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background=../indix_files/bg_entrance.jpg border=0 height="605"> <TBODY> <TR> <TD vAlign=top height="463" align="center">&nbsp;<BR> <DL> <DT><BR> <BR> <div align="left"> <DT> <a target="_blank" href="http://www.cornellurology.com/roboticprostatectomy/"> <font size="2">Robotic prostatectomy home</font></a></div> <div align="left"> <DT> &nbsp;</div> <div align="left"> <DT> <a target="_blank" href="#About Dr. Tewari"><font size="2">About Dr. Ash Tewari</font></a></div> <div align="left"> <DT> &nbsp;</div> <div align="left"> <DT> <a href="#Advance_Robotic_techniques_of_Prostatectomy_(ART)_"> <font size="2">Athermal (ART) Technique</font></a></div> </DL> <p><a target="_blank" href="videos.htm"><font size="2">Watch surgery</font></a></p> <DL> <DT><a target="_blank" href="videos.htm"><font size="2">Patient experience</font></a><DT> <font size="2"><BR></font> <a target="_blank" href="#Cutting_Edge"><font size="2">ART procedure in NEWS</font></a><DT>&nbsp;<DT> <a target="_blank" href="#Publications"><font size="2">Dr. Tewari&#39;s publications</font></a></DL> <p><a target="_blank" href="#Why choose robotic prostate surgery"> <font size="2">Benefits of ART procedure</font></a></p> <DL> <DT>&nbsp;<DT><BR> <DT><BR> <DT><BR> <DT><BR> <DT>&nbsp;<FONT face="Verdana, Arial, Helvetica, sans-serif" size=1><DD> </FONT> <DT><BR> <DT><BR> <DT> <A onmouseover="MM_swapImage('Image44','','/&#13;&#10;uro/cornell/images/home2_on.gif',1)" onmouseout=MM_swapImgRestore() href="http://www.cornellurology.com/uro/cornell/index.shtml"> &nbsp;</A></DT></DL></TD></TR> <TR> <TD vAlign=top height="1"></TD></TR> <TR> <TD vAlign=top height="1"></TD></TR> <TR> <TD vAlign=top height="94">&nbsp;</TD></TR> <TR> <TD vAlign=top height="1"> <p></TD></TR> </TBODY></TABLE></TD> <TD vAlign=top width=550> <TABLE cellSpacing=0 cellPadding=0 width=550 border=0> <TBODY> <TR> <TD colSpan=2> <TABLE cellSpacing=0 cellPadding=0 width=250 align=right border=0> <TBODY> <TR> <TD vAlign=top><A onmouseover="MM_swapImage('Image32','','/uro/cornell/images/home_on.gif',1)" onmouseout=MM_swapImgRestore() href="http://www.cornellurology.com/uro/cornell/index.shtml"> <IMG src="../indix_files/home_off.gif" border=0 name=Image32 width="51" height="20"></A></TD> <TD vAlign=top>&nbsp;</TD> <TD vAlign=top>&nbsp;</TD> <TD vAlign=top><A onmouseover="MM_swapImage('Image35','','/uro/cornell/images/resources_on.gif',1)" onmouseout=MM_swapImgRestore() href="http://www.cornellurology.com/uro/cornell/resources.shtml"> <IMG src="../indix_files/resources_off.gif" border=0 name=Image35 width="70" height="20"></A></TD></TR></TBODY></TABLE></TD></TR></TBODY></TABLE><!--END NAV BOTTOM--> <TABLE cellSpacing=0 cellPadding=10 width=524 border=0> <TBODY> <TR> <TD width="551"><FONT face="ARIAL, HELVETICA"><!--%%%%%%%%%% BEGIN LOCAL PAGE HEADER HERE %%%%%%%%%%--><B><FONT face=arial color=#333399 size=+1>Robotic Prostatectomy</FONT> <FONT size=+1>/</FONT> </B> </FONT><B><FONT face="arial" size="+1" color="#990000">Robotic Surgery/Prostate Surgery</FONT></B><FONT face="ARIAL, HELVETICA"><BR><!--<UL> <font size="-1" face="arial"></font> </UL>-->Prostate cancer surgery<BR> <HR width="80%" noShade SIZE=1> </FONT> <FONT face="Verdana, Arial, Helvetica, sans-serif" size="-1" color="#808000"> <blockquote> <blockquote> <p><b>This is the web site for Dr. Ash Tewari&#39;s Nerve sparing Robotic Prostatectomy and prostate surgery technique.</b><p><b>For the latest website: <a href="http://www.cornellroboticprostate.org"> www.cornellroboticprostate.org</a></b></FONT><p> <FONT face="ARIAL, HELVETICA"> &nbsp;For existing patients please call- 212 746 5638 (for appointments or insurance questions) or 212 746 5658 (for pre-surgical or surgery date questions) or 212 746 5643 (medical questions only).&nbsp; New patients should call 212 746 5643.<p> <font face="Verdana, Arial, Helvetica, sans-serif" size="-1"><b> <a href="http://healththeater.tv/vitalsigns/">Patient experience of ART Robotic Procedure. <br> Mark and Julie story</a></b> <br> <i>View 10 episodes at health theater. Click back to revisit ART site</i></font></FONT><p> <b> <a target="_blank" title="Please click back to visit Cornell site" href="http://www.prostate-cancer.org/education/localdis/Tewari_NerveSparingRP_Trizonal.html">Latest article on Robotic Prostatectomy</a>- why and how of nerve sparing and how to select surgery-&nbsp; open versus, laparoscopic versus robotic prostate cancer surgery. Published at PCRI website</b></p> <FONT face="ARIAL, HELVETICA"> <p> <a target="_blank" href="videos.htm">Watch Athermal Robotic Technique (ART) of Prostate surgery</a><p><a target="_blank" href="videos.htm"> Patient experience of Robotic Prostatectomy</a><p> <a target="_blank" href="videos.htm">Instructional videos</a><p> <a target="_blank" href="Recent%20papers.htm">Recent papers</a> on nerve sparing<p> <a target="_blank" href="Recent%20papers.htm">Recent papers</a> on continence preservation<p> <a target="_blank" href="Recent%20papers.htm">Recent papers</a> on cancer control<p> Surgery offers greater survival than radiation for men likely to live more than 10 years.