Robot-Assisted Radical Prostatectomy by Lateral Approach: Technique, Reproducibility and Outcomes
Author:
Rodríguez Socarrás Moisés1ORCID, Gómez Rivas Juan1ORCID, Reinoso Elbers Javier1, Espósito Fabio1, Llanes Gonzalez Luis1ORCID, Monsalve Diego M. Carrion1, Fernandez Del Alamo Julio1, Ruiz Graña Sonia1, Juarez Varela Jorge1, Coria Daniel1, Cuadros Rivera Vanesa1, Gastón Richard1, Gómez Sancha Fernando1ORCID
Affiliation:
1. Instituto de Cirugía Urológica Avanzada (ICUA), Clínica CEMTRO, 28035 Madrid, Spain
Abstract
Background: Radical prostatectomy by lateral approach allows performing a prostatectomy through a buttonhole, with direct access to the seminal vesicle and fully sparing the anterior pubovesical complex. Our aim is to show the results of reproducing the technique of robotic radical prostatectomy by lateral approach, in terms of intraoperative, postoperative, oncological and functional parameters. Methods: We analyzed 513 patients submitted to robotic radical prostatectomy by lateral approach from January 2015 to March 2021, operated on by two surgeons in our institution. The oncological and functional results of both surgeons were compared. Results: When comparing both surgeons, the rate of positive surgical margins (PSM) was 32.87% and 37.9% and significant surgical margins (PSM > 2 mm) were 5.88% and 7.58% (p = 0.672) for surgeon 1 and surgeon 2, respectively. Immediate continence was 86% and 85% and sexual potency at one year 73% and 72%, with a similar rate of complications for surgeon 1 and 2. Conclusions: Radical prostatectomy by the lateral approach technique with preservation of the anterior pubovesical complex is reproducible and offers good oncological and functional results.
Subject
Cancer Research,Oncology
Reference31 articles.
1. Contemporary Techniques of Prostate Dissection for Robot-assisted Prostatectomy;Martini;Eur. Urol.,2020 2. Schuetz, V., Reimold, P., Goertz, M., Hofer, L., Dieffenbacher, S., Nyarangi-Dix, J., Duensing, S., Hohenfellner, M., and Hatiboglu, G. (2021). Evolution of Salvage Radical Prostatectomy from Open to Robotic and Further to Retzius Sparing Surgery. J. Clin. Med., 11. 3. Cochetti, G., Del Zingaro, M., Ciarletti, S., Paladini, A., Felici, G., Stivalini, D., Cellini, V., and Mearini, E. (2021). New Evolution of Robotic Radical Prostatectomy: A Single Center Experience with PERUSIA Technique. Appl. Sci., 11. 4. Complete Periprostatic Anatomy Preservation During Robot-Assisted Laparoscopic Radical Prostatectomy (RALP): The New Pubovesical Complex-Sparing Technique;Asimakopoulos;Eur. Urol.,2010 5. Robot-Assisted Laparoscopic Radical Prostatectomy with Intrafascial Dissection of the Neurovascular Bundles and Preservation of the Pubovesical Complex: A Step-By-Step Description of the Technique;Asimakopoulos;J. Endourol.,2012
|
|