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Author Rajesh Ahlawat

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Predicting intra-operative and postoperative consequential events using machine-learning techniques in patients undergoing robot-assisted partial nephrectomy: a Vattikuti Collective Quality Initiative database study.

Mahendra Bhandari, Anubhav Reddy Nallabasannagari, Madhu Reddiboina, James R Porter, Wooju Jeong, Alexandre Mottrie, Prokar Dasgupta, Ben Challacombe, Ronney Abaza, Koon Ho Rha, Dipen J Parekh, Rajesh Ahlawat, Umberto Capitanio, Thyavihally B Yuvaraja, Sudhir Rawal, Daniel A Moon, Nicolò M Buffi, Ananthakrishnan Sivaraman, Kris K Maes, Francesco Porpiglia, Gagan Gautam, Levent Turkeri, Kohul Raj Meyyazhgan, Preethi Patil, Mani Menon, Craig Rogers,

OBJECTIVE:To predict intra-operative (IOEs) and postoperative events (POEs) consequential to the derailment of the ideal clinical course of patient recovery. MATERIALS AND METHODS:The Vattikuti Collective Quality Initiative is a multi-institutional dataset of patients who underwent robot-assisted partial nephectomy for kidney tumours. Machine-learning (ML) models were constructed to predict IOEs and ... Read more >>

BJU Int. (BJU international)
[2020, :]

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Response to Barry re: Learning Curves and Timing of Surgical Trials: Robotic Kidney Transplantation with Regional Hypothermia by Ahlawat et al. (From: Barry JM. J Endourolo 2018;32:1166; DOI: 1089/end.2018.0419).

Sohrab Arora, Akshay Sood, Philip Wong, Rajesh Ahlawat, Mani Menon,

J. Endourol. (Journal of endourology)
[2018, 32(12):1167]

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Editorial Comment.

Rajesh K Ahlawat,

J. Urol. (The Journal of urology)
[2018, 200(6):1376-1377]

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Retroperitoneal vs Transperitoneal Robot-assisted Partial Nephrectomy: Comparison in a Multi-institutional Setting.

Sohrab Arora, Gerald Heulitt, Mani Menon, Wooju Jeong, Rajesh K Ahlawat, Umberto Capitanio, Daniel A Moon, Kris K Maes, Sudhir Rawal, Alexander Mottrie, Mahendra Bhandari, Craig G Rogers, James R Porter,

OBJECTIVES:To evaluate retroperitoneal robot-assisted partial nephrectomy (RAPN) against transperitoneal approach in a multi-institutional prospective database, after accounting for potential selection bias that may affect this comparison. PATIENTS AND METHODS:Post-hoc analysis of the prospective arm of the Vattikuti Collective Quality Initiative database from 2014 to 2018. Six hundred and ninety consecutive ... Read more >>

Urology (Urology)
[2018, 120:131-137]

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Learning Curves and Timing of Surgical Trials: Robotic Kidney Transplantation with Regional Hypothermia.

Rajesh K Ahlawat, Volkan Tugcu, Sohrab Arora, Philip Wong, Akshay Sood, Wooju Jeong, Mahendra Bhandari, Mani Menon,

PURPOSE:Outcomes of surgical procedures can be affected by multiple factors including surgical skill and learning curve (LC). These factors need to be considered for optimal timing of surgical trials. We used the LC cumulative summation (CUSUM) method to describe the number of cases associated with competency of a single surgeon ... Read more >>

J. Endourol. (Journal of endourology)
[2018, 32(12):1160-1165]

Cited: 2 times

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Editorial Comment.

Rajesh Ahlawat,

J. Urol. (The Journal of urology)
[2018, 200(1):201]

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Robotic Donor Nephrectomy: The Right Way Forward.

Rajesh K Ahlawat, Tarun Jindal,

Donor nephrectomy is an extremely challenging procedure. The stakes are high, as two lives-the donor and the recipient-depend on it. Robotic donor nephrectomy has an edge over a laparoscopic approach. ... Read more >>

Eur Urol Focus (European urology focus)
[2018, 4(2):140-141]

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Conversion of Robot-assisted Partial Nephrectomy to Radical Nephrectomy: A Prospective Multi-institutional Study.

Sohrab Arora, Brian Chun, Rajesh K Ahlawat, Ronney Abaza, James Adshead, James R Porter, Benjamin Challacombe, Prokar Dasgupta, Giorgio Gandaglia, Daniel A Moon, Thyavihally B Yuvaraja, Umberto Capitanio, Alessandro Larcher, Francesco Porpiglia, Alexander Mottrie, Mahendra Bhandari, Craig Rogers,

OBJECTIVE:To assess the incidence and factors affecting conversion from robot-assisted partial nephrectomy (RAPN) to radical nephrectomy. METHODS:Between November 2014 and February 2017, 501 patients underwent attempted RAPN by 22 surgeons at 14 centers in 9 countries within the Vattikuti Collaborative Quality Initiative database. Patients were permanently logged for RAPN prior ... Read more >>

Urology (Urology)
[2018, 113:85-90]

Cited: 5 times

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'Trifecta' outcomes of robot-assisted partial nephrectomy in solitary kidney: a Vattikuti Collective Quality Initiative (VCQI) database analysis.

