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Central Texas Surgeon Completes 1000th Successful Laparoscopic - Robotic Prostate Cancer Surgery.


Prostate Cancer prostate cancer, cancer originating in the prostate gland. Prostate cancer is the leading malignancy in men in the United States and is second only to lung cancer as a cause of cancer death in men.  Patients World-Wide Flock to Austin, Texas for Treatment

AUSTIN, Texas -- Dr. Randy Fagin, (www.prostatecenterofaustin.com) who has one of the nation's largest experiences in robotic prostate cancer surgery, announced today that he has completed his 1000th successful laparoscopic Laparoscopic
A minimally-invasive surgical or diagnostic procedure that uses a flexible endoscope (laparoscope) to view and operate on structures in the abdomen.

Mentioned in: Obstetrical Emergencies
 - robotic prostatectomy Prostatectomy Definition

Prostatectomy refers to the surgical removal of part of the prostate gland (transurethral resection, a procedure performed to relieve urinary symptoms caused by benign enlargement), or all of the prostate (radical prostatectomy,
. Out of the nearly 10,000 Urologists in the United States United States, officially United States of America, republic (2005 est. pop. 295,734,000), 3,539,227 sq mi (9,166,598 sq km), North America. The United States is the world's third largest country in population and the fourth largest country in area. , less than ten have achieved this milestone. daVinci Robotic Prostate Surgery is the latest in cutting edge surgery for cancer of the prostate. In his most recently published data, robotic prostate cancer surgery in Dr. Fagin's hands produces cancer removal rates, urinary control rates, and post-operative erectile function, that meet or exceed those achieved through traditional open surgery. In addition, robotic prostate surgery has already demonstrated benefits of reduced blood loss, reduced need for blood transfusion blood transfusion, transfer of blood from one person to another, or from one animal to another of the same species. Transfusions are performed to replace a substantial loss of blood and as supportive treatment in certain diseases and blood disorders. , shorter hospital stay, and a quicker return to full activity as compared to open surgery.

Outcome of Prostate Cancer Surgery Depends on Experience of Surgeon; Steep Learning Curve Found

According to according to
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 a new study published July 24, 2007, in the Journal of the National Cancer Institute, prostate cancer patients treated by highly experienced surgeons are much more likely to be cancer-free five years after surgery than patients treated by surgeons with less experience.

"The difference in outcome among patients who were treated by surgeons with varying degrees of experience is clinically relevant and likely reflects a true relationship between surgical technique and cancer control," said the study's lead author Andrew Vickers, PhD, Associate Attending Research Methodologist, Memorial Sloan-Kettering Cancer Center The Memorial Sloan-Kettering Cancer Center (MSKCC) in New York City is a cancer treatment and research institution founded in 1884 as the New York Cancer Hospital. The main campus is located at 1275 York Avenue, between 67th and 68th Streets, with other locations in New  (MSKCC MSKCC Memorial Sloan-Kettering Cancer Center ).

"The daVinci Robot (http://prostatecenterofaustin.com/davinci.php) allows me to perform prostate cancer surgery with better vision, precision, and dexterity and is far less invasive than the traditional open surgery performed by most urologists across the country," said Dr. Randy Fagin. "I had the privilege of training with the originators of laparoscopic prostate cancer surgery in Paris, France and now I train surgeons from all over the world on how to use this revolutionary device to perform prostate cancer surgery. Currently, my practice is focused almost exclusively on prostate cancer and daVinci robotic prostate cancer surgery.

Outcomes from prostate cancer surgery depend heavily on the experience of the surgeon and it is important that patients know about the experience of the surgeon they chose before undergoing prostate surgery."

Instead of making one 5 inch cut through the muscle of the abdomen, the daVinci robotic approach uses 5 small 1/4 inch cuts that do not cut any muscle. Through these cuts, instruments are placed into the abdomen along with a camera that enlarges the view to 10 times magnification Magnification

A measure of the effectiveness of an optical system in enlarging or reducing an image. For an optical system that forms a real image, such a measure is the lateral magnification m
. The daVinci robot is a tool used by Dr. Fagin to hold the laparoscopic instruments and camera giving him 3-D magnified vision and improved precision with which Dr. Fagin can perform the operation. "If I can see the structures better, and I have a more precise tool to work with, I can do a better operation," says Dr. Fagin.

About Dr Fagin

Dr. Randy Fagin, who is the Director of the Prostate Center of Austin and Director of Robotic Surgery Using robots in the operating room to assist the surgeon in performing surgery. The surgeon views the patient via a terminal and manipulates robotic surgical instruments via a control panel. Views of the organs being worked on are transmitted from tiny cameras inserted into the body.  at The Hospital at Westlake Medical Center, also has one of the top 10 experiences in the country in performing daVinci robotic prostate cancer surgery.
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Publication:Business Wire
Date:Aug 21, 2007
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