Radical Perineal Prostatectomy and Simultaneous Extended Pelvic Lymph Node Dissection via the Same Incision

Keller, H.; Lehmann, Joachim; Beier, J.

doi:10.1016/j.eururo.2006.09.045

Cited by 42 publications

(28 citation statements)

References 15 publications

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“…While simultaneous lymph node dissection within the perineal prostatectomy has been described [25] , its feasibility during the TRRP requires further examination.…”

Section: Discussionmentioning

confidence: 99%

The transrectal single port laparoscopic radical prostatectomy in a cadaver model

Akça¹,

Zargar²,

Autorino³

et al. 2015

Turkish Journal of Urology

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Objective: To explore the feasibility of laparoscopic trans-rectal Natural Orifice Transluminal Endoscopic Surgery (NOTES) radical prostatectomy in a cadaveric model and to define anatomical landmarks of this surgical route. Material and methods:After the ethical clearance, the study was conducted in Turkish Council of Forensic Medicine. With the cadaver in an exaggerated lithotomy position, a full thickness incision was made on the anterior wall of the rectum. The anteriorly visible Denonvilliers' fascia was incised sharply, exposing the posterior surface of the prostate. A single-port device (GelPOINT ® Path) was inserted transanally passing the incision on the anterior wall of the rectum, into the bluntly created space between rectum and prostate. Three, 10 mm ports were placed through the GelPOINT ® Path, at 3, 6, and 9 o'clock positions. A 5 mm, 0° degree lens was introduced at 6 o'clock position; followed by laparoscopic scissors and laparoscopic grasper. Prostatic and periprostatic anatomy was defined as encountered during each step of the procedure. Results:Exposure of the posterior surface of the prostate and seminal vesicles was easily achieved. No additional openings of the rectal wall were made. Surgical specimen was extracted keeping its integrity. Conclusion:Transrectal radical prostatectomy is technically feasible in the cadaver model, being facilitated by previous experience with perineal surgery. Anatomical observations during the present experimental study suggest that the transrectal NOTES route provides good exposure of the operative field and easy access to the posterior surface of prostate, Future experimental endeavors should focus on reproducibility of this approach and feasibility of lymph node dissection using trans-rectal route.

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“…While simultaneous lymph node dissection within the perineal prostatectomy has been described [25] , its feasibility during the TRRP requires further examination.…”

Section: Discussionmentioning

confidence: 99%

The transrectal single port laparoscopic radical prostatectomy in a cadaver model

Akça¹,

Zargar²,

Autorino³

et al. 2015

Turkish Journal of Urology

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“…Also the statement that the operative time and the learning curve in RPP is longer than in the other techniques could be disproved by various recent studies [Keller et al 2006;Comploj et al 2011;Schmeller et al 2007;Eliya et al 2011] and excellent, reproducible results can be obtained using basic surgical principles [Eliya et al 2011].…”

Section: Complicationsmentioning

confidence: 99%

“…This procedure requires a change in the patient's position and increases the operative time. Saito and Murakami [Saito and Murakami, 2003] first described a limited lymphadenectomy during RPP via the same incision and in 2006 Keller and colleagues [Keller et al 2006] proved that also the concomitant extended lymph node dissection in the RPP under direct vision via the same incision is possible and the major disadvantage of RPP is resolved.…”

Section: Risk Estimationmentioning

confidence: 99%

Experience with radical perineal prostatectomy in the treatment of localized prostate cancer

Comploj

Pycha

2012

Therapeutic Advances in Urology

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Radical perineal prostatectomy is an alternative to the retropubic, robotic-assisted or the laparoscopic approach and it is one of the oldest surgical procedures for prostate cancer, but its use has declined over the past 30 years. The desire for lower morbidity, short hospital stay, and decreased costs has resulted in a renaissance of radical perineal prostatectomy. The combination of low morbidity, short hospital stay, and low economic costs brought to a renaissance of radical perineal prostatectomy.

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“…В мире накоплен большой опыт выполнения РППЭ больным РПЖ. Благодаря на-копившемуся опыту хирургов частота осложнений после РППЭ в последние годы значительно снизилась [3][4][5].…”

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“…Так, Н. Keller и соавт. [4] оценили возможности выпол-нения расширенной ТЛАЭ через промежностный доступ при выполнении РППЭ. В исследование были включены 90 больных РПЖ.…”

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Radical perineal prostatectomy in patients with prostate cancer: methodological aspects and results

Alekseev¹,

Nyushko²,

Kalpinskiy³

et al. 2016

Onkol. Z. im. P.A. Gercena

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Radical Perineal Prostatectomy and Simultaneous Extended Pelvic Lymph Node Dissection via the Same Incision

Abstract: ePLND and RPP under direct vision via the same incision are feasible, efficient, and associated with a fast recovery of urinary continence and a low complication rate. Because lymphadenectomy needs no second access, the major disadvantage of RPP is resolved.

Cited by 42 publications

References 15 publications

The transrectal single port laparoscopic radical prostatectomy in a cadaver model

The transrectal single port laparoscopic radical prostatectomy in a cadaver model

Experience with radical perineal prostatectomy in the treatment of localized prostate cancer

Radical perineal prostatectomy in patients with prostate cancer: methodological aspects and results

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