David B. Samadi
Encyclopedia
Dr. David B. Samadi is the Vice Chairman of the Department of Urology and Chief of Robotics and Minimally Invasive Surgery at the Mount Sinai School of Medicine
in New York City
. He is a board-certified urologist and an oncologist specializing in the diagnosis and treatment of urologic diseases, prostate cancer
, kidney cancer
and bladder cancer
, and specializes in advanced minimally invasive treatments for prostate cancer, including laparoscopic radical prostatectomy
and laparoscopic robotic radical prostatectomy
.
after the overthrow of the Shah's government
. They grew up and were educated in the Persian Jewish communities of Belgium
and London
. Samadi completed high school in Roslyn, NY. After high school, Samadi attended the State University of New York at Stony Brook
and earned his degree in biochemistry
on a full scholarship
. The diversity of his background has greatly benefited his medical practice and his interactions with patients from all over the world.
and in urology at Albert Einstein College of Medicine
and Montefiore Medical Center
. He completed an oncology fellowship in urology at Memorial Sloan Kettering Cancer Center and a robotic radical prostatectomy fellowship at Henri Mondor Hospital Creteil in France
under the mentorship of Professor Claude Abbou, MD. Along with Dr. Abbou, Samadi performed the first 11 da Vinci robotic prostate surgeries in the world. Dr. Samadi is fellowship trained in laparoscopy and robotic prostatectomy surgery and is an internationally recognized expert in both fields.
He is one of the very few urologic surgeons in the United States
trained in oncology, open, laparoscopic, and robotic surgery
. He is also the first surgeon in the United States to successfully perform a robotic surgery redo. To date, Samadi has performed over 3,600 da Vinci prostate surgeries, more than any other prostate cancer surgeon in all of New York. As a result of his surgical experience, Samadi is considered a leader and pioneer in robotic surgery.
Having completed fellowship training in both urologic oncology and laparoscopy, Samadi's technique as described below builds on oncologic principles learned with open radical prostatectomy and transferred to a robotic approach. In the technique he uses at Mount Sinai, he recreates the classic open anatomic technique as closely as possible on the robotic platform. With the technique, he is able to achieve continence rates of 97% and potency rates of 81% at 1 year, while maintaining a 4% rate of positive surgical margins.
Samadi developed his unique SMART (Samadi Modified Advanced Robotic Technique) surgical technique after years of perfecting his successful robotic surgery method, which improves sexual function as well as urinary control. The signature of Samadi's SMART Surgery program is that he performs the entire surgery at one time, from beginning to the end. For this reason, patients from all over the world seek his expertise. Samadi currently performs the SMART surgical technique at Mount Sinai, but has demonstrated it worldwide, most recently in Athens, Greece, Israel and other European countries. In December 2010, Samadi became the first surgeon to perform a live SMART surgery robotic prostatectomy at Rambam Medical Center in Haifa, northern Israel, and Tel Hashomer Hospital in Tel Aviv, Israel.
The surgery is performed entirely by the surgeon, who sits at a console in the operating room and views the surgery on an enhanced 3D High Definition monitor. The surgeon uses joysticks that track movements, which are then translated in real-time to the scaled movements of a robotic device that enables the operation to take place. The ends of the robotic arms are fitted with miniature surgical instruments that are capable of moving in any direction. The EndoWrist instruments can be directed with extreme accuracy and precision.
The da Vinci Surgical System
allows surgeons to operate for longer periods of time with less fatigue and virtually no hand tremor. It provides delicate handling of the prostate tissue permitting extremely accurate cutting of nerve tissue. Five small quarter sized incisions are made into the patient’s abdomen, three on one side of the navel and two on the other side. The fine robotic arms equipped with tiny surgical instruments enter through these ports and do the surgery. There is no computer programming of surgical instructions.
As an added benefit, this system completely removes any cancer cells that are at the surrounding edge of the prostate. The elimination of any malignant cells at the surgical margins is critical to patient recovery. After the incision sites have healed, patients report a return of their sexual
drive and their ability to attain an erection during sexual intercourse. They are also able to regain control of their bladder
and report no problems with urination.
Patients report minimal discomfort after robotic surgery as opposed to traditional open surgery which involves large traumatic incisions to the patient, requires a longer healing time with the possibility of infection at the surgical site and considerable scarring. With the da Vinci system, the small one-centimeter keyhole incisions allow for enhanced surgical maneuvers that would be impossible manually.
