Robot‐assisted radical prostatectomy in an initial <scp>J</scp>apanese series: The impact of prior abdominal surgery on surgical outcomes

Yumioka, Tetsuya; Iwamoto, Hideto; Masago, Toshihiko; Morizane, Shuichi; Yao, Akihisa; Honda, Masashi; Muraoka, Kazuyuki; Sejima, Takehiro; Takenaka, Atsushi

doi:10.1111/iju.12678

Cited by 12 publications

(9 citation statements)

References 20 publications

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“…However, a signi cant difference in port insertion time was observed (32 and 28.5 min, respectively; P = 0.031). The results of this study are similar to our previous reports on the in uence of prior abdominal surgery on surgical outcomes of RARP [26]. Therefore, RAPN appears to be a safe procedure for patients with prior abdominal surgery.…”

Section: Discussionsupporting

confidence: 90%

“…Of the 150 patients who underwent RARP, 94 (63%) had no prior abdominal surgery. We found a signi cant difference in port insertion time, but none in total operative time, robotic console time, EBL, and perioperative complications between the two groups [26]. From these studies, RARP wasa a safe procedure, prior abdominal surgery was associated with no signi cant increase in perioperative outcomes.…”

Section: Discussionmentioning

confidence: 62%

“…They concluded that prior abdominal surgery does not appear to affect adversely the performance of urological laparoscopy [22]. Several reports have investigated the in uence of prior abdominal surgery on RARP [24][25][26]. Ginzburg et al described that prior abdominal surgery does not increase in operative time, consol time, PSM, and perioperative complications for RARP [24].…”

Section: Discussionmentioning

confidence: 99%

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The Influence of Prior Abdominal Surgery on Robot-Assisted Partial Nephrectomy

Yumioka

Honda

Teraoka

et al. 2021

Preprint

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Background: The aim of this study was to evaluate the influence of prior abdominal surgery on perioperative outcomes in patients who underwent robot-assisted partial nephrectomy.Methods: We reviewed patients with small renal tumors who underwent robot-assisted partial nephrectomy from October 2011 to September 2020 at our institution. Comparisons between patients with prior abdominal surgery and with no prior abdominal surgery were based on perioperative outcomes. Furthermore, patients underwent transperitoneal robot-assisted partial nephrectomy was compared between those with and without prior abdominal surgery. The Mann–Whitney U test and the chi-square test were used for statistical analyses of variables. Results: Of 156 patients who underwent robot-assisted partial nephrectomy, 90 (58 %) had no prior abdominal surgery, whereas 66 patients (42 %) underwent prior abdominal surgery. No significant differences in perioperative outcomes were observed between with and without prior abdominal surgery groups. In transperitoneal approach robot-assisted partial nephrectomy, 31 patients (38.8 %) had prior abdominal surgery, whereas 49 patients had no prior abdominal surgery. Trocar insertion time in the with prior abdominal surgery group took longer than the without prior abdominal surgery group (32 vs. 28.5 min, p = 0.031). The other perioperative outcomes were no significant differences. In the conversion rate, no significant difference was observed between the two groups (p = 0.556).Conclusions: Prior abdominal surgery does not appear to affect Robot-assisted partial nephrectomy. Robot-assisted partial nephrectomy can be a safe procedure for patients with prior abdominal surgery. In transperitoneal approach robot-assisted partial nephrectomy with prior abdominal surgery, trocar insertion time was longer, but no significant differences were found in other outcomes. The conversions to radical nephrectomy and open partial nephrectomy were not associated with prior abdominal surgery. Transperitoneal approach robot-assisted partial nephrectomy is thus considered a safe procedure for patients with prior abdominal surgery.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 62%

Section: Discussionmentioning

confidence: 99%

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The Influence of Prior Abdominal Surgery on Robot-Assisted Partial Nephrectomy

Yumioka

Honda

Teraoka

et al. 2021

Preprint

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“…However, patients who had dilatation of the internal inguinal ring without symptoms were included. RARPs were performed with the da Vinci robotic system (Intuitive Surgical, Sunnyvale, CA) by multiple surgeons and with six ports, as reported in a previous study [9]. Intraoperative pneumoperitoneum pressure was normally set in 8-10 mmHg, ternal inguinal ring, while the other, called 'distal incision', reached over 1 cm.…”

