MDNews - Long Island

October 2014

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T HE SAMADI MODIFIED Advanced Robotic Technique (SMART) combines best-practice open sur- gical prostatectomy techniques with oncologic insight and perspective gained from extensive training on robotic surgical platforms. David B. Samadi, MD, Chair of Urology and Chief of Robotic Surgery at Lenox Hill Hospital, and Professor of Urology at Hofstra North Shore-LIJ School of Medicine, pioneered the approach. As the next step in the evolution of minimally invasive surgery, the SMART prostatectomy further refines the laparo- scopic approach that replaced traditional open surgery as the standard of care for surgically resectable prostate cancer. While laparoscopic prostatectomy significantly reduces blood loss, surgical trauma and other comorbidities associated with open surgery, the technique requires surgeons to labor over the operating table for several hours, manipulating rigid instruments that do not always move intuitively. Prostate cancer is difficult to treat using any modality because of the gland's deep location in the pelvis below the pubic bone. The challenge is compounded by the prostate's proximity to the rectum, urethra, major blood vessels and nerves responsible for continence and sexual function. The da Vinci Surgical System resolves many of these issues by improving visualiza- tion of the surgical site and offering surgeons Experience Matters David B. Samadi, MD Advancing Robotic Prostate Surgeries Worldwide EXPERTISE IN OPEN, LAPAROSCOPIC AND ROBOTIC-ASSISTED LAPAROSCOPIC MODALITIES LED ONE PROSTATE SURGEON TO DEVELOP THE REVOLUTIONARY SMART PROSTATECTOMY, WHICH REDUCES OPERATIVE TIMES AND POSTOPERATIVE COMPLICATION RATES. NOW, HE OFFERS THIS INNOVATIVE PROCEDURE TO PATIENTS FROM ACROSS THE GLOBE IN A CUSTOMIZED UNIT AT LENOX HILL HOSPITAL. Prepping for robotic prostatectomy, the team makes sure each patient is comfortable and given the utmost care and consideration. COV ER FE AT UR E By Michael Ferguson 6 | Long Island MD NEWS ■ M D N E W S . CO M

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