Justen Kozlowski

ORCID: 0000-0003-1250-2799
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Research Areas
  • Surgical Simulation and Training
  • Bladder and Urothelial Cancer Treatments
  • Urological Disorders and Treatments
  • Urinary and Genital Oncology Studies
  • Cardiac, Anesthesia and Surgical Outcomes
  • Patient Safety and Medication Errors
  • Simulation-Based Education in Healthcare
  • Anatomy and Medical Technology
  • Hospital Admissions and Outcomes
  • Healthcare Operations and Scheduling Optimization
  • Renal cell carcinoma treatment
  • Multiple and Secondary Primary Cancers
  • Prostate Cancer Diagnosis and Treatment
  • Enhanced Recovery After Surgery
  • Colorectal Cancer Surgical Treatments
  • Advances in Oncology and Radiotherapy
  • Ureteral procedures and complications
  • Hemodynamic Monitoring and Therapy
  • Tissue Engineering and Regenerative Medicine
  • Pelvic floor disorders treatments

Roswell Park Comprehensive Cancer Center
2016-2020

To analyse ambulatory movements and team dynamics during robot-assisted surgery (RAS), to investigate whether congestion of the physical space associated with robotic technology led workflow challenges or predisposed errors adverse events.With institutional review board approval, we retrospectively reviewed 10 recorded radical prostatectomies in a single operating room (OR). The OR was divided into eight zones, all were tracked described terms start end duration, personnel purpose. Movements...

10.1111/bju.13426 article EN BJU International 2016-01-22

Objective To describe a detailed step‐by‐step approach of our technique for robot‐assisted intracorporeal ‘W’‐configuration orthotopic ileal neobladder. Patients and Methods Five patients underwent radical cystectomy ( RARC ), extended pelvic lymph node dissection neobladder ICNB ). was divided into six key steps to facilitate enable analysis auditing the technique. No conversion open surgery required. Timing each step noted. All had at least 3 months follow‐up. Results The mean age 57...

10.1111/bju.13824 article EN BJU International 2017-02-21

Objective To investigate cognitive and mental workload assessments, which may play a critical role in defining successful mentorship. Materials Methods The ‘Mind Maps’ project aimed at evaluating function with regard to surgeon's expertise trainee's skills. study included electroencephalogram ( EEG ) recordings of mentor observing trainee surgeons 20 procedures involving extended lymph node dissection eLND or urethrovesical anastomosis UVA ), simultaneous assessment trainees using the...

10.1111/bju.13445 article EN BJU International 2016-02-11

Bladder cancer recurrence following cystectomy remains a significant cause of bladder specific mortality. Residual cells contribute to due tumor spillage or undetectable preexisting micrometastatic clones. We detected and quantified residual in pelvic washing using ultradeep targeted sequencing. compared the levels with clinical variables recurrence.The primary specimen was available 17 patients who underwent robot-assisted radical cystectomy. All tumors had negative surgical margins. Pelvic...

10.1097/ju.0000000000000142 article EN The Journal of Urology 2019-02-05

To develop a scoring tool, Pelvic Lymphadenectomy Appropriateness and Completion Evaluation (PLACE), to assess the intraoperative completeness appropriateness of pelvic lymph node dissection (PLND) following robot-assisted radical cystectomy (RARC).A panel 11 open robotic surgeons developed content structure PLACE. The PLND template was divided into three zones. In all, 21 de-identified videos bilateral PLNDs were assessed by experts using PLACE determine inter-rater reliability. Lymph (LN)...

10.1111/bju.13748 article EN BJU International 2016-12-17

We sought to evaluate the Robotic Anastomosis Competency Evaluation (RACE), a validated tool that objectively quantifies surgical skills specifically for urethrovesical anastomosis (UVA), as track progress of trainees, and determine predictive value RACE.UVAs performed by trainees at our institution were evaluated using RACE over period two years. Trainees supervised an experienced robotic surgeon. Outcomes included trainee-related variables (RACE score, proportion UVA trainee, suturing...

