ihor s. sawczuk, m.d. professor & chairman urology touro university college of medicine adjunct...
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Ihor S. Sawczuk, M.D.PROFESSOR & CHAIRMAN UROLOGYTOURO UNIVERSITY COLLEGE OF MEDICINEADJUNCT PROFESSOR OF UROLOGYCOLLEGE OF PHYSICIANS & SURGEONSCOLUMBIA UNIVERSITY
Prostate Cancer Treatment: Prostate Cancer Treatment: What’s Best for You?What’s Best for You?
Surgical OptionsSurgical Options
Prostate Cancer - 2009A Common Cancer 234,460 new cases, mortality- 27,350
How Significant Is Prostate Cancer?• In the USA, 234,460 men will be
diagnosed with prostate cancer. – That is one man diagnosed every 3 minutes
• Prostate cancer deaths are estimated at 27,350. – That is one death every 18 minutes
Source: Cancer Facts and Figures - American Cancer Society
External Beam Radiation
New TechnologyCryotherapy Watchful Waiting
Open Surgery
Robotic Surgery
Approach To Prostate Cancer: A Multidisciplinary & Individualized Approach
~ 235,000 New Cases of Prostate Cancer
Prostate Cancer: 2009 Statistics
Watchful Waitingor Other55,000
Radiation (EBRT, Brachy)90,000
Prostatectomy90,000
Prostate Cancer: Active Surveillance
Quality of Life: Continence / Erectile Dysfunction
Molecular-Based: Imaging / Staging / Analysis
SURGERY INSURGERY INTHE NEWTHE NEW
MILLENNIUMMILLENNIUM
ROBOTROBOTASSISTEDASSISTEDSURGERYSURGERY
SURGERY INSURGERY INTHE NEWTHE NEW
MILLENNIUMMILLENNIUM
FDA FDA APPROVED APPROVED INTUITIVE’SINTUITIVE’SDA VINCIDA VINCISURGICALSURGICALROBOTROBOT
~ 90,000 Radical Prostatectomies/Year
U.S. Radical Prostatectomy Market
39.5%
0.5%
60%
24.5%
75%
0.5%
2008 2009 Projected
Open
Robotic
Laparoscopic
39.5%
60%
• Stereoscopic 3-D vision
• 75% better resolution
• Endowrist technology
• Six degrees of freedom
• Tremor filtering
• Movement scaling
DA VINCI™ SYSTEM: ADVANTAGES
Surgeon and Patient Positioning
ULTRASOUND GUIDED ULTRASOUND GUIDED CRYOABLATIONCRYOABLATION
FOCAL / WHOLE GLAND
Clinical Trials: Novel TechnologyClinical Trials: Novel Technology
TEAM Members Beyond Physicians
Social Worker
NurseAssistivePersonnel
Patient and Family
Clinical Research Associate
Important OthersSpecialists
Physician
Helps patients navigate through healthcare system
Source: Crighton, Frances, RN. “Management Strategies for Prostate Cancer Patients – The Role of Allied Health Professionals.” Slide 4. Presented July 27, 2006.