Salvage robotic-assisted laparoscopic radical prostatectomy following failed primary high-intensity focussed ultrasound treatment for localised prostate cancer

被引：5
作者：
Murphy D.G. [1 ,2 ]
Pedersen J. [3 ]
Costello A.J. [1 ,2 ]
机构：
[1] Department of Urology, Epworth Hospital, Richmond
[2] Department of Urology, Royal Melbourne Hospital, Parkville, VIC 3052, Grattan Street
[3] Department of Histopathology, TissuPath Histopathology and Cytogenetic Services, Melbourne
来源：
Journal of Robotic Surgery | 2008年 / 2卷 / 3期
关键词：
Da Vinci; HIFU; High-intensity focussed ultrasound; Laparoscopic; Prostate cancer; Radical prostatectomy; Robotic ? Salvage;
D O I：
10.1007/s11701-008-0097-3
中图分类号：
学科分类号：
摘要：
We report the first case of salvage robotic-assisted laparoscopic radical prostatectomy (RALP) following failed primary high-intensity focussed ultrasound (HIFU) for localised carcinoma of the prostate. A 66-year-old male with a presenting prostate-specific antigen (PSA) of 5 ng/ml was diagnosed with T1c Gleason 3 + 4 prostate cancer. He underwent transurethral resection of the prostate and HIFU. His PSA dropped to 2.0 ng/ml and repeat biopsy revealed upgrading of his prostate cancer to Gleason 4 + 3. He was referred to us for a second opinion and, following discussion of his options, he underwent RALP. The total operative time was 159 min. There were no intra- or postoperative complications. He was discharged on postoperative day two and was fully continent 10 days following removal of his catheter. His PSA remained undetectable 6 months postoperatively. Salvage RALP was feasible in this case with good functional and short-term oncological outcomes for the patient. © 2008 Springer-Verlag London Ltd.
引用
收藏
页码：201 / 203
页数：2
相关论文
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