10.5489/cuaj.5348 article EN Canadian Urological Association Journal 2018-07-23

The past decade has witnessed a dramatic increase in utilization of robot-assisted radical cystectomy (RARC). RARC been shown to offer some perioperative benefits terms blood loss, transfusion rates, hospital stay, and recovery when compared with its open counterpart without jeopardizing oncologic outcomes. In this article, we review the indications, care, describe "Technique Spaces" employed at our institution, highlight key steps for male RARC.

10.1089/end.2017.0719 article EN Journal of Endourology 2018-05-01

Communication gaps have been systematically linked to failures during surgery; however few studies addressed challenges related the remoteness of surgeon robot-assisted surgery (RAS). While on team communication in Operating Room (OR) rarely report nonverbal aspects, our initial work has shown that vast majority interaction events between console and right bed side assistant is nonverbal. This study focuses improving understanding nature multimodal interactions surgeons assistants. Six...

10.1177/1541931213601118 article EN Proceedings of the Human Factors and Ergonomics Society Annual Meeting 2016-09-01

You have accessJournal of UrologySurgical Technology & Simulation: Training Skills Assessment III1 Apr 2017PD46-02 LOOKING FOR YOUR OWN REFLECTION: ASSESSING BRAIN FUNCTIONAL STATE OF SURGICAL MENTOR DURING ROBOT-ASSISTED SURGERY Somayeh Shafiei, Ahmed Hussein, Justen Kozlowski, Youssef Ahmed, Sarah Muldoon, and Khurshid Guru ShafieiSomayeh Shafiei More articles by this author , HusseinAhmed Hussein KozlowskiJusten Kozlowski AhmedYoussef MuldoonSarah Muldoon GuruKhurshid View All Author...

10.1016/j.juro.2017.02.2374 article EN The Journal of Urology 2017-04-01

You have accessJournal of UrologyBladder Cancer: Invasive I1 Apr 2016MP38-05 TUMOR DISSEMINATION DURING ROBOT-ASSISTED RADICAL CYSTECTOMY: DOES THE EMPEROR HAVE NO CLOTHES? Ahmed Hussein, Yingyu Ma, Gissou Azabdaftari, Nobuyuki Hinata, Wei Luo, Victoria Cranwell, Brittany Bunch, Justen Kozlowski, Sean Glenn, Song Liu, Candace Johnson, and Khurshid Guru HusseinAhmed Hussein More articles by this author , MaYingyu Ma AzabdaftariGissou Azabdaftari HinataNobuyuki Hinata LuoWei Luo...

10.1016/j.juro.2016.02.109 article EN The Journal of Urology 2016-03-28

You have accessJournal of UrologySurgical Technology & Simulation: Training Skills Assessment I1 Apr 2017MP51-05 DOES TRAINEE PERFORMANCE IMPACT SURGEON'S STRESS DURING ROBOT-ASSISTED SURGERY? Somayeh Shafiei, Ahmed Hussein, Youssef Ahmed, Justen Kozlowski, and Khurshid Guru ShafieiSomayeh Shafiei More articles by this author , HusseinAhmed Hussein AhmedYoussef KozlowskiJusten Kozlowski GuruKhurshid View All Author Informationhttps://doi.org/10.1016/j.juro.2017.02.1614AboutPDF ToolsAdd to...

10.1016/j.juro.2017.02.1614 article EN The Journal of Urology 2017-04-01

You have accessJournal of UrologySurgical Technology & Simulation: Training Skills Assessment I1 Apr 2016MP11-06 A GESTURE IS WORTH THOUSAND WORDS: VERBAL AND NONVERBAL COMMUNICATION DURING ROBOT-ASSISTED SURGERY Judith Tiferes, Ann Bisantz, O'Hara Ryan, Nicole Wawrzyniak, Basel Ahmad, Justen Kozlowski, Ahmed Hussein, and Khurshid Guru TiferesJudith Tiferes More articles by this author , BisantzAnn Bisantz RyanO'Hara Ryan WawrzyniakNicole Wawrzyniak AhmadBasel Ahmad KozlowskiJusten Kozlowski...

