Laparoscopic radical prostatectomy in a renal allograft recipient

Shah, Ketul; Ko, Dicken; Mercer, Jonathan; Dahl, Douglas M.

doi:10.1016/j.urology.2006.03.029

Cited by 42 publications

(28 citation statements)

References 8 publications

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“…Classically, open retropubic prostatectomy has been the most usual surgical approach, being a safety and reproducible technique [8,13,17]. But this approach may be associated with a higher morbidity such as an impairment of renal function, infections, and alterations in wound cicatrization [16].…”

Section: Discussionmentioning

confidence: 99%

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Robot Assisted Radical Prostatectomy in Kidney Transplant Recipients. Our Clinical Experience and a Systematic Review

et al. 2016

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Introduction: Radical prostatectomy is a more skillful procedure in kidney graft recipients. Robotic surgery can provide a useful minimally invasive tool. Objectives: The study aims to evaluate the robotic-assisted laparoscopic prostatectomy (RALP) in kidney transplant recipients, describing intra/postoperative complications, renal and oncological outcomes. Methods: This is a retrospective study conducted in a single institution of 84 RALP. Four of them were kidney transplant recipients. Side of the renal graft, clinical stage, intra/postoperative events, operating time, creatinine levels before/after intervention and oncologic follow-up were recorded. A systematic review of the literature was performed. Results: Aged 61.25 ± 7.76 years, interval between renal transplantation and RALP: 10 ± 3.16 years. Mean prostate specific antigen: 7.1 ± 2.8 ng/ml, 2 patients were cT1c and 2 cT2a. Preoperative biopsies: Gleason score 3 + 3 in 3 patients, 3 + 4 in 1 patient. Charlson comorbidity index mean was 4.82 ± 0.82. No intra/postoperative events were reported. Mean operating time: 196 ± 20.8 min. Positive surgical margins: 2/4 patients. Pathological analysis: Gleason 3 + 4 in 2 patients and Gleason 3 + 3 in the others 2. A patient developed a bladder neck sclerosis. No differences between pre/postoperative creatinine. Three patients are free of biochemical recurrence and 1 patient required adjuvant radiotherapy. Conclusion: RALP in renal transplant recipients is a safe and feasible technique for localized prostate cancer. No difference in oncological outcomes and no impairments on renal function were found.

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Section: Discussionmentioning

confidence: 99%

“…With the development of laparoscopic prostatectomy surgery, some small series have been reported in renal transplant recipients [9,10,11,12,13,14], with successful outcomes, being a reproducible and a safe procedure in experimented centers.…”

Section: Introductionmentioning

confidence: 99%

Robot Assisted Radical Prostatectomy in Kidney Transplant Recipients. Our Clinical Experience and a Systematic Review

et al. 2016

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“…Long-term PSA was undetectable. 6 The Cleveland team retrospectively reviewed 3 cases of LRP in renal transplant recipients with no particular difficulties and with long-term preservation of renal function for 2 patients (1 patient required hemodialysis preoperatively). 7 Maestro and colleagues in 2009 described the transperitoneal operative technique and presented a review of the literature based on 8 renal transplant recipients operated by LRP with no cases of positive surgical margins or modifications of serum creatinine.…”

Section: Discussionmentioning

confidence: 99%

“…3 The functional and oncological results of radical prostatectomy in these patients remain poorly evaluated. The results of retropubic 4,5 and laparoscopic prostatectomy have been previously reported, [6][7][8] but few studies have evaluated robot-assisted laparoscopic prostatectomy. 9 We therefore evaluated the technical feasibility and oncological results of robot-assisted laparoscopic radical prostatectomy (RALP) in renal transplant recipients.…”

Section: Introductionmentioning

confidence: 99%

Technical feasibility of robot-assisted laparoscopic radical prostatectomy in renal transplant recipients: Results of a series of 12 consecutive cases

