title: Second Prize: Pelvic neuroanatomy and innovative approaches to minimize nerve damage and maximize cancer control in patients undergoing robot-assisted radical prostatectomy.
abstract: Robot-assisted radical prostatectomy is an option for surgical management of clinically localized prostate cancer. There have been theoretical concerns, however, regarding lack of anatomic data with specific relevance to robot-assisted prostatectomy, use of thermal or electrical energy during nerve sparing, and lack of tactile feedback. To address these concerns, we have revisited anatomic foundations and have incorporated a few modifications and strategies in the technique of robot-assisted prostatectomy to maximize cancer control, preserve neurovascular tissue, and emulate time-tested steps of anatomic radical prostatectomy. We present our findings about neural anatomy, modified technique, and oncologic and functional outcomes from patients who have undergone this procedure at our institution.
authors.affiliation: Department of Urology, Laboratory Science, New York-Presbyterian Hospital, Weill Medical College of Cornell University, New York, New York 10021, USA.
authors.forename: Juan I
authors.initials: JI
authors.lastname: Martinez-Salamanca
authors.forename: Rajan
authors.initials: R
authors.lastname: Ramanathan
authors.forename: Sandhya
authors.initials: S
authors.lastname: Rao
authors.forename: Anil
authors.initials: A
authors.lastname: Mandhani
authors.forename: Robert
authors.initials: R
authors.lastname: Leung
authors.forename: Wolfgang
authors.initials: W
authors.lastname: Horninger
authors.forename: Astushi
authors.initials: A
authors.lastname: Takenaka
authors.forename: Joaquin
authors.initials: J
authors.lastname: Carballido
authors.forename: Jiangling
authors.initials: J
authors.lastname: Tu
authors.forename: Darracott
authors.initials: D
authors.lastname: Vaughan
authors.forename: Ashutosh
authors.initials: A
authors.lastname: Tewari
mesh_terms: D000368:Aged; D001363:Awards and Prizes; D004210:Dissection; D006801:Humans; D007432:Intraoperative Period; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D009445:Neuroanatomy / Q000379:methods*; D010388:Pelvis / Q000294:innervation* / Q000473:pathology*; D017430:Prostate-Specific Antigen / Q000097:blood; D011468:Prostatectomy / Q000379:methods*; D011471:Prostatic Neoplasms / Q000150:complications / Q000473:pathology / Q000601:surgery*; D012371:Robotics / Q000379:methods*; D014549:Urinary Incontinence / Q000150:complications
chemical_list: D017430:Prostate-Specific Antigen