- <p> <a title="Please click back to visit RObotic site" target="_blank" href="http://www.prostatecancerfoundation.org/site/c.itIWK2OSG/b.3479439/k.DF40/Surgery_Offers_Best_Survival_for_Prostate_Cancer.htm?msource=oct07np&auid=3116007"> Read the News about this paper from prostate cancer foundation</a><p> <a href="../Reprints/2007-10-11%20WebMD%20Tewari.pdf">Read the news about this article from WebMD</a><p> <a href="../Reprints/Survival-%20Swiss-%20Annals.pdf">Read actual paper- Annals of Internal Medicine</a><p> <b>Recent NEWS </b> <p> <b> <a target="_blank" href="http://www.prostatecancerfoundation.org/site/c.itIWK2OSG/b.2556227/k.101B/2006_Competitive_Awards.htm"> Prostate cancer foundation award</a></b><p> <a target="_blank" href="http://money.cnn.com/2007/03/23/news/companies/intuitive_surgical/index.htm">CNN Money</a><p> <a target="_blank" href="http://asap.ap.org/stories/1299304.s">&nbsp;AP NEWS</a></p> <p> <a target="_blank" href="http://www.usnews.com/usnews/health/articles/060723/31robot_3.htm"> US NEWS</a></p> <p><a href="#Comparison_of_various_surgical_treatments_">Comparison of various surgical treatments</a><p>Call (212) 746-5643 / (212) 746-5658 / (212) 746-5638 for more information<p>Latest paper on Athermal Robotic Technique of Nerve Sparing (ART)- this article describes scientific foundations for <a target="_blank" href="../Reprints/bju_6266.pdf">Trizonal Nerve Sparing using Athermal approach......Read pdf file<font size="2"><font face="Arial">. </font></font></a><font size="2"><font face="Arial">This is an electronic version of an article published in BJU International: complete citation information for the final version of the paper, as published in the print edition of BJU International, is available on the Blackwell Synergy online delivery service, accessible via the journal s website at </font> <a title="http://www.blackwellpublishing.com/bju" href="http://www.blackwellpublishing.com/bju"> <font title="http://www.blackwellpublishing.com/bju" face="Arial"> www.blackwellpublishing.com/bju</font></a><font face="Arial"> or </font> <a title="http://www.blackwell-synergy.com/" href="http://www.blackwell-synergy.com"> <font title="http://www.blackwell-synergy.com/" face="Arial"> www.blackwell-synergy.com</font></a><font face="Arial">.</font></font><p>Recent NEWS Week article- excerpts from.. <FONT face="Verdana, Arial, Helvetica, sans-serif" size="-1"> <sup> <a target="_blank" href="http://www.msnbc.msn.com/id/10312998/site/newsweek/"> NEWS WEEK Article</a></sup></FONT> </blockquote> </blockquote> <table cellSpacing="0" cellPadding="0" width="539" border="0"> <tr> <td vAlign="top" width="526"> <img hspace="0" src="http://msnbcmedia.msn.com/i/msnbc/Sections/Newsweek/Components/Art/Article_bantops/nw_a_btop_healthforlife_m10.gif" border="0" width="529" height="54"></td> <td vAlign="top" width="13" bgColor="#cc0000">&nbsp;</td> </tr> </table> <h1><a name="Cutting_Edge">Cutting Edge</a></h1> <h2>Medical progress is measured in many ways. As robotic surgery comes of age..... A look ahead.</h2> <table cellSpacing="0" cellPadding="0" border="0"> <tr> <td style="padding-left: 15px; padding-right: 0px; padding-top: 25px; padding-bottom: 0px"> <a id="linkImgRelatedPhotos"> <img hspace="0" src="http://msnbcmedia.msn.com/j/msnbc/Sections/Newsweek/Components/Photos/Mag/051212_Issue/051203_Health_wide.hlarge.jpg" border="0" width="521" height="273"></a> <div class="credit aR" style="width: 524; height: 58"> Photo illustration by Newsweek; photograph by Adam Friedberg for Newsweek (stereo viewer); courtesy of Intuitive Surgical Inc. (3-D image)</div> </td> </tr> </table> <div> <div class="textMedBlackBold"> By Jennifer Barrett</div> <div class="textMedBlack"> Newsweek</div> <div class="textTimestamp"> Updated: 2:57 p.m. ET Dec. 4, 2005</div> </div> <p class="textBodyBlack">Dec. 12, 2005 issue - <u><b>Stuart Forbes</b></u> celebrated his 60th birthday on April 11. A week later, he was diagnosed with prostate cancer. &quot;It was quite a month,&quot; says Forbes, a blunt Vietnam veteran who runs a consulting firm outside Boston. When biopsies confirmed he had an aggressive form of the disease, Forbes started looking for a surgeon. The first recommended a traditional radical prostatectomy, which would require an eight- to 10-inch incision and at least two days in the hospital. Forbes was also warned that he would likely lose almost all the nerves on the left side of the prostate, which could permanently affect his sexual function. &quot;I thought, &#39;I need to really look at all my options&#39;,&quot; says Forbes. He considered high-intensity focused ultrasound ablation, a relatively new technology that&#39;s been used in Europe. But it&#39;s expensive and would require transatlantic trips. He looked into various forms of radiation, as well as proton-beam therapy. Then, in June, his girlfriend took him to a symposium on robotic surgery. &quot;I saw the machine and how it worked,&quot; remembers Forbes. &quot;It was just incredible. I said, &#39;That&#39;s it&#39;.&quot;</p> <p class="textBodyBlack">In August, <b><u>Dr. Ashutosh Tewari,</u></b> director of robotic prostatectomy at NewYork-Presbyterian Hospital/Weill Cornell, removed Forbes&#39;s walnut-size prostate and lymph nodes and reattached his bladder to his urethra without once putting his hands inside the patient. Using Intuitive Surgical&#39;s da Vinci robotic system and operating through five tiny incisions, Tewari conducted the entire procedure from across the room. He sat at a console and turned two knobs to remotely manipulate tiny surgical instruments attached to adjustable robotic arms. <b>Forbes was walking within hours of his surgery and was discharged the next day. He compares the discomfort from the largest incision (about two inches long, and the only one to require stitches) to a bad pimple. By midweek he was walking three miles daily. In 10 days he was back at work. After three weeks he was playing golf again; by late October he&#39;d regained normal urinary, and most sexual, function. &quot;I&#39;m about as excited as anyone can be about this procedure,&quot; he says.</b></p> <p class="textBodyBlack">Using robots to perform surgery once seemed a futuristic fantasy. Not anymore. An estimated 36,600 robotic procedures will be performed this year from heart-bypass surgeries to kidney transplants to hysterectomies. That&#39;s up nearly 50 percent from last year, and analysts predict the figure will nearly double in 2006 to more than 70,000 procedures. Since the da Vinci was approved by the Food and Drug Administration in July 2000 (the only robotic system to get the FDA nod), about 350 of the units have been purchased, including 30 in the last quarter alone, at about $1.3 million apiece. Surgeons who use the system have found that patients have less blood loss and pain, lower risk of complications, shorter hospital stays and quicker recovery times than those who have open surgery and even, in many cases, laparoscopic procedures.