J. Stuart Wolf, Jr, MD
Dr. Wolf, a member of the Urology Times Editorial Council, is professor and associate chair for clinical integration and operations, department of surgery and perioperative care, Dell Medical School at the University of Texas at Austin.
Averting surgical crises: Steps you can take
A recent Urology Times article highlights some provocative work that suggests there might be a difference in the ability of the surgeon to respond to a surgical crisis depending on the surgical approach being used—standard laparoscopy or robot-assisted laparoscopy.
Robotics finding a role in prolapse repair
With the widespread acceptance of robot-assisted surgery for reconstructive procedures such as radical prostatectomy and partial nephrectomy, the next frontier for urologic robotic-assisted surgery appears to be in the female pelvis.
New hope for treating deep renal tumors?
If further work with irreversible electroporation refines its capacity for discrete tissue ablation deep within the kidney and adjacent to large blood vessels, and especially if larger tumors can be addressed, then this would be a major step forward in the minimally invasive treatment of localized renal cancer.
Robotic radical nephrectomy: There is a rationale
This letter to the editor is in response to an editorial by J. Stuart Wolf, Jr., MD (“Robotic radical nephrectomy: Really?,” July 2014, page 6). The editorial concerned the article, “Use of robotic RN rising, despite unclear advantages” (July 2014, page 9).
Robotic radical nephrectomy: Really?
None of the comparative studies of robotic radical nephrectomies (RRN) and laparoscopic radical nephrectomies (LRN) has shown benefit of RRN over LRN. Why then are so many minimally invasive RNs performed this way?
Which approach to radical prostatectomy?
A high-volume surgeon will have good results regardless of approach, but that the surgeon with less experience might do a better job with the robotic approach.
The value of cosmesis: When LESS is more
We no longer need to consider if laparoendoscopic single-site surgery is safe and effective—with the caveat of experienced hands—but we do need to examine in whom the cosmetic advantages of LESS merit the added surgical complexity.
Robotic radical prostatectomy has exciting future, studies suggest
Although we are still waiting for definitive evidence that robotic assistance improves radical prostatectomy, findings such as those reported here suggest an exciting future for the technology.
Post-laparoscopy bleeding: Management pearls
Postoperative hemorrhage can and will occur in a minority of patients, despite the most careful of laparoscopic procedures.


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