It is dedicated to clinical and surgical excellence by providing exceptional opportunities for doctors who have completed their residency to train directly with Samadi. Fellows usually will spend a year working as a full-time, paid assistant to Samadi. All surgeries are performed by Samadi. Fellowships are awarded based on merit, along with potential to contribute to the fields of urology, oncology, and minimally invasive surgery.
The Robotic Fellowship Program has three components: Medical research, clinical training with an emphasis on robotic, laparoscopic, and renal surgical methods, and treatment of urological diseases; which includes prostate, bladder, and kidney cancers.
Samadi frequently presents his clinical research at medical conferences as a subject matter expert nationally and internationally. He has been a guest speaker in major academic lecture series'. Over the past decade, Samadi has been actively involved in training and proctoring urologists across the country and internationally.
Samadi is a member of the American Urological Association
and the American Medical Association
. Samadi is included in Castle Connolly Medical's America's Top Doctors. New York Magazine named Samadi to their Best Doctors List in 2009. Samadi is also a contributor on the panel of Fox News' Medical "A-Team".
Mount Sinai School of Medicine
Mount Sinai School of Medicine is an American medical school in the borough of Manhattan in New York City, currently ranked among the top 20 medical schools in the United States. It was chartered by Mount Sinai Hospital in 1963....
in New York City
New York City
New York is the most populous city in the United States and the center of the New York Metropolitan Area, one of the most populous metropolitan areas in the world. New York exerts a significant impact upon global commerce, finance, media, art, fashion, research, technology, education, and...
. He is a board-certified urologist and an oncologist specializing in the diagnosis and treatment of urologic diseases, prostate cancer
Prostate cancer
Prostate cancer is a form of cancer that develops in the prostate, a gland in the male reproductive system. Most prostate cancers are slow growing; however, there are cases of aggressive prostate cancers. The cancer cells may metastasize from the prostate to other parts of the body, particularly...
, kidney cancer
Kidney cancer
Kidney cancer is a type of cancer that starts in the cells in the kidney.The two most common types of kidney cancer are renal cell carcinoma and urothelial cell carcinoma of the renal pelvis...
and bladder cancer
Bladder cancer
Bladder cancer is any of several types of malignant growths of the urinary bladder. It is a disease in which abnormal cells multiply without control in the bladder. The bladder is a hollow, muscular organ that stores urine; it is located in the pelvis...
, and specializes in advanced minimally invasive treatments for prostate cancer, including laparoscopic radical prostatectomy
Laparoscopic Radical Prostatectomy
Laparoscopic radical prostatectomy is a modern form of radical prostatectomy, an operation for prostate cancer. Contrasted with the original open form of the surgery, laparoscopic radical prostatectomy does not make a large incision. Instead, laparoscopic radical prostatectomy is minimally...
and laparoscopic robotic radical prostatectomy
Prostatectomy
A prostatectomy is the surgical removal of all or part of the prostate gland. Abnormalities of the prostate, such as a tumour, or if the gland itself becomes enlarged for any reason, can restrict the normal flow of urine along the urethra....
.
Biography
In 1979, at age 16, Samadi and his younger brother fled IranIran
Iran , officially the Islamic Republic of Iran , is a country in Southern and Western Asia. The name "Iran" has been in use natively since the Sassanian era and came into use internationally in 1935, before which the country was known to the Western world as Persia...
after the overthrow of the Shah's government
Iranian Revolution
The Iranian Revolution refers to events involving the overthrow of Iran's monarchy under Shah Mohammad Reza Pahlavi and its replacement with an Islamic republic under Ayatollah Ruhollah Khomeini, the leader of the...
. They grew up and were educated in the Persian Jewish communities of Belgium
Belgium
Belgium , officially the Kingdom of Belgium, is a federal state in Western Europe. It is a founding member of the European Union and hosts the EU's headquarters, and those of several other major international organisations such as NATO.Belgium is also a member of, or affiliated to, many...
and London
London
London is the capital city of :England and the :United Kingdom, the largest metropolitan area in the United Kingdom, and the largest urban zone in the European Union by most measures. Located on the River Thames, London has been a major settlement for two millennia, its history going back to its...