</p> <p class="textBodyBlack"><b>To get additional information, please call 212 746 5638 or 5643</b></p> <p class="textBodyBlack">Remaining story at- <FONT face="Verdana, Arial, Helvetica, sans-serif" size="-1"> <sup> <a target="_blank" href="http://www.msnbc.msn.com/id/10312998/site/newsweek/"> NEWS WEEK Article</a></sup></FONT> </p> <div id="res" style="font-family: arial,sans-serif; color: #000"> <div style="font-family: arial,sans-serif; color: #000"> <div class="g"> <h2 class="r"> <a class="l" onmousedown="return clk(this.href,'','','res','1','')" target="_blank" href="http://www.eurekalert.org/pub_releases/2007-05/nyph-qip051107.php"> Quick, <b>innovative procedure</b> helps men minimize incontinence after <b>...</b></a></h2> <table cellSpacing="0" cellPadding="0" border="0" id="table1"> <tr> <td class="j"><font size="-1">Quick, <b> innovative procedure</b> helps men minimize incontinence after prostatectomy <b>...</b> Trying to find a better way, Drs. <b>Tewari</b> and Vaughan reviewed 3-D videos <b>...</b><br> <span class="a">www.eurekalert.org/pub_releases/<WBR>2007-05/nyph-qip051107.php - 11k </span></font></td> </tr> </table> </div> <div class="g"> <h2 class="r"> <a class="l" onmousedown="return clk(this.href,'','','res','2','')" target="_blank" href="http://www.sciencedaily.com/releases/2007/05/070511203200.htm"> ScienceDaily: Quick, <b>Innovative Procedure</b> Helps Men Minimize <b>...</b></a></h2> <table cellSpacing="0" cellPadding="0" border="0" id="table2"> <tr> <td class="j"><font size="-1">Quick, <b> Innovative Procedure</b> Helps Men Minimize Incontinence After Prostatectomy <b>...</b> after their surgeries,&quot; explains lead researcher Dr. Ashutosh K. <b>Tewari</b>, <b>...</b><br> <span class="a">www.sciencedaily.com/releases/2007/05/070511203200.htm - 50k </span></font></td> </tr> </table> </div> <div class="g"> <h2 class="r"> <a class="l" onmousedown="return clk(this.href,'','','res','3','')" target="_blank" href="http://www.firstscience.com/home/news/medicine-and-health/quick-innovative-procedure-helps-men-minimize-incontinence-after-prostatectomy-page-2-1_25938.html"> FirstScience - Quick, <b>innovative procedure</b> helps men minimize <b>...</b></a></h2> <table cellSpacing="0" cellPadding="0" border="0" id="table3"> <tr> <td class="j"><font size="-1">Quick, <b> innovative procedure</b> helps men minimize incontinence after prostatectomy <b>...</b> Dr. <b>Tewari</b> is the principal investigator of a separate research study <b>...</b><br> <span class="a">www.firstscience.com/home/news/medicine-and-health/<WBR>quick-<b>innovative</b>-<b>procedure</b>-helps-men-minimize-incontin... - 28k </span></font></td> </tr> </table> </div> <div class="g"> <h2 class="r"> <a class="l" onmousedown="return clk(this.href,'','','res','4','')" target="_blank" href="http://www.cancerfocus.net/forum/showthread.php?p=470"> Quick, <b>Innovative Procedure</b> Helps Men Minimize Incontinence After <b>...</b></a></h2> <table cellSpacing="0" cellPadding="0" border="0" id="table4"> <tr> <td class="j"><font size="-1">Quick, <b> Innovative Procedure</b> Helps Men Minimize Incontinence After Prostatectomy <b>...</b> explains lead researcher Dr. Ashutosh K. <b> Tewari</b>, director of robotic <b>...</b><br> <span class="a">www.cancerfocus.net/forum/showthread.php?p=470 - 30k - May 14, 2007 </span></font></td> </tr> </table> </div> <div class="g"> <h2 class="r"> <a class="l" onmousedown="return clk(this.href,'','','res','5','')" target="_blank" href="http://www.redorbit.com/news/health/935630/procedure_minimizes_prostate_incontinence/index.html"> <b>Procedure</b> Minimizes Prostate Incontinence - Health - RedOrbit</a></h2> <table cellSpacing="0" cellPadding="0" border="0" id="table5"> <tr> <td class="j"><font size="-1">A quick, <b> innovative procedure</b> developed by US urologic surgeons can help men minimize <b>...</b> lead researcher Dr. Ashutosh K. <b>Tewari</b> said in a statement. <b>...</b><br> <span class="a">www.redorbit.com/news/health/935630/<WBR><b>procedure</b>_minimizes_prostate_incontinence/index.html - 28k - May 14, 2007 </span></font></td> </tr> </table> </div> <div class="g"> <h2 class="r"> <a class="l" onmousedown="return clk(this.href,'','','res','6','')" target="_blank" href="http://www.newsvantage.com/perl/p/wed/by/Uus-prostatesurgery-briefing.RUwJ_HyE.html?day=Mon&yqy&g=tw.top"> <b>Procedure</b> minimizes prostate incontinence</a></h2> <table cellSpacing="0" cellPadding="0" border="0" id="table6"> <tr> <td class="j"><font size="-1">NEW YORK, May 14 (UPI) -- A quick, <b>innovative procedure</b> developed by U.S. <b>...</b> tissues that we can flip around and support to our advantage,&quot; <b> Tewari</b> said. <b>...</b><br> <span class="a">www.newsvantage.com/perl/p/wed/by/Uus-prostatesurgery-briefing.<WBR>RUwJ_HyE.html?day=Mon&amp;yqy&amp;g=tw.top - 20k - May 14, 2007 </span></font></td> </tr> </table> </div> <div class="g"> <h2 class="r"> <a class="l" onmousedown="return clk(this.href,'','','res','7','')" target="_blank" href="http://www.washtimes.com/upi/20070513-115158-9118"> United Press International - The Washington Times, America&#39;s Newspaper</a></h2> <table cellSpacing="0" cellPadding="0" border="0" id="table7"> <tr> <td class="j"><font size="-1">14 (UPI) -- A quick, <b>innovative procedure</b> developed by U.S. urologic <b>...</b> tissues that we can flip around and support to our advantage,&quot; <b> Tewari</b> said. <b>...