Sohrab Arora, Ronney Abaza, James M Adshead, Rajesh K Ahlawat, Benjamin J Challacombe, Prokar Dasgupta, Giorgio Gandaglia, Daniel A Moon, Thyavihally B Yuvaraja, Umberto Capitanio, Alessandro Larcher, Francesco Porpiglia, James R Porter, Alexander Mottrie, Mahendra Bhandari, Craig Rogers,

To analyse the outcomes of robot-assisted partial nephrectomy (RAPN) in patients with a solitary kidney in a large multi-institutional database.In all, 2755 patients in the Vattikuti Collective Quality Initiative database underwent RAPN by 22 surgeons at 14 centres in nine countries. Of these patients, 74 underwent RAPN with a solitary ... Read more >>

BJU Int. (BJU international)
[2018, 121(1):119-123]

Cited: 5 times

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Multiparametric magnetic resonance imaging-transrectal ultrasound fusion prostate biopsy: A prospective, single centre study.

Somendra Bansal, Narmada P Gupta, Rajiv Yadav, Rakesh Khera, Kulbir Ahlawat, Dheeraj Gautam, Rajesh Ahlawat, Gagan Gautam,

Transrectal rectal ultrasound (TRUS)-guided systematic biopsy is the gold standard for diagnosis of prostate cancer. However, systematic biopsy has high false-negative rate and often misses anteriorly located tumors. Magnetic resonance imaging (MRI)-TRUS fusion biopsy can potentially improve cancer detection by better visualization and targeting of cancer focus. We evaluated the ... Read more >>

Indian J Urol (Indian journal of urology : IJU : journal of the Urological Society of India)
[2017, 33(2):134-139]

Cited: 2 times

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Use of Main Renal Artery Clamping Predominates Over Minimal Clamping Techniques During Robotic Partial Nephrectomy for Complex Tumors.

Leedor Lieberman, Ravi Barod, Deepansh Dalela, Mireya Diaz-Insua, Ronney Abaza, James Adshead, Rajesh Ahlawat, Benjamin Challacombe, Prokar Dasgupta, Giogio Gandaglia, Daniel A Moon, Giacomo Novara, Francesco Porpiglia, Alexandre Mottrie, Mahendra Bhandari, Craig Rogers,

Hilar clamping is often performed to facilitate robotic partial nephrectomy (RPN). Minimal clamping techniques may reduce renal ischemia, including early unclamping, selective clamping, and off-clamp RPN. We assess the utilization of clamping techniques in a large international consortium of surgeons performing RPN for complex tumors.We retrospectively evaluated 721 patients with ... Read more >>

J. Endourol. (Journal of endourology)
[2017, 31(2):149-152]

Cited: 5 times

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Robotic kidney transplantation: current status and future perspectives.

Angelo Territo, Alex Mottrie, Ronney Abaza, Craig Rogers, Mani Menon, Mahendra Bhandari, Rajesh Ahlawat, Alberto Breda,

For the treatment of patients with end-stage renal disease, kidney transplantation is preferred to renal replacement modalities such as hemodialysis and peritoneal dialysis. Although open surgery remains the gold standard, minimally invasive approaches have recently been applied in transplant kidney surgery. Despite growing enthusiasm and potential benefits of robotic kidney ... Read more >>

Minerva Urol Nefrol (Minerva urologica e nefrologica = The Italian journal of urology and nephrology)
[2017, 69(1):5-13]

Cited: 5 times

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PADUA and R.E.N.A.L. nephrometry scores correlate with perioperative outcomes of robot-assisted partial nephrectomy: analysis of the Vattikuti Global Quality Initiative in Robotic Urologic Surgery (GQI-RUS) database.

Riccardo Schiavina, Giacomo Novara, Marco Borghesi, Vincenzo Ficarra, Rajesh Ahlawat, Daniel A Moon, Francesco Porpiglia, Benjamin J Challacombe, Prokar Dasgupta, Eugenio Brunocilla, Gaetano La Manna, Alessandro Volpe, Hema Verma, Giuseppe Martorana, Alexandre Mottrie,

To evaluate and compare the correlations between Preoperative Aspects and Dimensions Used for an Anatomical (PADUA) and R.E.N.A.L. [Radius (tumour size as maximal diameter), Exophytic/endophytic properties of the tumour, Nearness of tumour deepest portion to the collecting system or sinus, Anterior (a)/posterior (p) descriptor and the Location relative to the ... Read more >>

BJU Int. (BJU international)
[2017, 119(3):456-463]

Cited: 11 times

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Vascular complication after sacrospinous ligament fixation with uterine preservation.