Clerc¹,

Lecornet²,

Léon³

et al. 2015

CUAJ

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Introduction: We evaluate the technical feasibility of robotic prostatectomy in renal transplant recipients. Methods: We retrospectively analyzed preoperative and perioperative settings, as well as functional and oncologic results of 12 patients operated on between 2009 and 2013. Prostatectomy was performed via a transperitoneal approach without any changing in the ports position. The average age was 61.92 ± 2.98 years. The period between transplant and the diagnosis of adenocarcinoma was 79.7 months. The mean PSA was 7.34 ng/mL (range: 4.9-11). Results: The operative time was 241.3 ± 35.6 minutes with only one conversion and one transfusion. The intervention was difficult due to adhesions on the side of the graft in 50% of cases. There was a case of obstructive acute renal failure resulting from a hematoma of the Retzius treated by percutaneous nephrostomy at D20. There was a majority of pT2c (72.7%), including 3 positive margins (27.3%) and 2 biochemical relapses treated with radiotherapy and hormonotherapy, respectively. The end point prostate-specific antigen was undetectable. There was no significant difference between preoperative and J7 creatinine (p = 0. 22). Conclusions: Robotic prostatectomy in renal transplant recipients is a safe technique with no serious effects on the allograft. IntroductionFor patients with end-stage renal disease, renal transplantation is the best treatment in terms of patient survival and quality of life.1 However, the need for immunosuppressive therapy following transplantation increases the incidence of certain cancers, 2 including urological cancers. 3 Prostate cancer is the most common urological cancer in male renal transplant recipients, with an incidence of 3.1%. 3The functional and oncological results of radical prostatectomy in these patients remain poorly evaluated. The results of retropubic 4,5 and laparoscopic prostatectomy have been previously reported, 6-8 but few studies have evaluated robot-assisted laparoscopic prostatectomy. 9 We therefore evaluated the technical feasibility and oncological results of robot-assisted laparoscopic radical prostatectomy (RALP) in renal transplant recipients. MethodsThis single-centre retrospective study included 12 renal transplant recipients who underwent RALP between January 2009 and January 2013.Clinicom 2001 version 6.50.0102 (Cliniom, Inc.) was used for data collection and Fusion Pégase 4D version 4.0.0 (Fusion Pégase Inc.) was used for anesthetic data. RALP was performed according to the conventional technique with 6 transperitoneal trocars. Lymph node dissection was not performed on the side of the transplant.Clinical data (age at the time of prostatectomy, etiology of end-stage renal disease, interval between renal transplantation and prostatectomy, side of transplantation, immunosuppressive therapy, American Society of Anesthesiologists [ASA] score, body mass index [BMI], and Charlson comorbidity index) were recorded for each patient.The diagnosis of prostate cancer was established on the basis of digital rectal e...

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“…En nuestra serie dos pacientes fueron tratados con braquiterapia intersticial de baja tasa, obteniendo resultados similares que en los pacientes a los que se les realizó una prostatectomía radical. En nuestro centro aún no se ha realizado una prostatectomía radical laparoscópica en pacientes con un trasplante renal; sin embargo, como otros autores, creemos que este abordaje podría ser posible, aunque de gran dificultad 38,39 .…”

Section: Discussionunclassified

Neoplasias urológicas de novo en pacientes trasplantados renales: experiencia en 1.751 pacientes

et al. 2010

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Laparoscopic radical prostatectomy in a renal allograft recipient

Cited by 42 publications

References 8 publications

Robot Assisted Radical Prostatectomy in Kidney Transplant Recipients. Our Clinical Experience and a Systematic Review

Robot Assisted Radical Prostatectomy in Kidney Transplant Recipients. Our Clinical Experience and a Systematic Review

Technical feasibility of robot-assisted laparoscopic radical prostatectomy in renal transplant recipients: Results of a series of 12 consecutive cases

Neoplasias urológicas de novo en pacientes trasplantados renales: experiencia en 1.751 pacientes

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