Section: Methodsmentioning

confidence: 99%

Postoperative inguinal hernia after robotic-assisted radical prostatectomy for prostate cancer: evaluation of risk factors and recommendation of a convenient prophylactic procedure

Iwamoto

Morizane

Hikita

et al. 2019

Cent european J Urol

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inguinal hernia after robotic-assisted radical prostatectomy for prostate cancer: evaluation of risk factors and recommendation of a convenient prophylactic procedure. Cent European J Urol. 2019; 72: 418-424. body mass index (BMI), subclinical inguinal hernia, previous history of major abdominal surgery, postoperative bladder neck contracture, and so on [2, 3]. Some prophylactic procedures during open RP were introduced, such as blunt dissection of the peritoneum at the internal inguinal ring and isolation of the spermatic cord from the peritoneum [4]. On the other hand, in the era of minimally invasive surgery, represented by robotic-assisted radical prostatectomy (RARP), the incidence of postoperative

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“…Seifman et al [8] reported that previous abdominal surgery increased the overall risk of transperitoneal laparoscopy and the location of the scar impacted the access complication rate. Although abdominal surgery was regarded as a contraindication for LRP by some investigators, previous abdominal surgery was not seen as a contraindication by others [9]. Currently, a detail analysis of perioperative complications showed no significant effect of previous abdominal surgery on robot-assisted LRP [10].…”

Section: Disscusionmentioning

confidence: 99%

Endoscopic extraperitoneal radical prostatectomy after radical resection of pT1-pT2 rectal cancer: a report of thirty cases.

Liu

Chen

2017

Videosurgery and Other Miniinvasive Techniques

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IntroductionEndoscopic extraperitoneal radical prostatectomy (EERPE) has gained popularity for the treatment of localized prostate cancer. However, prior complex lower abdominal or pelvic surgery can complicate subsequent EERPE. To date, there have been few reports on patients who underwent EERPE after radical resection of pT1-pT2 rectal cancer.AimTo present our experience with EERPE in patients after radical resection of pT1-pT2 rectal carcinoma and introduce a simple and effective way to create an extraperitoneal working space.Material and methodsThirty patients after radical resection of pT1-pT2 rectal carcinoma were treated with EERPE for biopsy-proven localized prostate cancer. Operation time, estimated blood loss, conversion to open surgery rate, transfusion rate and transurethral catheter time were recorded. Meanwhile, functional outcome (continence and potency) and oncological outcome were reviewed.ResultsThe average operative time was 168 min. Mean blood loss was 195 ml. There was no need for conversion to open surgery or transfusion. The catheter was removed on postoperative day (POD) 7.8. After a mean follow-up time of 53.1 months, 3 patients had a prostate-specific antigen level relapse over 0.1 ng/ml. At the follow-up time, 26 patients were completely continent, and 4 needed 1–2 pads/day. Of the 6 patients who underwent neurovascular bundle preservation, none have experienced return of erections at the last follow-up time.ConclusionsEndoscopic extraperitoneal radical prostatectomy after radical resection of rectal carcinoma appears promising, with feasibility in experienced hands. The operative data, postoperative urinary incontinence and oncological outcomes appear encouraging, but the rate of erectile dysfunction seems to be disappointing.

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Robot‐assisted radical prostatectomy in an initial Japanese series: The impact of prior abdominal surgery on surgical outcomes

Abstract: Robot-assisted radical prostatectomy appears to be a safe approach for patients with prior abdominal surgery without increasing total operative time, robotic console time, positive surgical margin or the incidence of perioperative complications.

Cited by 12 publications

References 20 publications

The Influence of Prior Abdominal Surgery on Robot-Assisted Partial Nephrectomy

The Influence of Prior Abdominal Surgery on Robot-Assisted Partial Nephrectomy

Postoperative inguinal hernia after robotic-assisted radical prostatectomy for prostate cancer: evaluation of risk factors and recommendation of a convenient prophylactic procedure

Endoscopic extraperitoneal radical prostatectomy after radical resection of pT1-pT2 rectal cancer: a report of thirty cases.

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