Amita Jain, Virender Singh Sheorain, Kulbeer Ahlawat, Rajesh Ahlawat,

Sacrospinous ligament fixation (SSLF) is a minimally invasive transvaginal procedure for correcting apical prolapse. Amongst perioperative complications, life-threatening hemorrhage has a reported occurrence rate ranging from 0.2 % to 2 %. We present a case of arterial hemorrhage following SSLF and a multispecialty approach to its successful management.The video demonstrates the development ... Read more >>

Int Urogynecol J (International urogynecology journal)
[2017, 28(3):489-491]

Cited: 1 time

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Cascade plasmapheresis as preconditioning regimen for ABO-incompatible renal transplantation: a single-center experience.

Pranaw K Jha, Aseem K Tiwari, Shyam B Bansal, Sidharth K Sethi, Rajesh Ahlawat, Vijay Kher,

Removal of anti-ABO is an important component of the preconditioning regimen for ABO-incompatible (ABOi) renal transplant. Cascade plasmapheresis (CP) is one of the extracorporeal methods of antibody removal, others being conventional plasma exchange (PE) and immunoadsorption. There is no previous published experience with CP in this context. The purpose of ... Read more >>

Transfusion (Transfusion)
[2016, 56(4):956-961]

Cited: 5 times

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Robot-assisted partial nephrectomy in cystic tumours: analysis of the Vattikuti Global Quality Initiative in Robotic Urologic Surgery (GQI-RUS) database.

Giacomo Novara, Sabrina La Falce, Ronney Abaza, James Adshead, Rajesh Ahlawat, Nicolò Maria Buffi, Ben Challacombe, Prokar Dasgupta, Daniel A Moon, Dipen J Parekh, Francesco Porpiglia, Sudhir Rawal, Craig Rogers, Alessandro Volpe, Mahendra Bhandari, Alexander Mottrie,

To evaluate the outcomes of robot-assisted partial nephrectomy (RAPN) in cystic tumours, analysing a large, multi-institutional, retrospective series of RAPN, as limited data are available about the outcome of RAPN in cystic tumours.We evaluated 465 patients who received RAPN for either cystic or solid tumours from 2010 to 2013 and ... Read more >>

BJU Int. (BJU international)
[2016, 117(4):642-647]

Cited: 2 times

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Robot-Assisted Simultaneous Bilateral Radical Inguinal Lymphadenectomy Along with Robotic Bilateral Pelvic Lymphadenectomy: A Feasibility Study.

Rajesh Ahlawat, Rakesh Khera, Gagan Gautam, Abhay Kumar,

To report the surgical technique, procedure outcomes, and feasibility of robot-assisted simultaneous bilateral radical inguinal with bilateral pelvic lymphadenectomy.Three consecutive patients of penile and urethral carcinoma with palpable inguinal lymphadenopathy who underwent robot-assisted simultaneous bilateral radical inguinal with bilateral pelvic lymphadenectomy in our institution from May 2013 to October 2015 ... Read more >>

J Laparoendosc Adv Surg Tech A (Journal of laparoendoscopic & advanced surgical techniques. Part A)
[2016, 26(11):845-849]

Cited: 2 times

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Ontogeny of a surgical technique: Robotic kidney transplantation with regional hypothermia.

Akshay Sood, Peter McCulloch, Philipp Dahm, Rajesh Ahlawat, Wooju Jeong, Mahendra Bhandari, Mani Menon,

Innovation is a hallmark of surgical practice. It is generally accepted that a new procedure will undergo technical changes during its evolution; however, quantitative accounts of the process are limited.Multiple groups, including our own, have recently described a minimally-invasive approach to conventional kidney transplantation (KT) operation. Unique to our experience ... Read more >>

Int J Surg (International journal of surgery (London, England))
[2016, 25:158-161]

Cited: 8 times

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Predictive factors for lymph node positivity in patients undergoing extended pelvic lymphadenectomy during robot assisted radical prostatectomy.

Vikram Batra, Gagan Gautam, Jiten Jaipuria, Manav Suryavanshi, Rakesh Khera, Rajesh Ahlawat,

INTRODUCTION: Pelvic lymphadenectomy during radical prostatectomy (RP) improves staging and may provide a therapeutic benefit. However, there is no clear consensus on the selection criteria for subjecting patients to this additional procedure. With a growing adoption of robot assisted radical prostatectomy (RARP) in India, it has become imperative to study ... Read more >>

Indian J Urol (Indian journal of urology : IJU : journal of the Urological Society of India)
[2015, 31(3):217-222]

Cited: 2 times

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Development of a standardised training curriculum for robotic surgery: a consensus statement from an international multidisciplinary group of experts.