</b><br> <span class="a">www.washtimes.com/upi/20070513-115158-9118 - 38k - May 14, 2007</span></font></td> </tr> </table> </div> <div class="g"> <h2 class="r"> <a class="l" onmousedown="return clk(this.href,'','','res','8','')" target="_blank" href="http://news.usti.net/newsstory/tw.misc/2/wed/by/Uus-prostatesurgery-briefing.RUwJ_HyE.html"> MyUSTINET News: <b>Procedure</b> Minimizes Prostate Incontinence</a></h2> <table cellSpacing="0" cellPadding="0" border="0" id="table8"> <tr> <td class="j"><font size="-1">News Summary: A quick, <b>innovative procedure</b> developed by U. <b>...</b> 16 weeks after their surgeries&quot;, lead researcher Dr. Ashutosh K. <b>Tewari</b> said in a statement. <b>...</b><br> <span class="a">news.usti.net/newsstory/tw.misc/<WBR>2/wed/by/Uus-prostatesurgery-briefing.RUwJ_HyE.html - 27k - May 15, 2007 </span></font></td> </tr> </table> </div> <div class="g"> <h2 class="r"> <a class="l" onmousedown="return clk(this.href,'','','res','9','')" target="_blank" href="http://www.protomag.com/issues/2007_winter/robot_surgeon_print.html"> Medical News &amp; Articles: The Robot Surgeon</a></h2> <table cellSpacing="0" cellPadding="0" border="0" id="table9"> <tr> <td class="j"><font size="-1">Even watching a video of a <b>procedure</b> in Ashutosh <b> Tewari</b> s ninth-floor office at <b>...</b> from my perspective, is that the robot is <b> innovative</b>, Slavin says. <b>...</b><br> <span class="a">www.protomag.com/issues/<WBR>2007_winter/robot_surgeon_print.html - 17k </span></font></td> </tr> </table> </div> <div class="g"> <h2 class="r"> <a class="l" onmousedown="return clk(this.href,'','','res','10','')" target="_blank" href="http://weneedhealth.com/"> Explorations Discoveries and Achievements in Health | We Need Health</a></h2> <table cellSpacing="0" cellPadding="0" border="0" id="table10"> <tr> <td class="j"><font size="-1">Quick, <b> innovative procedure</b> helps men minimize incontinence after prostate <b>...</b> that we can flip around and support to our advantage,&quot; Dr. <b>Tewari</b> explains. <b>...</b><br> &nbsp;</font></td> </tr> </table> </div> </div> </div> <div id="res0"> <div> <div class="g"> <h2 class="r"> <a class="l" onmousedown="return clk(this.href,'','','res','19','')" target="_blank" href="http://www.health.am/ab/more/men-minimize-incontinence-after-prostatectomy/"> Quick, <b>Innovative Procedure</b> Helps Men Minimize Incontinence After <b>...</b></a></h2> <table cellSpacing="0" cellPadding="0" border="0" id="table11"> <tr> <td class="j"><font size="-1">Quick, <b> Innovative Procedure</b> Helps Men Minimize Incontinence After <b>...</b> Trying to find a better way, Drs. <b>Tewari</b> and Vaughan reviewed 3-D videos that detailed <b>...</b><br> <span class="a">www.health.am/ab/more/<WBR>men-minimize-incontinence-after-prostatectomy/ - 82k - May 14, 2007</span></font></td> </tr> </table> </div> </div> </div> <div id="res1"> <div> <div class="g"> <h2 class="r"> <a class="l" onmousedown="return clk(this.href,'','','res','14','')" target="_blank" href="http://money.cnn.com/2007/03/23/news/companies/intuitive_surgical/index.htm"> Intuitive Surgical holds monopoly on robotic surgical arms - Mar <b>...</b></a></h2> <table cellSpacing="0" cellPadding="0" border="0" id="table12"> <tr> <td class="j"><font size="-1">Dr. <b>Tewari</b>, cancer specialist and director of robotic prostate surgery at Cornell, believes that surgery performed with Intuitive Surgical&#39;s <b> robot</b> claws is <b>...</b><br> <span class="a">money.cnn.com/2007/03/23/news/<WBR>companies/intuitive_surgical/index.htm - 41k </span></font></td> </tr> </table> </div> </div> </div> <div id="res2"> <div> <div class="g"> <h2 class="r"> <a class="l" onmousedown="return clk(this.href,'','','res','20','')" target="_blank" href="http://www.msnbc.msn.com/id/10312998/site/newsweek/"> Cutting Edge: <b>Robots</b> and Surgery - Health For Life - MSNBC.com</a></h2> <table cellSpacing="0" cellPadding="0" border="0" id="table13"> <tr> <td class="j"><font size="-1">In August, Dr. Ashutosh <b>Tewari</b>, director of robotic prostatectomy at <b>...</b> Using <b>robots</b> to perform surgery once seemed a futuristic fantasy. Not anymore. <b>...</b><br> <span class="a">www.msnbc.msn.com/id/10312998/site/newsweek/ - 56k - May 14, 2007</span></font></td> </tr> </table> </div> </div> </div> <div id="res3"> <div> <div class="g"> <h2 class="r"> <a class="l" onmousedown="return clk(this.href,'','','res','25','')" target="_blank" href="http://www.newswise.com/articles/view/529962/"> Newswise</a></h2> <table cellSpacing="0" cellPadding="0" border="0" id="table14"> <tr> <td class="j"><font size="-1">Trying to find a better way, Drs. <b>Tewari</b> and Vaughan reviewed 3-D videos <b>...</b> 50 consecutive patients scheduled to undergo <b>robot</b>-guided prostatectomy for the <b>...</b><br> <span class="a">www.newswise.com/articles/view/529962/ -</span></font></td> </tr> </table> </div> </div> </div> <div id="res4"> <div> <div class="g"> <h2 class="r"> <a class="l" onmousedown="return clk(this.href,'','','res','34','')" href="http://blog.sciam.com/index.php?title=robots_in_your_prostate&more=1&c=1&tb=1&pb=1"> <b>Robots</b> in Your Prostate: Sciam Observations</a><a target="_top" href="http://www.sciam.com/"><img height="80" alt="Science and Technology at Scientific American.com" src="http://www.sciam.com/media/logo/sa_logo_black.gif" width="210" border="0"></a></h2> <table cellSpacing="0" cellPadding="0" border="0" id="table15"> <tr> <td class="j"><font size="-1">The surgeon who hosted the event, Ash K. <b>Tewari</b> of New <b> ...</b> However, a new operation performed by <b> robot</b> means that 90 per cent of patients are still able to <b>...</b><br> <span class="a">blog.sciam.com/index.php?title=<b>robot</b>s_<WBR>in_your_prostate&amp;more=1&amp;c=1&amp;tb=1&amp;pb=1 - 54k </span></font></td> </tr> </table> </div> </div> </div> <p class="textBodyBlack"> ............................................................................................................................</p> <p class="textBodyBlack">Dr. Tewari leads the robotic prostatectomy program and has been intimately involved with over thousand of robotic prostatectomies.