. Samadi completed high school in Roslyn, NY. After high school, Samadi attended the State University of New York at Stony Brook
State University of New York at Stony Brook
The State University of New York at Stony Brook, also known as Stony Brook University, is a public research university located in Stony Brook, New York, on the North Shore of Long Island, about east of Manhattan....
and earned his degree in biochemistry
Biochemistry
Biochemistry, sometimes called biological chemistry, is the study of chemical processes in living organisms, including, but not limited to, living matter. Biochemistry governs all living organisms and living processes...
on a full scholarship
Scholarship
A scholarship is an award of financial aid for a student to further education. Scholarships are awarded on various criteria usually reflecting the values and purposes of the donor or founder of the award.-Types:...
. The diversity of his background has greatly benefited his medical practice and his interactions with patients from all over the world.
Career, education and training
Samadi completed his postgraduate training in general surgery at Montefiore Medical CenterMontefiore Medical Center
Montefiore Medical Center, in the Bronx, New York, is the University Hospital for the Albert Einstein College of Medicine. The hospital, named for Moses Montefiore, is one of the 50 largest employers in New York State . In 2011, Montefiore Medical Center was ranked as #6 of the 180 New York City...
and in urology at Albert Einstein College of Medicine
Albert Einstein College of Medicine
Albert Einstein College of Medicine is a graduate school of Yeshiva University. It is a not-for-profit, private, nonsectarian medical school located on the Jack and Pearl Resnick Campus in the Morris Park neighborhood of the borough of the Bronx of New York City...
and Montefiore Medical Center
Montefiore Medical Center
Montefiore Medical Center, in the Bronx, New York, is the University Hospital for the Albert Einstein College of Medicine. The hospital, named for Moses Montefiore, is one of the 50 largest employers in New York State . In 2011, Montefiore Medical Center was ranked as #6 of the 180 New York City...
. He completed an oncology fellowship in urology at Memorial Sloan Kettering Cancer Center and a robotic radical prostatectomy fellowship at Henri Mondor Hospital Creteil in France
France
The French Republic , The French Republic , The French Republic , (commonly known as France , is a unitary semi-presidential republic in Western Europe with several overseas territories and islands located on other continents and in the Indian, Pacific, and Atlantic oceans. Metropolitan France...
under the mentorship of Professor Claude Abbou, MD. Along with Dr. Abbou, Samadi performed the first 11 da Vinci robotic prostate surgeries in the world. Dr. Samadi is fellowship trained in laparoscopy and robotic prostatectomy surgery and is an internationally recognized expert in both fields.
He is one of the very few urologic surgeons in the United States
United States
The United States of America is a federal constitutional republic comprising fifty states and a federal district...
trained in oncology, open, laparoscopic, and robotic surgery
Robotic surgery
Robotic surgery, computer-assisted surgery, and robotically-assisted surgery are terms for technological developments that use robotic systems to aid in surgical procedures....
. He is also the first surgeon in the United States to successfully perform a robotic surgery redo. To date, Samadi has performed over 3,600 da Vinci prostate surgeries, more than any other prostate cancer surgeon in all of New York. As a result of his surgical experience, Samadi is considered a leader and pioneer in robotic surgery.
Having completed fellowship training in both urologic oncology and laparoscopy, Samadi's technique as described below builds on oncologic principles learned with open radical prostatectomy and transferred to a robotic approach. In the technique he uses at Mount Sinai, he recreates the classic open anatomic technique as closely as possible on the robotic platform. With the technique, he is able to achieve continence rates of 97% and potency rates of 81% at 1 year, while maintaining a 4% rate of positive surgical margins.
Samadi developed his unique SMART (Samadi Modified Advanced Robotic Technique) surgical technique after years of perfecting his successful robotic surgery method, which improves sexual function as well as urinary control. The signature of Samadi's SMART Surgery program is that he performs the entire surgery at one time, from beginning to the end. For this reason, patients from all over the world seek his expertise. Samadi currently performs the SMART surgical technique at Mount Sinai, but has demonstrated it worldwide, most recently in Athens, Greece, Israel and other European countries. In December 2010, Samadi became the first surgeon to perform a live SMART surgery robotic prostatectomy at Rambam Medical Center in Haifa, northern Israel, and Tel Hashomer Hospital in Tel Aviv, Israel.
