Robot-assisted Simple Prostatectomy for Treatment of Lower Urinary Tract Symptoms Secondary to Benign Prostatic Enlargement: Surgical Technique and Outcomes in a High-volume Robotic Centre

Pokorny, Morgan; Novara, Giacomo; Geurts, Nicolas; Dovey, Zach; Groote, Ruben De; Ploumidis, Achilles; Schatteman, Peter; Naeyer, Geert De; Mottrie, Alexandre

doi:10.1016/j.eururo.2015.03.003

Cited by 67 publications

(29 citation statements)

References 22 publications

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“…in 2008 and encouraging results have since been reported in the literature . Transperitoneal and extraperitoneal approaches with transvesical or extravesical access to adenoma have been described (Table ). A recent meta‐analysis confirmed that minimally invasive simple prostatectomy offers similar functional outcomes to those of the open approach, with a longer operating time but reduced blood loss and shorter length of hospital stay .…”

Section: Discussionmentioning

confidence: 97%

Transvesical robot‐assisted simple prostatectomy with 360° circumferential reconstruction: step‐by‐step technique

et al. 2018

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Our 360° reconstruction during RASP is feasible and safe. The aim of the technique is to minimize use of electrocautery and decrease the raw surface area on the prostate capsule. This technical modification could potentially lessen postoperative bleeding after RASP and therefore the need for continuous bladder irrigation. In addition, it could potentially lead to mitigation of burning and irritative postoperative symptoms. Longer follow-up and comparative studies of different RASP techniques are still needed.

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Section: Discussionmentioning

confidence: 97%

Transvesical robot‐assisted simple prostatectomy with 360° circumferential reconstruction: step‐by‐step technique

et al. 2018

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“…The average length of stay was 1.6 days. The transfusion rate (TR) was 5.9%, which is higher than HoLEP (0–4%) , but is lower than OSP, PVP and LSP. It is important to note that the study involved 16 different sites (13 American and three Canadian) and showed that similar results were achieved across all sites irrespective of the experience of the operator, highlighting the very low learning curve for this procedure.…”

mentioning

confidence: 87%

“…Open simple prostatectomy (OSP) has good results but significant potential complications . Robot‐assisted simple prostatectomy is being evaluated as another option , but requires an expensive robot and extensive training to develop the skill‐set required to perform the procedure. Laparoscopic simple prostatectomy (LSP) also requires extensive training and experience.…”

mentioning

confidence: 99%

Aquablating urological skills

Chin¹

2018

BJU International

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“…Our results agree with those of more recent larger series. [22][23] The most important possible side effect of clamping the internal iliac arteries is the pelvic ischemia. It can manifest in different ways and often the symptoms are transient and resolve with time.…”

Section: Discussionmentioning

confidence: 99%

Robot-assisted simple prostatectomy with temporary internal iliac arteries clamping: our preliminary results

Falavolti¹,

Petitti²,

Buscarini³

2017

MIS

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Aim: This study proposed the robot-assisted laparoscopic simple prostatectomy (RASP) as safe and reliable surgical option for the treatment of men with prostate size > 80 mL. It was aimed to evaluate preoperative and postoperative results in RASP using a surgical variation to the standard technique: the temporary bilateral internal iliac arteries clamping. Methods: This study analyzed 18 patients underwent RASP with temporary clamping of bilateral internal iliac arteries. Procedures were performed by two surgeons in two different hospitals using the same surgical technique. Preoperative and postoperative data were collected and statistically analyzed. Results: The temporary clamping duration was less than 12 min during each adenoma's enucleation. Despite the vascular control, the median operating time was similar to RASP performed without iliac clamping. The results showed minimal blood loss, a median catheter duration of 5 days, a median duration of postoperative continuous catheter irrigation of 41 h, and short hospitalization (3.2 days). A significant corellation was observed between the estimated blood loss and the duration of irrigation. Conclusion: RASP performed with bilateral vascular control, combined with the known benefits of minimally invasive surgery resulted in bleeding reduction. The minimal blood loss further reduces catheter duration, decreases continuous catheter irrigation and patient's hospitalization duration. Key words:Benign prostatic hyperplasia, clamping, prostatectomy, robotic ABSTRACTArticle history:

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Robot-assisted Simple Prostatectomy for Treatment of Lower Urinary Tract Symptoms Secondary to Benign Prostatic Enlargement: Surgical Technique and Outcomes in a High-volume Robotic Centre

Cited by 67 publications

References 22 publications

Transvesical robot‐assisted simple prostatectomy with 360° circumferential reconstruction: step‐by‐step technique

Transvesical robot‐assisted simple prostatectomy with 360° circumferential reconstruction: step‐by‐step technique

Aquablating urological skills

Robot-assisted simple prostatectomy with temporary internal iliac arteries clamping: our preliminary results

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