10.1016/j.juro.2016.02.2377 article EN The Journal of Urology 2016-03-28

You have accessJournal of UrologySurgical Technology & Simulation: Training Skills Assessment III1 Apr 2017PD46-11 UTILIZATION OF ROBOTIC ANASTOMOSIS COMPETENCY EVALUATION (RACE) FOR SURGICAL DURING URETHRO-VESICAL Justen Kozlowski, Ahmed Hussein, Mohamed Sharif, Youssef Ahmed, Paul May, Thomas Fiorica, Sana Raheem, James Mohler, and Khurshid Guru KozlowskiJusten Kozlowski More articles by this author , HusseinAhmed Hussein SharifMohamed Sharif AhmedYoussef MayPaul May FioricaThomas Fiorica...

10.1016/j.juro.2017.02.2383 article EN The Journal of Urology 2017-04-01

You have accessJournal of UrologyBladder Cancer: Invasive II1 Apr 2016PD27-04 DEVELOPMENT, VALIDATION & CLINICAL APPLICATION OF AN INTRA-OPERATIVE ASSESSMENT COMPLETION APPROPRIATENESS LND AFTER RADICAL CYSTECTOMY: PELVIC LYMPHADENECTOMY EVALUATION (PLACE) Ahmed Hussein, Nobuyuki Hinata, Justen Kozlowski, Hassan Abol-Enein, Ronney Abaza, Daniel Eun, Shamim Khan, James Mohler, Piyush Agrawal, Kamal Pohar, Richard Sarle, Ronald Boris, and Khurshid Guru HusseinAhmed Hussein More articles by...

10.1016/j.juro.2016.02.378 article EN The Journal of Urology 2016-03-28

You have accessJournal of UrologySurgical Technology & Simulation: Training Skills Assessment III1 Apr 2017PD46-01 CAN SURGICAL MENTOR'S TRUST HOLD THE KEY TO TRAINEE PERFORMANCE? Somayeh Shafiei, Ahmed Hussein, Justen Kozlowski, Youssef Ahmed, Sarah Muldoon, and Khurshid Guru ShafieiSomayeh Shafiei More articles by this author , HusseinAhmed Hussein KozlowskiJusten Kozlowski AhmedYoussef MuldoonSarah Muldoon GuruKhurshid View All Author...

10.1016/j.juro.2017.02.2373 article EN The Journal of Urology 2017-04-01

You have accessJournal of UrologyBladder Cancer: Invasive I1 Apr 2017MP21-13 DOES QUALITY OF CARE IMPACT OUTCOMES IN PATIENTS WITH LOCALLY ADVANCED BLADDER CANCER AFTER ROBOT-ASSISTED RADICAL CYSTECTOMY? Youssef Ahmed, Ahmed Hussein, Paul May, Basel Amir Khan, John Binkowski, Justen Kozlowski, and Khurshid Guru AhmedYoussef More articles by this author , HusseinAhmed Hussein MayPaul May AhmedBasel KhanAmir Khan BinkowskiJohn Binkowski KozlowskiJusten Kozlowski GuruKhurshid View All Author...

10.1016/j.juro.2017.02.3275 article EN The Journal of Urology 2017-04-01

You have accessJournal of UrologyBladder Oncology and Diversion1 Apr 2017V12-05 REVISITING THE ABDOMEN AFTER ROBOT-ASSISTED RADICAL CYSTECTOMY: TIPS AND TRICKS FOR REPAIR Ahmed Hussein, Justen Kozlowski, Youssef Ahmed, Khurshid Guru HusseinAhmed Hussein More articles by this author , KozlowskiJusten Kozlowski AhmedYoussef GuruKhurshid View All Author Informationhttps://doi.org/10.1016/j.juro.2017.02.3211AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints...

10.1016/j.juro.2017.02.3211 article EN The Journal of Urology 2017-04-01

Abstract Background Although pathological factors remain the main determinate of survival for patients with bladder cancer, quality surgical care is crucial satisfactory outcomes. Using a validated score, we investigated impact on overall (OS), recurrence-free (RFS) and disease-specific (DSS) in locally advanced organ-confined disease (OCD). Retrospective review IRCC database includes 2460 from 29 institutions across 11 countries. The final cohort included 1343 who underwent RARCs between...

10.1186/s12301-020-00031-y article EN cc-by African Journal of Urology 2020-06-17
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