Citations:

 

AUA Annual Meeting, April 2009, Chicago USA

  1. Technology & Insruments: Robotics/Laparoscopy. (One of two chosen) "An Analysis of the causes of bladder Neck Contracture and Open and Robotics - Assisted Laparoscopic. Radical Prostatectomy"

    Kapil Sethi, David Webb, Kiera Gee.

  3. "Commentay on An analysis of the causes of Bladder Neck contracture after open and robot-assisted laparoscopic radical prostatectomy. Cited by Christopher J Kane, MD. Urologic Oncology, Volume 27, Number 2, March/April 2009.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Research headerarrow link

Associate Professor David Webb trained in robotically assisted laparoscopic prostatectomy (RALP) in June 2005, at the Intuitive (da Vinci Surgical system -
Robotics) Headquarters in Sunnyvale, California, USA.

 

He underwent Post Graduate training and mentorship at Epworth Eastern Hospital under the mentorship of Dr Phillip Porch.

 

 

 

 

 

 

 

Subsequently Associate Professor Webb has performed over 200 RALP'S and was recently awarded membership of the "Club 200"

Associate Professor Webb is an accredited Mentor and has supervised the training of a number of Melbourne Urologists in RALP, as well as undergraduate and post graduate accredited urology trainees and Fellows from the Austin Hospital Urology Department.

He has attended two workshops conducted by the internationally acclaimed Director of the Global Robotics Institute ( Florida- USA ) Dr Vip Patel in RALP. Global Robotics Website Link- click here

 

His paper entitled, "An Analysis of the Causes of Bladder Neck Contracture After Open and Robotic Assisted Laparoscopic Radical Prostatectomy" was recently published in advance online, in the British Journal of Urologly International (BJUI)(Decennber 2008) and has been presented in print in BJU-1 in the April 2009 edition. It was selected as one of two highlights under "Technology & Instruments" at the 2009 AUA conference.

This paper has demonstrated that the complications of bladder neck contracture, (scarring of the reconstruction of the bladder and urethra) which occurs in an avereage of 8 - 9% of patients having open surgery, does not occur in patients having RALP, This is because the ''parachute anastomosis   (join between the bladder and the urethra ) performed using the da Vinci robot cannot be reproduced by   conventional open surgery.

The patients who suffer this bladder neck contracture require a subsequent admission to hospital and re-do endoscopic surgery to correct the scar, under general anaesthesia.

This paper has been presented at the Victorian Division of the Urological Society of  Asutralia and New Zealand, and recently at the 62nd International Annual Scientific  Meeting of USANZ and will be presented at the American Urological Association Annual General Meeting in Chicago in late April of this year.

The paper has already been cited since its advance online publication by the specialist internet search engine "Uro-today-URO Alerts" who followed this citation with a commissioned editorial by Dr Christopher Evans MD.

Springer-Link and NIH have linked the paper to previous piblications on bladder neck contracture.

The International Urological Oncologly Journal commissioned Dr Christopher J. Kane MD to write an editorial in which he concludes that A Prof. Webb's   paper confirms the superiority of robotic surgery over open surgery.

This publication and a formal interview of Associate Professor Webb  were also used by Mr Ian Townsend, ABC Journalist for his presentation on robotic surgery in ''Background Briefing'' on ABC National radio .

ABC Background Briefing Website Link - Click here

 

Also, Associate Professor Webb has been interviewed by ASERNIP-S (the Australian Safety and Efficacy Register of New Interventional Procedures - Surgical Commitee). This is a sub-committee of the Royal Australasian College of Surgeons charged with assessing the data regarding surgical robotic system for use in urological procedures in Australia.

Associate Professor Webb has also developed two new surgical techniques for robotic "nerve sparing'' surgery and anastomosis of the bladder and urethra to accurately reconstruct their anatomy after surgery.

With his colleague Mr Shomik Sengupta, these two new techniques were presented at   the recent International 62nd AGM of the USANZ and are summarised in the BJUI supplement (References)

Associated Professor Webb is enthusiastic about these surgical advances and opportunites provided by the da Vinci urological surgical system.