonance imaging and robotic assisted laparoscopic radical prostatectomy between 2008 and 2011. The extent of neurovascular bundle sparing was initially determined on the basis of the clinical information and the nerve sparing surgical plan was reevaluated after review of the magnetic resonance imaging report. The value of preoperative magnetic resonance imaging in the prediction of extracapsular extension and in the decision of surgical plan according to D'Amico risk classification was analyzed. Results: The magnetic resonance imaging performed correct staging, over staging and under staging in 261 (73.9%), 43 (12.2%), and 49 (13.9%) patients, respectively. After review of the magnetic resonance imaging reports, the initial surgical plan was not changed in 260 patients (74%) and was changed in 93 patients (26%). Robotic assisted laparoscopic radical prostatectomy was changed to a more preservable neurovascular bundle sparing procedure in 53 patients (57%) and changed to a more aggressive neurovascular bundle resecting procedure in 40 patients (43%). For the patients with a change to more conservative surgery, the appropriateness was 91%. The sensitivity of magnetic resonance imaging in predicting extracapsular extension showed a tendency to increase from low to high risk groups (33%, 46%, 80%, respectively, p <0.001). In intermediate and high risk groups, there was a surgical plan change in 40 patients (of 129, 31%) and 27 patients (of 67, 40%), respectively. Conclusions: Preoperative magnetic resonance imaging significantly improves the decision making to preserve or resect the neurovascular bundle at robotic assisted laparoscopic radical prostatectomy, which lacks haptic feedback.</s0>
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<s5>01</s5>
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<s5>05</s5>
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<s5>09</s5>
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<s5>17</s5>
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<s5>18</s5>
</fC03>
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<s5>18</s5>
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<s5>18</s5>
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<s5>19</s5>
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<s5>19</s5>
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<s5>19</s5>
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<s5>25</s5>
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<s5>25</s5>
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<s5>86</s5>
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<s5>37</s5>
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<s5>37</s5>
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<s5>37</s5>
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<fC07 i1="02" i2="X" l="FRE"><s0>Pathologie de l'appareil génital mâle</s0>
<s5>38</s5>
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<s5>38</s5>
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<fC07 i1="02" i2="X" l="SPA"><s0>Aparato genital macho patología</s0>
<s5>38</s5>
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<s5>39</s5>
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<s5>39</s5>
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<fC07 i1="03" i2="X" l="SPA"><s0>Aparato urinario patología</s0>
<s5>39</s5>
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<s5>40</s5>
</fC07>
<fC07 i1="04" i2="X" l="ENG"><s0>Prostate disease</s0>
<s5>40</s5>
</fC07>
<fC07 i1="04" i2="X" l="SPA"><s0>Prostata patología</s0>
<s5>40</s5>
</fC07>
<fN21><s1>216</s1>
</fN21>
<fN44 i1="01"><s1>OTO</s1>
</fN44>
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<server><NO>PASCAL 14-0174420 INIST</NO>
<ET>Influence of Magnetic Resonance Imaging in the Decision to Preserve or Resect Neurovascular Bundles at Robotic Assisted Laparoscopic Radical Prostatectomy</ET>
<AU>BONG HEE PARK; HWANG GYUN JEON; BYONG CHANG JEONG; SEONG IL SEO; HYUN MOO LEE; HAN YONG CHOI; SEONG SOO JEON</AU>
<AF>Department of Urology, Samsung Medical Center, Sungkyunkwan University School of Medicine/Seoul/Corée, République de (1 aut., 2 aut., 3 aut., 4 aut., 5 aut., 6 aut., 7 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>The Journal of urology; ISSN 0022-5347; Coden JOURAA; Etats-Unis; Da. 2014; Vol. 192; No. 1; Pp. 82-88; Bibl. 23 ref.</SO>
<LA>Anglais</LA>
<EA>Purpose: We evaluated the accuracy of preoperative multiparametric 3.0-T magnetic resonance imaging for local staging of prostate cancer and its influence in the decision to preserve neurovascular bundles at robotic assisted laparoscopic radical prostatectomy. Materials and Methods: The study included 353 patients who had confirmed prostate cancer and underwent preoperative magnetic resonance imaging and robotic assisted laparoscopic radical prostatectomy between 2008 and 2011. The extent of neurovascular bundle sparing was initially determined on the basis of the clinical information and the nerve sparing surgical plan was reevaluated after review of the magnetic resonance imaging report. The value of preoperative magnetic resonance imaging in the prediction of extracapsular extension and in the decision of surgical plan according to D'Amico risk classification was analyzed. Results: The magnetic resonance imaging performed correct staging, over staging and under staging in 261 (73.9%), 43 (12.2%), and 49 (13.9%) patients, respectively. After review of the magnetic resonance imaging reports, the initial surgical plan was not changed in 260 patients (74%) and was changed in 93 patients (26%). Robotic assisted laparoscopic radical prostatectomy was changed to a more preservable neurovascular bundle sparing procedure in 53 patients (57%) and changed to a more aggressive neurovascular bundle resecting procedure in 40 patients (43%). For the patients with a change to more conservative surgery, the appropriateness was 91%. The sensitivity of magnetic resonance imaging in predicting extracapsular extension showed a tendency to increase from low to high risk groups (33%, 46%, 80%, respectively, p <0.001). In intermediate and high risk groups, there was a surgical plan change in 40 patients (of 129, 31%) and 27 patients (of 67, 40%), respectively. Conclusions: Preoperative magnetic resonance imaging significantly improves the decision making to preserve or resect the neurovascular bundle at robotic assisted laparoscopic radical prostatectomy, which lacks haptic feedback.</EA>
<CC>002B14D02; 002B20B02</CC>
<FD>Tumeur de la prostate; Imagerie RMN; Décision; Prise de décision; Résection chirurgicale; Robotique; Télémédecine; Chirurgie endoscopique; Prostatectomie; Coeliochirurgie; Néphrologie; Urologie; Traitement; Paquet neurovasculaire</FD>
<FG>Imagerie médicale; Pathologie de l'appareil génital mâle; Pathologie de l'appareil urinaire; Pathologie de la prostate</FG>
<ED>Prostate tumor; Nuclear magnetic resonance imaging; Decision; Decision making; Surgical resection; Robotics; Telemedicine; Endoscopic surgery; Prostatectomy; Laparoscopic surgery; Nephrology; Urology; Treatment</ED>
<EG>Medical imagery; Male genital diseases; Urinary system disease; Prostate disease</EG>
<SD>Tumor prostata; Imaginería RMN; Decisión; Toma decision; Resección quirúrgica; Robótica; Telemedicina; Cirugía endoscópica; Prostatectomía; Cirugía laparoscopica; Nefrología; Urología; Tratamiento</SD>
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Influence of Magnetic Resonance Imaging in the Decision to Preserve or Resect Neurovascular Bundles at Robotic Assisted Laparoscopic Radical Prostatectomy

Influence of Magnetic Resonance Imaging in the Decision to Preserve or Resect Neurovascular Bundles at Robotic Assisted Laparoscopic Radical Prostatectomy

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