Clinical Pearls: The Approach to the Management of Difficult Anatomy and Common Operative and Postoperative Problems

  • Vipul R. Patel


The task of learning robotic prostatectomy can be quite challenging for both novice and experienced open or laparoscopic surgeons alike. Therefore, prior to the first procedure, much training and planning is required as the entire surgical team prepares for the upcoming challenge. The learning curve to achieve basic competency has been estimated to be between 20 to 25 cases.1,2 However, these initial patients are often selected as “ideal candidates” so that the surgical team can ease into the experience. After such cases are performed, the reality of the procedure sets in as one begins to entertain the idea of operating on those with more challenging anatomy.


Hernia Repair Seminal Vesicle Bladder Neck Urinary Catheter Pubic Bone 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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  1. 1.
    Patel VR, Tully AS, Holmes R, Lindsay J. Robotic radical prostatectomy in the community setting. J Urol 2005;174:269–272.PubMedCrossRefGoogle Scholar
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    Perer E, Lee D, Ahlering T, Clayman R. Robotic revelation: laparoscopic radical prostatectomy by a nonlaparoscopic surgeon. J Am Coll Surg 2003; 10:1738–1741.Google Scholar
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    Mikhail AA, Stockton BR, Orvieto MA, Shalhav A. Robot assisted laparoscopic prostatectomy in overweight and obese patients. Urology 2006;67: 774–779.PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag London Limited 2007

Authors and Affiliations

  • Vipul R. Patel
    • 1
  1. 1.Robotic and Minimally Invasive Urology SurgeryThe Ohio State UniversityColumbusUSA

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