Friday 17 August 2012

Robot-Assisted Prostate Cancer Surgery More Successful than Open Surgery

The European Urology journal has published a study led by the Vattikuti Urology Institute at Henry Ford Hospital in Detroit, Michigan.  This study compares open radical prostatectomies and robot-assisted radical prostatectomies.  In the short time that robot-assisted radical prostatectomies have been performed, many significant benefits have evoloved for both the patient and surgeon.  For the full article, visit  http://europeanurology.com/article/S0302-2838(11)01411-4/fulltext#section-3-results.

Summary:
Open radical prostatectomies used to be more common than robot-assisted prostatectomies.  This study compares open vs. robot assisted prostatectomies, and shows that robot-assisted radical prostatectomies are now more common and are more succesful than open radical prostatectomies.

This study was based on data from the Nationwide Inpatient Sample from October 2009-December 2009.  In that time, 11,889 patients had robot-assisted radical prostatectomies and 7,389 patients had open prostatectomies.  This study is based on nationwide data.  Prior comparative studies only compared data within one institution or with one surgeon.  More robot-assisted surgeries were conducted at urban teaching institutions, and most of them were at high-volume hospitals. 

Robot-assisted surgeries were also found to be less likely to:
-Need a blood transfusion
-Have a prolonged hospital stay
-Suffer complications during or after surgery (such as cardiac, respiratory or vascular issues)

This study was led by the Vattikuti Urology Institute at Henry Ford Hospital in Detroit, Michigan.  Henry Ford Hospital is a Vattikuti Foundation Network Hopsital.  Dr. Mani Menon started the robotic surgery program at the Vattikuti Urology Institute in 2000.  He and his team have performed over 7,000 robotic surgeries to date and have published many papers on robotic surgery.

MBBS course may soon become of 6-year duration

Ghulam Nabi Azad, union health minister, recommended that the MBBS program be extended by one year.  However, many doctors in the Indian Medical Association (IMA) disagree with this recommendation.

The change would include a reducing the MBBS internship by 6 months and add a 1 year rural post.


What do you think?