Kamran Ahmed, Reenam Khan, Alexandre Mottrie, Catherine Lovegrove, Ronny Abaza, Rajesh Ahlawat, Thomas Ahlering, Goran Ahlgren, Walter Artibani, Eric Barret, Xavier Cathelineau, Ben Challacombe, Patrick Coloby, Muhammad S Khan, Jacques Hubert, Maurice Stephan Michel, Francesco Montorsi, Declan Murphy, Joan Palou, Vipul Patel, Pierre-Thierry Piechaud, Hendrik Van Poppel, Pascal Rischmann, Rafael Sanchez-Salas, Stefan Siemer, Michael Stoeckle, Jens-Uwe Stolzenburg, Jean-Etienne Terrier, Joachim W Thüroff, Christophe Vaessen, Henk G Van Der Poel, Ben Van Cleynenbreugel, Alessandro Volpe, Christian Wagner, Peter Wiklund, Timothy Wilson, Manfred Wirth, Jörn Witt, Prokar Dasgupta,

OBJECTIVES:To explore the views of experts about the development and validation of a robotic surgery training curriculum, and how this should be implemented. MATERIALS AND METHODS:An international expert panel was invited to a structured session for discussion. The study was of a mixed design, including qualitative and quantitative components based ... Read more >>

BJU Int. (BJU international)
[2015, 116(1):93-101]

Cited: 28 times

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Minimally invasive renal autotransplantation.

Akshay Sood, Wooju Jeong, Rajesh Ahlawat, Firas Abdollah, Jesse D Sammon, Mahendra Bhandari, Mani Menon,

Minimally invasive renal allotransplantation techniques have been recently described; reported benefits include reduced morbidity/complications. These benefits have been successfully adapted for minimally invasive renal autotransplantation, however, in a non-oncological setting. We, here, describe a novel alternative robot-assisted renal autotransplantation technique, utilizing GelPOINT, which by permitting ex vivo graft examination and ... Read more >>

J Surg Oncol (Journal of surgical oncology)
[2015, 112(7):717-722]

Cited: 4 times

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Robotic surgical skill acquisition: What one needs to know?

Akshay Sood, Wooju Jeong, Rajesh Ahlawat, Logan Campbell, Shruti Aggarwal, Mani Menon, Mahendra Bhandari,

Robotic surgery has been eagerly adopted by patients and surgeons alike in the field of urology, over the last decade. However, there is a lack of standardization in training curricula and accreditation guidelines to ensure surgeon competence and patient safety. Accordingly, in this review, we aim to highlight 'who' needs ... Read more >>

J Minim Access Surg (Journal of minimal access surgery)
[2015, 11(1):10-15]

Cited: 8 times

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Minimally invasive kidney transplantation: perioperative considerations and key 6-month outcomes.

Akshay Sood, Prasun Ghosh, Wooju Jeong, Sangeeta Khanna, Jyotirmoy Das, Mahendra Bhandari, Vijay Kher, Rajesh Ahlawat, Mani Menon,

BACKGROUND: Minimally invasive approaches to kidney transplantation (KT) have been described recently. However, information concerning perioperative management in these patients is lacking. Accordingly, in the current study, we describe our perioperative management strategy in patients undergoing robotic KT with regional hypothermia and report its safety and efficacy. Further, we describe ... Read more >>

Transplantation (Transplantation)
[2015, 99(2):316-323]

Cited: 12 times

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Reply to Jyotirmoy Das, Sudhir Kumar, Sangeeta Khanna, and Yatin Mehta's letter to the editor re: Mani Menon, Akshay Sood, Mahendra Bhandari, et al. Robotic kidney transplantation with regional hypothermia: a step-by-step description of the Vattikuti Urology Institute-Medanta Technique (IDEAL Phase 2a). Eur Urol 2014;65:991-1000: robotic kidney transplantation: cool the kidney, warm the patient.

Rajesh Ahlawat, Guruswamy Balakrishnan, Vijay Kher, Mani Menon,

Eur. Urol. (European Urology)
[2014, 65(6):e88]

Cited: 0 times

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Robotic renal transplantation: Current status.

Akshay Sood, Prasun Ghosh, Mani Menon, Wooju Jeong, Mahendra Bhandari, Rajesh Ahlawat,

INTRODUCTION: Kidney transplantation (KT) has traditionally been performed by open renal transplantation, but recently, a few groups including our own have described a minimally invasive approach to KT. We aim to discuss the current status of robotic kidney transplantation (RKT) and describe our technique of RKT with regional hypothermia. MATERIAL ... Read more >>

J Minim Access Surg (Journal of minimal access surgery)
[2015, 11(1):35-39]

Cited: 6 times

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