&nbsp; His technique of nerve sparing has one several awards including first prize by American Urologic Association.&nbsp; He has been invited to perform surgeries at at international institutions such as Cambridge, UK, Guy&#39;s hospital, UK and University of Innsbruck, Austria.&nbsp; He has published hundreds of publications about Robotic Prostatectomy and prostate cancer. His book on robotic surgery is in press and another book on prostate cancer is being prepared.</p> <p class="textBodyBlack">He was trained by worlds premier surgeon on Robotic Prostatectomy- Professor Mani Menon at Henry Ford Hospital. With Professor Menon, who is considered the father of robotic surgery, he co-authored several key techniques and publications about robotic prostatectomy. </p> <p class="textBodyBlack">Prospective patients can call 212 746 5638, 212 746 5643, 212 746 5658 for more details (detailed list of contact is at the bottom of this page).</p> <p class="textBodyBlack">More reading:</p> <ul> <li> <p style="margin-left: 0in; margin-right: 0in; margin-top: 0in; margin-bottom: .0001pt"> <a target="_blank" href="http://www.cornellphysicians.com/aktewari/index.html" name="About Dr. Tewari">About Dr. Tewari</a></p> </li> <li> <p style="margin-left: 0in; margin-right: 0in; margin-top: 0in; margin-bottom: .0001pt"> <a target="_blank" href="CV/Tewari-2006-ART.pdf">Brief CV</a></p> </li> <li> <p style="margin-left: 0in; margin-right: 0in; margin-top: 0in; margin-bottom: .0001pt"> <a target="_blank" href="http://www.cornellphysicians.com/aktewari/awardsandhonors.html">Awards</a></p> </li> <li> <p style="margin-left: 0in; margin-right: 0in; margin-top: 0in; margin-bottom: .0001pt"> <a target="_blank" href="http://www.cornellphysicians.com/aktewari/publications.html" name="Publications">Publications</a></p> </li> <li> <p style="margin-left: 0in; margin-right: 0in; margin-top: 0in; margin-bottom: .0001pt"> <a target="_blank" href="http://www.cornellphysicians.com/aktewari/researchprofile.html"> Research</a></p> </li> <li> <p style="margin-left: 0in; margin-right: 0in; margin-top: 0in; margin-bottom: .0001pt"> <a target="_blank" href="../October%20Files/Why%20choose%20robotic%20prostatectomy.pdf" name="Why choose robotic prostate surgery">Why choose robotic prostate surgery</a></p> </li> <li> <p style="margin-left: 0in; margin-right: 0in; margin-top: 0in; margin-bottom: .0001pt"> <a target="_blank" href="../October%20Files/Prostate%20Cancer%20Guide.pdf">Treatment selection for prostate cancer</a></p> </li> <li> <p style="margin-left: 0in; margin-right: 0in; margin-top: 0in; margin-bottom: .0001pt"> <a target="_blank" href="../October%20Files/cornell%20resources.pdf">Cornell resources</a></p> </li> <li> <p style="margin-left: 0in; margin-right: 0in; margin-top: 0in; margin-bottom: .0001pt"> <a target="_blank" href="../October%20Files/Robotic%20Prostatectomy%20Screening%20Form.pdf">Am I a candidate for robotic surgery?</a></p> </li> <li> <p style="margin-left: 0in; margin-right: 0in; margin-top: 0in; margin-bottom: .0001pt"> <a target="_blank" href="../October%20Files/FAQ.pdf">Frequently Asked Questions</a></p></li> <li> <p style="margin-left: 0in; margin-right: 0in; margin-top: 0in; margin-bottom: .0001pt"> <a target="_blank" href="../October%20Files/First%20visi.pdf">First visit to Dr. Tewari's office at Cornell</a></p></li> </ul> <p class="textBodyBlack"> .........................................................................................................................</p> <p><b><a name="Comparison_of_various_surgical_treatments_">Comparison of various surgical treatments</a></b></p> <p><a target="_blank" href="../Tewari-Expert%20Review.pdf">Pooled Analysis of Published data</a></p> <p><a target="_blank" href="../UR06-2-1-07%20Tewari.doc">Nerve Sparing Technique</a></p> <p><a target="_blank" href="../Medscape%20review.pdf">General overview</a></p> <p><b><a name="Advance_Robotic_techniques_of_Prostatectomy_(ART)_">Advance Robotic techniques of Prostatectomy (ART)</a></b></p> <p>Robotic prostatectomy has become an important modality in management of prostate cancer.&nbsp; We have been involved in refining and developing advance techniques for meeting key goals for prostate cancer surgery.&nbsp; Dr. Tewari organized a symposium in New York last year which described these techniques.&nbsp; More about technique....</FONT><a target="_blank" href="ART.htm">ART.htm</a></p> <FONT face="ARIAL, HELVETICA"> <p style="margin-left: 0in; margin-right: 0in; margin-top: 0in; margin-bottom: .0001pt"> <b> <span style="font-size: 11.0pt; font-family: Times New Roman; text-transform: uppercase"> Robotic Prostatectomy Program at Cornell Institute of robotic surgery</span></b></p> <p class="MsoNormal"><span style="font-size: 11.0pt">The goal of Robotic Prostatectomy is to completely remove prostate cancer while minimizing the side effects of conventional surgery. Robotic Prostatectomy has been proven safe and effective for men with prostate cancer. </span>The information provided here is based on the&nbsp; published work in which Dr. Tewari was a co-author with his mentor, Professor Mani Menon, Director, Vattikuti Institute of Urology. Dr. Menon has pioneered the field of robotic urology.</p> <p class="MsoNormal"><b><span style="font-size: 11.0pt"> <a name="Cornell_Robotic_Prostatectomy_Program_offers_">Cornell Robotic Prostatectomy Program offers</a></span></b></p> <ul style="margin-top: 0in; margin-bottom: 0in" type="disc"> <li class="MsoNormal" style="color: black"> <span style="font-size: 11.0pt; color: windowtext">Latest robotic technology with the da Vinci<sup>®</sup> Surgical System</span></li> <li class="MsoNormal" style="color: black"> <span style="font-size: 11.0pt; color: windowtext">Trained team of surgeon, fellows, nurses and robotic coordinators performing 7-10 cases/week</span><span style="font-size: 11pt"> </span></li> <li class="MsoNormal" style="color: black"> <span style="font-size: 11pt">Lead surgeon (Dr. Tewari) is American Board of Urology certified surgeon who has been involved with over 2000 robotic procedures including those in his training.