BJU international
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To assess critical heat spread of cautery instruments used in robot-assisted laparoscopic (RAL) surgery. ⋯ All coagulation devices used in RAL surgery have distinct thermal spreads depending on power setting and application time. Cautery may be of concern due to lateral temperature spread, causing potential damage to sensitive structures including nerves. Our results provide surgeons with a resource for educated decision-making when using coagulation devices during robotic procedures.
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Editorial Comment
High hospital volume reduces mortality after cystectomy.
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Multicenter Study
Association of hospital volume with conditional 90-day mortality after cystectomy: an analysis of the National Cancer Data Base.
To examine the association of hospital volume and 90-day mortality after cystectomy, conditional on survival for 30 days. ⋯ A low hospital volume was associated with greater 30- and 90-day mortality. These data support the need for further research to better understand the relatively high mortality rates seen between 30 and 90 days, which are high and less variable across hospital volume strata. The stronger association between volume and 30-day mortality suggests that quality-reporting efforts should focus on shorter-term outcomes.