Surgical techniques to improve continence recovery during standard-retropubic (Part-1, min 0-12:50) and retzius-sparing (Part-2, min 12:51-19:40) robot-assisted radical prostatectomy: tips and tricks

ASVIDE ◽  
2020 ◽  
Vol 7 ◽  
pp. 302-302
Author(s):  
Ahmet Urkmez ◽  
Weranja Ranasinghe ◽  
John W. Davis
Keyword(s):  
Radical Prostatectomy ◽  
Surgical Techniques ◽  
Tips And Tricks ◽  
Robot Assisted

scholarly journals Switching from Endoscopic Extraperitoneal Radical Prostatectomy to Robot-Assisted Laparoscopic Prostatectomy: Comparing Outcomes and Complications

2015 ◽  
Vol 95 (4) ◽  
pp. 380-385 ◽  
Author(s):  
Robert Wagenhoffer ◽  
Maren Gruner ◽  
Jan Schymik ◽  
Lydia Schachtner ◽  
Liviu Neagoe ◽  
...  
Keyword(s):  
Radical Prostatectomy ◽  
Prostate Volume ◽  
Surgical Techniques ◽  
Surgical Experience ◽  
Robot Assisted ◽  
Laparoscopic Prostatectomy ◽  
Minimally Invasive Surgical ◽  
Lower Blood ◽  
Individual Surgeon ◽  
Pathological Stages

Objective: Endoscopic extraperitoneal radical prostatectomy (EERPE) and robot-assisted laparoscopic prostatectomy (RALP) are minimally invasive surgical techniques to treat localized prostate cancer. We report the outcome and complications of these two techniques conducted by one individual surgeon. Patients and Methods: 86 patients underwent EERPE between January 2008 and June 2011, and 100 patients underwent RALP between August 2011 and October 2012. All surgeries were performed by one single surgeon. Results: The patients of the EERPE and RALP groups had similar clinical characteristics in PSA, prostate volume and D'Amico classification, and were significantly different in their age and BMI as well as in the number of prior surgeries. RALP surgeries were significantly slower (183 vs. 157 min) but also involved lower blood loss (147 vs. 245 ml). Pathological stages and positive surgical margins were similar in both groups. Complications were assessed by the Clavien-Dindo classification. 6 patients in the EERPE group and 3 patients of the RALP group suffered major complications (IIIb-IV). Conclusion: Altogether our results indicate that the learning curve for RALP was short after experience with EERPE. We hypothesize that this is more a result of the surgical experience of the surgeon with the EERPE than on the robotic technique.

Surgical techniques to optimise early urinary continence recovery post robot assisted radical prostatectomy for prostate cancer

2017 ◽  
Vol 16 (6) ◽  
pp. e2379
Author(s):  
A.N. Sridhar ◽  
A. Mohammed ◽  
G. Mazzon ◽  
G. Busuttil ◽  
J. Thompson ◽  
...  
Keyword(s):  
Prostate Cancer ◽  
Radical Prostatectomy ◽  
Surgical Techniques ◽  
Urinary Continence ◽  
Robot Assisted

scholarly journals Robotic radical prostatectomy in the 21 st century: evolution of experience

2021 ◽  
Vol 9 (5) ◽  
Author(s):  
Jesus Moreno Sierra
Keyword(s):  
Prostate Cancer ◽  
Radical Prostatectomy ◽  
Functional Outcomes ◽  
Surgical Techniques ◽  
Current Evidence ◽  
Perioperative Outcomes ◽  
Robot Assisted ◽  
Keywords Prostate Cancer ◽  
Novel Technologies ◽  
Open Radical Prostatectomy

The advent of novel technologies and surgical techniques has revolutionized urological surgery in recent years. Robot-assisted radical prostatectomy (RARP) has become the most widely used surgical approach for radical prostatectomy (RP) in the treatment of localized prostate cancer. However, the current available evidence on the benefit of RARP compared to open radical prostatectomy (ORP) is still under debate. Moreover, recent studies have proposed technical modifications of RARP to improve functional outcomes and postoperative quality of life of prostate cancer patients. The aim of this review was to summarize the current evidence on oncological, functional and perioperative outcomes of RARP, considering the results of our series of 408 RARP performed between October 2006 and February 2015 at Clínico San Carlos Hospital, and to provide a framework on the latest and most relevant updates on RARP surgical technique modifications. Keywords Prostate cancer; robot-assisted radical prostatectomy; oncological outcomes; functional outcomes; robotic surgical techniques.

Tips and Tricks to Improve Neurovascular Bundles Preservation During Robot-Assisted Radical Prostatectomy

Videourology ◽  
2017 ◽  
Vol 31 (1) ◽  
Author(s):  
Anup Kumar ◽  
Srinivas Samavedi ◽  
Vladimir Mouraviev ◽  
Jeffrey Marquinez ◽  
Vipul R. Patel
Keyword(s):  
Radical Prostatectomy ◽  
Tips And Tricks ◽  
Robot Assisted ◽  
Neurovascular Bundles

Robot assisted radical prostatectomy in kidney transplant patients: Tips and tricks

2019 ◽  
Vol 18 (6) ◽  
pp. e2726
Author(s):  
R. De Groote ◽  
E. De Bleser ◽  
S. Chintzoglou ◽  
P. Sooriakumaran ◽  
S. Nathan
Keyword(s):  
Radical Prostatectomy ◽  
Kidney Transplant ◽  
Tips And Tricks ◽  
Robot Assisted ◽  
Transplant Patients ◽  
Kidney Transplant Patients

scholarly journals Surgical Techniques to Optimize Early Urinary Continence Recovery Post Robot Assisted Radical Prostatectomy for Prostate Cancer

2017 ◽  
Vol 18 (9) ◽  
Author(s):  
Ashwin N. Sridhar ◽  
Mohammed Abozaid ◽  
Prabhakar Rajan ◽  
Prasanna Sooriakumaran ◽  
Greg Shaw ◽  
...  
Keyword(s):  
Prostate Cancer ◽  
Radical Prostatectomy ◽  
Surgical Techniques ◽  
Urinary Continence ◽  
Robot Assisted

scholarly journals Laparoscopic radical prostatectomy

2018 ◽  
Vol 6 (3) ◽  
pp. 57-72
Author(s):  
V. A. Perepechay ◽  
O. N. Vasiliev
Keyword(s):  
Radical Prostatectomy ◽  
Bladder Neck ◽  
Surgical Techniques ◽  
Retention Mechanism ◽  
Medical Rehabilitation ◽  
Urinary Continence ◽  
Complex Mechanism ◽  
Robot Assisted ◽  
Urine Retention ◽  
The Social

Laparoscopic (including robot-assisted) radical prostatectomy has become an alternative to open radical retropubic surgery. The main surgical techniques for reducing the period of urinary incontinence after radical prostatectomy are aimed at preserving, reconstructing and strengthening the structures that provide a complex mechanism for urine retention, namely, the pubo-prostate-vesicular ligaments, bladder neck, Denonvilliers` fascia, in procuring the functional length of the urethra, etc. Despite advances in the study of urinary continence mechanism there exists a large number of problems that need to be discussed. Therefore, researchers continue to search for solutions to create an optimal technique that ensures the earliest possible of urine retention, which is one of the main tasks in the social and medical rehabilitation of a patient who has undergone radical prostatectomy. This article describes the main modern techniques and methods for performing radical laparoscopic prostatectomy, which are aimed at achieving the earliest possible recovery of the urine retention mechanism.

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