About robotic prostatectomy
Robotic prostatectomy is the latest in minimally invasive surgery, offering the most recent advances in robotics and computer technology for a patient with prostate cancer. The main benefits include a shorter hospital stay, keyhole incisions, little pain, low risk of bleeding and infection, quick healing, small scars, and minimal risk of becoming impotent or incontinent.The surgery is performed entirely by the surgeon, who sits at a console in the operating room and views the surgery on an enhanced 3D High Definition monitor. The surgeon uses joysticks that track movements, which are then translated in real-time to the scaled movements of a robotic device that enables the operation to take place. The ends of the robotic arms are fitted with miniature surgical instruments that are capable of moving in any direction. The EndoWrist instruments can be directed with extreme accuracy and precision.
The da Vinci Surgical System
Da Vinci Surgical System
The Da Vinci Surgical System is a robotic surgical system made by Intuitive Surgical and designed to facilitate complex surgery using a minimally invasive approach...
allows surgeons to operate for longer periods of time with less fatigue and virtually no hand tremor. It provides delicate handling of the prostate tissue permitting extremely accurate cutting of nerve tissue. Five small quarter sized incisions are made into the patient’s abdomen, three on one side of the navel and two on the other side. The fine robotic arms equipped with tiny surgical instruments enter through these ports and do the surgery. There is no computer programming of surgical instructions.
As an added benefit, this system completely removes any cancer cells that are at the surrounding edge of the prostate. The elimination of any malignant cells at the surgical margins is critical to patient recovery. After the incision sites have healed, patients report a return of their sexual
Libido
Libido refers to a person's sex drive or desire for sexual activity. The desire for sex is an aspect of a person's sexuality, but varies enormously from one person to another, and it also varies depending on circumstances at a particular time. A person who has extremely frequent or a suddenly...
drive and their ability to attain an erection during sexual intercourse. They are also able to regain control of their bladder
Bladder
Bladder usually refers to an anatomical hollow organBladder may also refer to:-Biology:* Urinary bladder in humans** Urinary bladder ** Bladder control; see Urinary incontinence** Artificial urinary bladder, in humans...
and report no problems with urination.
Patients report minimal discomfort after robotic surgery as opposed to traditional open surgery which involves large traumatic incisions to the patient, requires a longer healing time with the possibility of infection at the surgical site and considerable scarring. With the da Vinci system, the small one-centimeter keyhole incisions allow for enhanced surgical maneuvers that would be impossible manually.
Professional activities, memberships and distinctions
Samadi is founder and Director of Mount Sinai's Robotic Fellowship Program.It is dedicated to clinical and surgical excellence by providing exceptional opportunities for doctors who have completed their residency to train directly with Samadi. Fellows usually will spend a year working as a full-time, paid assistant to Samadi. All surgeries are performed by Samadi. Fellowships are awarded based on merit, along with potential to contribute to the fields of urology, oncology, and minimally invasive surgery.
The Robotic Fellowship Program has three components: Medical research, clinical training with an emphasis on robotic, laparoscopic, and renal surgical methods, and treatment of urological diseases; which includes prostate, bladder, and kidney cancers.
Samadi frequently presents his clinical research at medical conferences as a subject matter expert nationally and internationally. He has been a guest speaker in major academic lecture series'. Over the past decade, Samadi has been actively involved in training and proctoring urologists across the country and internationally.
Samadi is a member of the American Urological Association
American Urological Association
The American Urological Association is a professional association in the United States for urology professionals.-Awards:*Hugh Hampton Young Award. Presented annually to an individual for outstanding contributions to the study of genitourinary tract disease. This award is sponsored by Karl Storz...
and the American Medical Association
American Medical Association
The American Medical Association , founded in 1847 and incorporated in 1897, is the largest association of medical doctors and medical students in the United States.-Scope and operations:...
. Samadi is included in Castle Connolly Medical's America's Top Doctors. New York Magazine named Samadi to their Best Doctors List in 2009. Samadi is also a contributor on the panel of Fox News' Medical "A-Team".
External links
- RoboticOncology.com – David B. Samadi, M.D.
- QPNY – Interview with David B. Samadi, M.D.
- ABC TV – David B. Samadi, M.D., Discusses Benefits of Robotic Prostatectomy
- Wall Street Journal - Prostate Cancer: Weighing Options
- wowowow.com - Prostate Cancer And Your Man: What You Need To Know
- Mount Sinai Faculty Practice Associates: David B. Samadi, MD Physician Profile
- Mount Sinai Medical Center: David B. Samadi, MD Physician Profile