Vattikuti Institute Prostatectomy-Technique in 2012

被引:32
作者
Ghani, Khurshid R. [1 ]
Quoc-Dien Trinh [1 ]
Menon, Mani [1 ]
机构
[1] Henry Ford Hlth Syst, Vattikuti Urol Inst, Detroit, MI 48202 USA
关键词
ASSISTED RADICAL PROSTATECTOMY; RANDOMIZED CONTROLLED-TRIAL; ROBOTIC PROSTATECTOMY; FOLLOW-UP; OUTCOMES; FEASIBILITY; ANASTOMOSIS; CONTINENCE; POTENCY; SAMPLE;
D O I
10.1089/end.2012.0455
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
This year marks 12 years of the world's first robot-assisted radical prostatectomy (RARP) program, the Vattikuti Institute Prostatectomy (VIP). Experience with more than 7000 cases has helped standardize the operation, minimize complications, and enhance functional outcomes. In this article, we discuss our current technique of VIP including refinements such as Veil of Aphrodite nerve sparing using Harmonic ACE curved shears, high anterior release (super Veil), extended pelvic lymph node dissection, percutaneous suprapubic tube bladder drainage, and barbed suture for the urethrovesical anastomosis. In 2012, incorporation of the GelPoint access platform has the potential to further improve the oncologic performance of VIP, especially in high-risk patients.
引用
收藏
页码:1558 / 1565
页数:8
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