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Related Concept Videos

Radical Reactivity: Nucleophilic Radicals01:16

Radical Reactivity: Nucleophilic Radicals

2.6K
Radicals adjacent to electron-donating groups are called nucleophilic radicals. These radicals readily react with electrophilic alkenes. The SOMO–LUMO interactions are the driving force for the reaction, where the high-energy SOMO of the electron-rich, nucleophilic radicals interacts with the low-energy LUMO of the electron-deficient, electrophilic alkenes. Such SOMO–LUMO interactions are the basis of reactive radical traps, affecting the selectivity in radical reactions. For...
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Radical Reactivity: Electrophilic Radicals01:02

Radical Reactivity: Electrophilic Radicals

2.4K
Radicals adjacent to electron‐withdrawing groups are called electrophilic radicals. These radicals readily react with nucleophilic alkenes. For example, the malonate radical, in which the radical center is flanked by two electron‐withdrawing groups, reacts readily with butyl vinyl ether, which consists of an electron‐donating oxygen substituent. The reaction between electrophilic malonate radical and nucleophilic vinyl ether is favored because the radical has a...
2.4K
Radical Autoxidation01:20

Radical Autoxidation

3.1K
The oxidation of an organic compound in the presence of air or oxygen is called autoxidation. For example, cumene reacts with oxygen to form hydroperoxide. Autoxidation involves initiation, propagation, and termination steps. Many organic compounds are susceptible to autoxidation—especially ethers in the presence of oxygen, which form hydroperoxides. Even though this reaction is slow, old ether bottles contain small amounts of peroxide, which leads to laboratory explosions during ether...
3.1K
Radical Formation: Overview01:03

Radical Formation: Overview

2.6K
A bond can be broken either by heterolytic bond cleavage to form ions or homolytic bond cleavage to yield radicals. A fishhook arrow is used to represent the motion of a single electron in homolytic bond cleavage. There are two main sources from which radicals can be formed:
Radicals from spin-paired molecules:
Radicals can be obtained from spin-paired molecules either by homolysis or electron transfer. While two radicals are formed in the former, an electron is added in the...
2.6K
Radical Formation: Homolysis00:54

Radical Formation: Homolysis

4.3K
A bond is formed between two atoms by sharing two electrons. When this bond is broken by supplying sufficient energy, either two electrons can be taken up by one atom forming ions by the cleavage called heterolysis, or the two electrons are shared by two atoms, with one each creating radicals by the cleavage called homolysis.
4.3K
Radical Formation: Addition00:47

Radical Formation: Addition

2.2K
Radicals can be formed by adding a radical to a spin-paired molecule. This is typically observed with unsaturated species, where the addition of a radical across the π bond leads to the production of a new radical by dissolving the π bond. For example, the addition of a Br radical to an alkene yields a carbon-centered radical.
Similar to charge conservation in chemical reactions, spin conservation is implicit for radical reactions. Accordingly, the product formed must possess an...
2.2K

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Retzius-Sparing Robot-Assisted Radical Prostatectomy
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Robotic radical cystectomy.

Josep M Gaya1, Helena Vila-Reyes1, Pavel Gavrilov1

  • 1Department of Urology. Fundació Puigvert. Universitat Autonoma de Barcelona. Barcelona. Spain.

Archivos Espanoles De Urologia
|April 5, 2019
PubMed
Summary
This summary is machine-generated.

Robotic-assisted radical cystectomy (RARC) offers oncological outcomes equivalent to open radical cystectomy (ORC) with reduced blood loss. While operative time and cost are higher, RARC is a safe and feasible alternative for urologic procedures.

Keywords:
Cirugía minimamente invasivaCirugía robóticaCistectomía radicalMinimally invasive surgeryRadical cystectomyRobotic surgerySurgical techniqueTécnica quirúrgica

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Area of Science:

  • Urology
  • Minimally Invasive Surgery
  • Surgical Oncology

Background:

  • Radical cystectomy (RC) is a complex urologic procedure.
  • Robotic-assisted radical cystectomy (RARC) is a minimally invasive alternative to open surgery.
  • RARC demonstrates non-inferior oncological outcomes and potential perioperative advantages.

Purpose of the Study:

  • To detail the surgical steps of RARC.
  • To review RARC findings, comparing its strengths and weaknesses to open radical cystectomy (ORC).

Main Methods:

  • Step-by-step description of RARC technique with surgical tips.
  • Literature review of oncological, pathological, and perioperative results.
  • Comparison of RARC findings with classical ORC.

Main Results:

  • RARC shows equivalent oncological outcomes (PSM, RFS, CSS, OS) compared to ORC.
  • RARC results in decreased blood loss and transfusion rates.
  • No significant differences in complication rates, hospital stay, quality of life, or bowel function recovery; RARC has longer operative time and higher cost.

Conclusions:

  • RARC is a technically feasible and safe surgical approach.
  • Oncological, pathological, and perioperative results of RARC are equivalent to ORC.
  • Experience and standardization can mitigate RARC's longer operative time and cost disadvantages.