Simultaneous Retzius-sparing robot-assisted radical prostatectomy and partial nephrectomy

Raheem, Ali Abdel; Santok, Glen Denmer; Kim, Dae Keun; Troya, Irela Soto; Alabdulaali, Ibrahim; Choi, Young Deuk; Rha, Koon Ho

doi:10.4111/icu.2016.57.2.146

Cited by 10 publications

(9 citation statements)

References 6 publications

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“…Our literature search yielded 11 studies addressing RS-RARP technique: One randomized control trial (RCT), six observational studies, two case reports, one case series and one descriptive study [17] , [18] , [19] , [20] , [21] , [22] , [23] , [24] , [25] , [26] , [27] . We observed a lack of consistency among the parameters in the studies.…”

Section: Resultsmentioning

confidence: 99%

“…Investigators found a higher blood loss, transfusion rate and increase of console time in Group 3 when compared with Groups 1 and 2. In addition to that, some investigators safely performed simultaneous RS-RARP and nephron sparing surgery (NSS) [19] , and according to Jenjitranan et al. [18] kidney transplanted patients can also receive RS-RARP technique without any technical challenges except some slight changes of port placement.…”

Section: Discussionmentioning

confidence: 99%

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Is Retzius-sparing robot-assisted radical prostatectomy associated with better functional and oncological outcomes? Literature review and meta-analysis

Dirie

Pokhrel

Guan

et al. 2019

Asian Journal of Urology

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Objective To evaluate the efficiency, safety and clinical outcomes of Retzius-sparing robot-assisted radical prostatectomy (RS-RARP) in comparison with the standard RARP. Methods A systematic search from Web of Science, PubMed, EMBase, Cochrane Library and Google Scholar was performed using the terms “Retzius-sparing”, “Bocciardi approach” and “robot-assisted radical prostatectomy”. Video articles and abstract papers for academic conferences were excluded. Meta-analysis of interested outcomes such as positive surgical margins (PSMs) and continence recovery was undertaken. A comprehensive literature review of all studies regarding Retzius-sparing (RS) approach was conducted and summarized. Results From 2010 to 2017, 11 original articles about RS-RARP approach were retrieved. Of that, only four studies comparing the RS-RARP approach to the conventional RARP were comparable for meta-analysis. Faster overall continence recovery within 1 month after the surgery was noted in the RS group (61% vs. 43%; p = 0.004). PSMs of pT2 and pT3 stages were not significantly different between the groups (10.0% vs. 7.4%; p = 0.39 and 13.1% vs. 9.5%, p = 0.56, respectively). Of all the studies, only one reported sexual recovery outcomes after RS treatment in which 40% of the participants achieved sexual intercourse within the first month. Conclusion Though more technically demanding than the conventional RARP, the RS technique is a safe and feasible approach. This meta-analysis and literature review indicates that RS technique, as opposed to the conventional approach, is associated with a faster continence recovery while PSMs were comparable between the two groups. The limitations of observational studies and the small data in our meta-analysis may prevent an ultimate conclusion. Future well-designed RCTs are needed to validate and confirm our findings.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Is Retzius-sparing robot-assisted radical prostatectomy associated with better functional and oncological outcomes? Literature review and meta-analysis

Dirie

Pokhrel

Guan

et al. 2019

Asian Journal of Urology

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“…The robotic approach used in nephron sparing surgery helps to obtain a lower rate of conversion to open surgery and to radical surgery, shorter warm-ischaemia time, smaller change in estimated GFR after surgery, and shorter length of hospital stay [ 7 ]. The use of a minimally invasive surgery can make the solution effective, safe, and with less invasiveness in the case of multi-organ treatment: it could be considered as an option to reduce the length of hospital stays, patient anxiety, and surgical burden [ 8 , 9 ]. Although the combined surgery has not been established as standard treatment for simultaneous PCa and kidney cancer, due to robotic surgery growing, the combined robot-assisted surgery should also be considered.…”

Section: Introductionmentioning

confidence: 99%

Combined Robotic Surgery for Double Renal Masses and Prostate Cancer: Myth or Reality?

et al. 2020

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With the widespread use of imaging modalities performed for the staging of prostate cancer, the incidental detection of synchronous tumors is increasing in frequency. Robotic surgery represents a technical evolution in the treatment of solid tumors of the urinary tract, and it can be a valid option in the case of multi-organ involvement. We reported a case of synchronous prostate cancer and bifocal renal carcinoma in a 66-year-old male. We performed the first case of a combined upper- and lower-tract robotic surgery for a double-left-partial nephrectomy associated with radical prostatectomy by the transperitoneal approach. A comprehensive literature review in this field has also been carried out. Total operative time was 265 min. Renal hypotension time was 25 min. Blood loss was 250 mL. The patient had an uneventful postoperative course. No recurrence occurred after 12 months. In the literature, 10 cases of robotic, radical, or partial nephrectomy and simultaneous radical prostatectomy have been described. Robotic surgery provides less invasiveness than open surgery with comparable oncological efficacy, overcoming the limitations of the traditional laparoscopy. During robotic combined surgery for synchronous tumors, the planning of the trocars’ positioning is crucial to obtain good surgical results, reducing the abdominal trauma, the convalescence, and the length of hospitalization with a consequent cost reduction. Rare complications can be related to prolonged pneumoperitoneum. Simultaneous robotic prostatectomy and partial nephrectomy appears to be a safe and feasible surgical option in patients with synchronous prostate cancer and renal cell carcinoma.

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“…Notably, the average operation time of 177±36 min was distinctly shorter in our case series compared to the literature on combined robotic or laparoscopic prostatectomy and kidney surgery, which showed operation times ranging from 240 min up to 550 min. 8,9,29 In both approaches, no intraoperative complications were observed. 8,9,30 On the other hand, the mean estimated blood loss of 690±529 mL was higher compared to the laparoscopic approaches with a mean blood loss of 350 mL, which could partly be explained by the pneumoperitoneum in robotic or laparoscopic surgery.…”

Section: Dovepressmentioning

confidence: 87%

Combined Open Prostatectomy and Kidney Surgery: Feasibility and 12-Month Outcome

Rath¹,

Jokisch²,

Schulz³

et al. 2021

RRU

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Simultaneous Retzius-sparing robot-assisted radical prostatectomy and partial nephrectomy

Cited by 10 publications

References 6 publications

Is Retzius-sparing robot-assisted radical prostatectomy associated with better functional and oncological outcomes? Literature review and meta-analysis

Is Retzius-sparing robot-assisted radical prostatectomy associated with better functional and oncological outcomes? Literature review and meta-analysis

Combined Robotic Surgery for Double Renal Masses and Prostate Cancer: Myth or Reality?

Combined Open Prostatectomy and Kidney Surgery: Feasibility and 12-Month Outcome

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