Robot-Assisted Radical Prostatectomy by Lateral Approach: Technique, Reproducibility and Outcomes

被引：4

作者：

Socarras, Moises Rodriguez ^{[1
]}

Rivas, Juan Gomez ^{[1
]}

Elbers, Javier Reinoso ^{[1
]}

Esposito, Fabio ^{[1
]}

Gonzalez, Luis Llanes ^{[1
]}

Monsalve, Diego M. Carrion ^{[1
]}

Del Alamo, Julio Fernandez ^{[1
]}

Grana, Sonia Ruiz ^{[1
]}

Varela, Jorge Juarez ^{[1
]}

Coria, Daniel ^{[1
]}

Rivera, Vanesa Cuadros ^{[1
]}

Gaston, Richard ^{[1
]}

Sancha, Fernando Gomez ^{[1
]}

机构：

[1] Inst Cirugia Urol Avanzada ICUA, Clin CEMTRO, Madrid 28035, Spain

来源：

CANCERS | 2023年 / 15卷 / 22期

关键词：

robot-assisted radical prostatectomy; radical prostatectomy technique; lateral approach; prostate cancer; RETZIUS-SPARING APPROACH; PUBOVESICAL COMPLEX; CRITICAL-APPRAISAL; SURGICAL MARGINS; PRESERVATION; DISSECTION;

D O I：

10.3390/cancers15225442

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

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.

引用

页数：9

共 31 条

[31] Incorporating VR-RENDER Fusion Software in Robot-Assisted Partial Prostatectomy: The First Case Report [J].

Yang, Che-Hsueh ;

Chen, Li-Hsun ;

Lin, Yi-Sheng ;

Hsu, Chao-Yu ;

Tung, Min-Che ;

Huang, Shih-Wei ;

Wu, Chi-Hsiang ;

Ou, Yen-Chuan .

CURRENT ONCOLOGY, 2023, 30 (02) :1699-1707

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