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Robotic Prostatectomy Yields Cleaner Surgical Margins

NEW YORK, NY--(Marketwired - Mar 20, 2014) -  A new prostate cancer study demonstrated that robotic prostate surgery produces fewer positive surgical margins and requires less use of additional cancer therapy within two years of the surgery.

In a UCLA-lead comparative review of robotic prostate surgery verses open surgery, the findings indicated that robotic surgery reduces the risk of positive surgical margins by 5 percent and also reduces the need for secondary prostate cancer treatment. David B. Samadi, MD, Chairman of Urology and Chief of Robotic Surgery at Lenox Hill Hospital, believes these findings have widespread implications.

"We continue to see evidence of robotic surgery success being amplified in the hands of experienced surgeons," Dr. Samadi said. Using his own enhanced procedure, the Samadi Modified Advanced Robotic Technique (SMART), he has successfully performed 5,600 robotic radical prostatectomies. "Successful and thorough removal of cancerous tissue depends on a variety of factors: the dexterity of robotic tools, a bloodless surgical field, and most importantly, a highly skilled and experienced surgeon," he said.

After surgery, the removed prostate tissue is assessed on the volume of cancer cells in the margins. A positive surgical margin indicates that some prostate cancer may remain in the body, thereby increasing the chances of metastasis or recurrence. Surgical margin results are often used to determine whether secondary treatment, such as radiation or hormone therapy, is necessary.

In this study, positive surgical margins were present in 13.6 percent of the 5,556 robotic surgery patients and 18.3 percent of the 7,878 open surgery patients. "Clean surgical margins mean a lower chance of disease recurrence, and may subsequently mean less follow-up care and fewer healthcare expenses. Collectively, the short- and long-term benefits of robotic prostate surgery are tremendous," stated Dr. Samadi.

The study findings appear online in European Urology, http://www.europeanurology.com/article/S0302-2838%2814%2900134-1/abstract/comparative-effectiveness-of-robot-assisted-versus-open-radical-prostatectomy-cancer-control

Dr. Samadi is internationally recognized for robotic surgery excellence. He performs SMART robotic prostate removal surgery at The Lenox Hill Hospital Prostate Cancer Center in New York City.

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* The benefits of robotic surgery cannot be guaranteed as surgery is both patient and procedure specific. Previous surgical results do not guarantee future outcomes.




Testimonials
Ian R, Toronto, Canada

Just over a year ago on December 22, 2008 I was diagnosed with prostate cancer. I met with Dr. Samadi in New York on a recommendation from a close friend. The interview was a decisive turning point in my fortunes.

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M. H., MD, Pennsylvania, USA

"...My choice of Dr. Samadi for the robotic surgery was without any doubt the best choice giving me the best outcome for this problem".

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David G., USA

When I sat in front of Dr. Samadi for the first time he asked me who had recommended I visit him, "Everyone" I answered. And that is the truth, everyone I discussed my situation with told me to go with Dr. Samadi because of his finely polished skills and expertise in this procedure.

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Guy, G

I learned in November 2012 following a high blood PSA value and prostate biopsy, that I had prostate cancer. It has a Gleason 7+ value, which placed it in a the problem category needing a rapid care...

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