&nbsp; he performs over 500 cases every year.</span></li> <li class="MsoNormal" style="color: black"> <span style="font-size: 11pt">Pioneer work in robotic nerve sparing procedures- ART Prostatectomy.</span></li> <li class="MsoNormal" style="color: black"> <span style="font-size: 11pt">Noel continence preservation technique</span></li> <li class="MsoNormal" style="color: black"> <span style="font-size: 11pt">Individualized Program for Oncologic optimization- Protocol and technique to minimize positive margin rates.</span></li> <li class="MsoNormal" style="color: black"> <span style="font-size: 11pt">Integrated continence recovery program involving modern techniques and state of art equipments.</span></li> <li class="MsoNormal" style="color: black"> <span style="font-size: 11.0pt; color: windowtext">Integrated early sexual recovery program</span></li> <li class="MsoNormal" style="color: black"> <span style="font-size: 11pt">Preoperative image guided treatment planning to optimize surgical technique for an individual patient to adjust for his unique internal anatomy</span></li> <li class="MsoNormal"><span style="font-size: 11.0pt">Basic and clinical research on robotics by Dr. Tewari</span></li> <li class="MsoNormal"><span style="font-size: 11.0pt">Leading hospital with trained staff- New York Presbyterian Hospital is amongst top 10 hospitals according to US News rating</span></li> <li class="MsoNormal"><span style="font-size: 11pt">Dedicated 3 D operating room with wall of knowledge </span></li> <li class="MsoNormal"><span style="font-size: 11pt">Multiple DaVinci robotic systems</span></li> </ul> <p class="MsoNormal"><b><span style="font-size: 11.0pt">The New Frontier<br> </span></b><span style="font-size: 10.0pt"><br> </span><span style="font-size: 11.0pt">Surgical removal of the prostate and surrounding tissue (radical prostatectomy) has long been recognized as one of the most effective forms of therapy for prostate cancer. A conventional radical prostatectomy involves an open incision across the abdomen.&nbsp; The Cornell Institute of Robotic Surgery in the Department of Urology at NewYork-Presbyterian Hospital has entered the next generation of prostate surgery by performing robotic laparoscopic prostatectomy using the daVinci"! computer-enhanced minimally invasive surgery system.</span></p> <p class="MsoNormal"><b><span style="font-size: 11.0pt">Team</span></b></p> <p class="MsoNormal"><span style="font-size: 11.0pt">The Robotic Prostatectomy Program at Cornell is directed by Ash Tewari, MD. The Robotic Prostatectomy Program team includes laparoscopic fellowship trained surgeons, dedicated operating room team, a robotic coordinator, a nurse practitioner, two physician assistants, several research coordinators and data base administrators.</span></p> <p class="MsoNormal"><b><span style="font-size: 11.0pt">Technology</span></b></p> <p class="MsoNormal"><span style="font-size: 11.0pt">This procedure uses computer enhanced minimally invasive daVinci"! surgical system.&nbsp; The system is empowered with I-Max like three-dimensional vision. The surgeon controls robotic arms that hold special surgical instruments and are inserted into the abdomen through small openings. A camera (a long, thin, lighted telescope)&nbsp;is inserted and connected to the computer monitor that allows the surgeon to see inside the body.&nbsp; The vision is stereoscopic and magnified ten to fifteen fold. </span><b><span style="font-size: 11.0pt"> <img border="0" src="../OR2.jpg" width="179" height="238" align="right"></span></b><span style="font-size: 11.0pt"><br> <br> The Stereoscopic 3-D magnification helps the surgeon to identify the delicate nerves and muscles surrounding the prostate. The depth perception provides precision during the surgery and allows meticulous surgical dissection. Every structure can be identified and precisely separated from the prostate. The camera can be negotiated in very narrow corners of the body, which can be hard to visualize when looking with the naked eye. The augmented image perspectives help the surgeon in minimizing damage to erectile nerves.</span></p> <p class="MsoNormal"><span style="font-size: 11.0pt">The robotic arms can rotate a full 360 degrees in various planes, allowing the surgeon to manipulate instruments with greater precision and flexibility. These instruments are mounted at the tip and thus could be controlled with high fidelity and dexterity. This ability to move small instruments in any possible direction helps tremendously in performing delicate surgical moves which involve the ability to rotate, turn, flex, extend, push, twist, abduct and adduct while performing a complex surgical task.<br> &nbsp;</span></p> <p class="MsoNormal"><b>Procedure</b></p> <p class="MsoNormal"><span style="font-size: 11.0pt">The prostate, pelvic lymph nodes, seminal vesicles and adjacent tissue are removed through the small incisions, which are closed with a few stitches. Just like conventional open surgery in aggressive cancers, robotic prostatectomy includes removal of lymph nodes that drain the prostate. Indications for removal of lymph nodes depend upon the cancer grade, the PSA level and the digital rectal examination. In addition to removing the prostate, seminal vesicles also are&nbsp;removed. Men can no longer father&nbsp;children following the procedure.&nbsp; However, NYP hospital is a premier center for infertility and assistance is available for patients who wish to.<br> &nbsp;<br> Patients usually are&nbsp;discharged within 24 hours and return to normal activity in approximately two weeks.&nbsp; Most patients start walking on the same day of surgery and are able to drive soon thereafter.