Really? Thoughts @gorskon?http://abc7ny.com/health/li-doctors-perform-1st-robotic-mastectomy-breast-reconstruction-in-us/3182483/ …
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Replying to @sky__john @gorskon
Once again, this anecdotal story *proves* robotic surgery is better for everything. I dare
@gorskon to go up against the awesome power of local news and disagree!1 reply 0 retweets 2 likes -
Replying to @realRichaldsMD @gorskon
In fairness, I guess not too dissimilar from other robotic firsts but just seems so unnecessary. Now the hospital will market it, patients will come, and outcomes will no better but at that point, everyone will just accept it as normal. Tired story.
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Replying to @sky__john @gorskon
There’s a benefit for prostatectomy, but for other surgeries, I’m not so sure
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Lots of observational stuff that touts benefit, most convincing is decreased rate of positive surgical margins, IMO, but ur right, even that hasn't translated to meaningful endpoint
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Replying to @sky__john @gorskon
Better for blood loss, LOS, intraop adverse events, operative time, and pain in this randomized trial http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(16)30592-X/abstract …
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Replying to @realRichaldsMD @sky__john
That's robotic vs. open surgery, not robotic vs. laparoscopic. That's the real question. Of course robotic would be better in those measures than open. We could predict that based on what we know about laparoscopic prostatectomy.
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Ah, well. I missed it. It's Twitter. Still, urologists have been doing laparoscopic prostatectomies for quite a few years now. It's accepted, with equivalent oncologic outcomes and less pain.
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Replying to @gorskon @sky__john
These Italian gentlemen would like a word https://www.ncbi.nlm.nih.gov/m/pubmed/21324093/ … https://www.ncbi.nlm.nih.gov/m/pubmed/22840353/ … But the real reason few do lap without robot these days is that pure lap is tedious and takes forever
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