<br> <br> After the operation, patients&nbsp;have a catheter to drain the bladder (Foley). When the prostate is removed, the bladder has to be connected to the urinary channel within the penis (urethra). The catheter helps&nbsp;protect the&nbsp;connection during the healing process. In most patients, the catheter is removed in 7 days. There is a very small chance that it has to be reinserted because of temporary swelling at the connection site.&nbsp; Robotic Prostatectomy leads to a rapid recuperation in most patients. Patients begin walking the evening of surgery and begin a liquid diet one day after surgery.</span></p> <p class="MsoNormal"><b><span style="font-size: 11.0pt">Who is the candidate for this surgery?</span></b></p> <p class="MsoNormal"><span style="font-size: 11.0pt">Patients with clinically localized prostate cancer who are medically fit to undergo surgery are candidates for this procedure.</span></p> <p class="MsoNormal"><b><span style="font-size: 11.0pt">Potential benefits of Robotic Surgery</span></b></p> <p class="MsoNormal" style="text-indent: -.25in; margin-left: 1.0in"> <span style="font-size: 11.0pt; font-family: Symbol">·<span style="font-style: normal; font-variant: normal; font-weight: normal; font-size: 7.0pt; font-family: Times New Roman">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span><b><span style="font-size: 11.0pt">Cosmetics-</span></b><span style="font-size: 11.0pt"> small key holes</span></p> <p class="MsoNormal" style="text-indent: -.25in; margin-left: 1.0in"> <span style="font-size: 11.0pt; font-family: Symbol">·<span style="font-style: normal; font-variant: normal; font-weight: normal; font-size: 7.0pt; font-family: Times New Roman">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span><b><span style="font-size: 11.0pt">Less pain</span></b><span style="font-size: 11.0pt">- four fold reduction in pain than open surgery</span></p> <p class="MsoNormal" style="text-indent: -.25in; margin-left: 1.0in"> <span style="font-size: 11.0pt; font-family: Symbol">·<span style="font-style: normal; font-variant: normal; font-weight: normal; font-size: 7.0pt; font-family: Times New Roman">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span><b><span style="font-size: 11.0pt">Minimal blood loss</span></b><span style="font-size: 11.0pt">- one tenth of open procedure</span></p> <p class="MsoNormal" style="text-indent: -.25in; margin-left: 1.0in"> <span style="font-size: 11.0pt; font-family: Symbol">·<span style="font-style: normal; font-variant: normal; font-weight: normal; font-size: 7.0pt; font-family: Times New Roman">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span><b><span style="font-size: 11.0pt">Lowering the need for blood transfusion and associated complications</span></b><span style="font-size: 11.0pt">. Rarely do&nbsp; patients require blood transfusions while they are under going robotic surgery.&nbsp; However during open surgery, approximately 67% patients require blood transfusions.</span></p> <p class="MsoNormal" style="text-indent: -.25in; margin-left: 1.0in"> <span style="font-size: 11.0pt; font-family: Symbol">·<span style="font-style: normal; font-variant: normal; font-weight: normal; font-size: 7.0pt; font-family: Times New Roman">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span><b><span style="font-size: 11.0pt">Greater post operative hemoglobin-</span></b><span style="font-size: 11.0pt"> The patients go home with 30% more hemoglobin, which reduces the fatigue and patients feel much more energetic and less tired.</span></p> <p class="MsoNormal" style="text-indent: -.25in; margin-left: 1.0in"> <span style="font-size: 11.0pt; font-family: Symbol">·<span style="font-style: normal; font-variant: normal; font-weight: normal; font-size: 7.0pt; font-family: Times New Roman">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span><b><span style="font-size: 11.0pt">Minimal disruption in their life style</span></b><span style="font-size: 11.0pt">, as patients stays in hospital 1/3<sup>rd</sup> the time than conventional procedure.</span></p> <p class="MsoNormal" style="text-indent: -.25in; margin-left: 1.0in"> <span style="font-size: 11.0pt; font-family: Symbol">·<span style="font-style: normal; font-variant: normal; font-weight: normal; font-size: 7.0pt; font-family: Times New Roman">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span><b><span style="font-size: 11.0pt">Shorter duration of catheterization-</span></b><span style="font-size: 11.0pt"> there is 50% reduction the duration of catheterization following robotic prostatectomy.&nbsp; However, few open surgeons also specialize in removing the catheter early.&nbsp; Shorter catheterization usually translates in less discomfort and early return to life style.</span></p> <p class="MsoNormal" style="text-indent: -.25in; margin-left: 1.0in"> <span style="font-size: 11.0pt; font-family: Symbol">·<span style="font-style: normal; font-variant: normal; font-weight: normal; font-size: 7.0pt; font-family: Times New Roman">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span><b><span style="font-size: 11.0pt">Proven safety in trained hands-</span></b><span style="font-size: 11.0pt">There is four fold reduction in complication rate in trained hands.&nbsp; Early robotic series usually reports higher complication rates.&nbsp; Most complications are minor and require minimal care.</span></p> <p class="MsoNormal"><b><font size="2">References</font></b></p> <p class="MsoNormal" style="margin-left:.5in;text-indent:-.5in"> <font size="1">1.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Menon, M., Shrivastava, A., Tewari, A. et al.: Laparoscopic and robot assisted radical prostatectomy: establishment of a structured program and preliminary analysis of outcomes. J Urol, <b>168:</b> 945, 2002</font></p> <p class="MsoNormal" style="margin-left:.5in;text-indent:-.5in"> <font size="1">2.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Tewari, A., Srivasatava, A., Menon, M.: A prospective comparison of radical retropubic and robot-assisted prostatectomy: experience in one institution. BJU Int, <b>92:</b> 205, 2003</font></p> <p class="MsoNormal" style="margin-left:.5in;text-indent:-.5in"> <font size="1">3.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Jourdan, I. C., Dutson, E., Garcia, A. et al.: Stereoscopic vision provides a significant advantage for precision robotic laparoscopy. Br J Surg, <b>91:</b> 879, 2004</font></p> <p class="MsoNormal" style="margin-left:.5in;text-indent:-.5in"> <font size="1">4.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Sarle, R., Tewari, A., Shrivastava, A. et al.: Surgical robotics and laparoscopic training drills. J Endourol, <b>18:</b> 63, 2004</font></p> <p class="MsoNormal" style="margin-left:.5in;text-indent:-.5in"> <font size="1">5.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Tewari, A., Menon, M.: Vattikuti Institute prostatectomy: surgical technique and current results. Curr Urol Rep, <b>4:</b> 119, 2003</font></p> <p class="MsoNormal" style="margin-left:.5in;text-indent:-.5in"> <font size="1">6.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Tewari, A., Peabody, J. O., Fischer, M. et al.: An operative and anatomic study to help in nerve sparing during laparoscopic and robotic radical prostatectomy. Eur Urol, <b>43:</b> 444, 2003</font></p> <p class="MsoNormal" style="margin-left:.5in;text-indent:-.5in"> <font size="1">7.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Tewari, A., Peabody, J., Sarle, R. et al.: Technique of da vinci robot-assisted anatomic radical prostatectomy. Urology, <b>60:</b> 569, 2002</font></p> <p class="MsoNormal" style="margin-left:.5in;text-indent:-.5in"> <font size="1">8.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Menon, M., Tewari, A., Peabody, J.: Vattikuti Institute prostatectomy: technique. J Urol, <b>169:</b> 2289, 2003</font></p> <FONT face="Verdana, Arial, &#13;&#10;Helvetica, sans-serif" size=-1> <P><B><FONT face="Verdana, Arial, Helvetica, sans-serif" size=-1>Contact</FONT></B></P> <BLOCKQUOTE> <P><FONT face="Verdana, Arial, Helvetica, sans-serif" size=-1>To receive additional information or schedule an appointment, please email <a href="mailto:akt2002@med.cornell.edu?subject=Information about robotic prostatectomy">Robotic Coordinator</a> or call 212 746 5643 or fax your information at 212 746 8396.</FONT><FONT face="Verdana, Arial, Helvetica, sans-&#13;&#10;serif" size=-1>Or Call 212 746 5638 or email at <a href="mailto:akt2002@med.cornell.edu?subject=Information about robotic prostatectomy">Robotic Coordinator</a></FONT></P> <P><b>Office contact information:</b></P> <p class="MsoNormal"><b><i>Existing patients can use following phone and e mail &nbsp;list-</i></b></p> <p class="MsoNormal">Linda Leong (<a style="color: blue; text-decoration: underline; text-underline: single" href="mailto:lil2014@med.cornell.edu">lil2014@med.cornell.edu</a>) (212 746 5658)</p> <p class="MsoNormal">Ageliki Pettas (<a style="color: blue; text-decoration: underline; text-underline: single" href="mailto:apettas@med.cornell.edu">apettas@med.cornell.edu</a>) (212 746 5638)</p> <p class="MsoNormal">Sandaya R. Rao MD (Fellow) (<a style="color: blue; text-decoration: underline; text-underline: single" href="mailto:srr2002@med.cornell.edu">srr2002@med.cornell.edu</a>) (212 746 5638 and ask he to be paged- usually before 7 AM and after 5 PM)</p> <p class="MsoNormal">Carol Anne Celona (NP) (<a style="color: blue; text-decoration: underline; text-underline: single" href="mailto:cac9115@nyp.org">cac9115@nyp.org</a>) (Day time contact for any emergent medical question- 212 756 5643)</p> <p class="MsoNormal">Chip Berryhill (PA) (<a style="color: blue; text-decoration: underline; text-underline: single" href="mailto:rsb2006@med.cornell.edu">rsb2006@med.cornell.edu</a>) (212 746 5638 and ask he to be paged if Dr. Rao cannot be contacted- usually before 7 AM and after 5 PM)</p> <p class="MsoNormal">Ann Marie Asencio (<a style="color: blue; text-decoration: underline; text-underline: single" href="mailto:ana2022@med.cornell.edu">ana2022@med.cornell.edu</a>) (212 7465638)</p> <p class="MsoNormal">Dr. Tewari (<a style="color: blue; text-decoration: underline; text-underline: single" href="mailto:akt2002@med.cornell.edu">akt2002@med.cornell.edu</a>)</p> <p class="MsoNormal"><b>New Patients should call 212 746 5643 or e mail following people</b></p> <p class="MsoNormal"> <span style="font-size: 10.0pt; font-family: Verdana,sans-serif"> <a style="color: blue; text-decoration: underline; text-underline: single" href="mailto:akt2002@med.cornell.edu?subject=Information%20about%20robotic%20prostatectomy"> Robotic Coordinator</a></span></p> <p class="MsoNormal">Carol Anne Celona; Chip Berryhill (<a style="color: blue; text-decoration: underline; text-underline: single" href="mailto:rsb2006@med.cornell.edu">rsb2006@med.cornell.edu</a>)</p> <p class="MsoNormal">Sandaya R. Rao MD (<a style="color: blue; text-decoration: underline; text-underline: single" href="mailto:srr2002@med.cornell.edu">srr2002@med.cornell.edu</a>)</p> <p class="MsoNormal">Chip Berryhill (<a style="color: blue; text-decoration: underline; text-underline: single" href="mailto:rsb2006@med.cornell.edu">rsb2006@med.cornell.edu</a>)</p> <p class="MsoNormal">Dr. Tewari (<a style="color: blue; text-decoration: underline; text-underline: single" href="mailto:akt2002@med.cornell.edu">akt2002@med.cornell.edu</a>)</p> </BLOCKQUOTE></FONT></FONT> <FONT face="Verdana, Arial, &#13;&#10;Helvetica, sans-serif" size=-1> <!--%%%%%%%%%% END PAGE CONTENT HERE %%%%%%%%%%--></FONT> </TD></TR> <TR> <TD width="551">&nbsp;</TD></TR></TBODY></TABLE><BR><BR><BR><!--BEGIN FOOTER--> <TABLE cellSpacing=0 cellPadding=5 width=550 border=0> <TBODY> <TR> <TD align=middle> <P align=center><BR></P></TD></TR></TBODY></TABLE></TD></TR></TBODY></TABLE><!--END FOOTER.TXT--></BODY></HTML>