Robot-assisted simple prostatectomy with temporary internal iliac arteries clamping: our preliminary results

Falavolti, Cristina; Petitti, Tommasangelo; Buscarini, Maurizio

doi:10.20517/2574-1225.2016.08

Cited by 3 publications

(9 citation statements)

References 18 publications

(29 reference statements)

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“…A total of 16 original full-text articles from various institutions met the eligibility criteria and were found to add novel technical contributions to the surgery of RASP [ 9 , [23] , [24] , [25] , [26] , [27] , [28] , [29] , [30] , [31] , [32] , [33] , [34] , [35] , [36] , [37] ]. Table 1 summarizes the articles included in the analysis, highlighting the technical contribution along with peri-operative and functional outcomes.…”

Section: Resultsmentioning

confidence: 99%

“… Castillo et al., 2016 [ 36 ] 180° posterior urethro-vesical anastomosis. Falavolti et al., 2017 [ 26 ] Internal iliac artery clamping. Simone et al., 2019 [ 37 ] Urethral-sparing RASP; use of NIFI (indocyanine green).…”

Section: Resultsmentioning

confidence: 99%

“…In a transperitoneal RASP cohort of 18 patients, Falavolti et al. [ 26 ] described a RASP technique with temporary internal iliac artery clamping. After accessing the Retzius space, the internal iliac arteries are isolated with vessel loops.…”

Section: Resultsmentioning

confidence: 99%

“…Before horizontal cystostomy, the isolated arteries are occluded by bulldog clamps, and the enucleation is carried without particularities with the adenoma removal en bloc . Before trigonization and two-layer bladder closure, the bulldog clamps are removed [ 26 ].…”

Section: Resultsmentioning

confidence: 99%

“…(143 mL) [ 34 ]. Early vascular control also was described to improve surgery safety and reduce bleeding with transfusion rates lower than other published series [ 26 , 40 ]. The UVA technique following the adenoma enucleation proposed by Coelho et al.…”

Section: Discussionmentioning

confidence: 99%

See 4 more Smart Citations

Robotic surgery techniques to approach benign prostatic hyperplasia disease: A comprehensive literature review and the state of art

Moschovas

Timóteo

Lins

et al. 2021

Asian Journal of Urology

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Objective : The robotic-assisted approach to simple prostatectomy (RASP) was conceived, essentially reproducing the fundaments of open simple prostatectomy. Since the first report, RASP underwent several technical modifications. The study aims to identify and describe the current robotic surgery techniques to approach benign prostatic hyperplasia (BPH). Methods The paper performed a non-systematic literature review accessing PubMed and Embase databases for all full-text articles published from 2008 to May 2020, assessing robot-assisted surgical techniques for BPH treatment using the terms “robot-assisted simple prostatectomy” OR “robotic simple prostatectomy” OR “RASP” AND “surgical technique”. Results After careful review of 180 studies in PubMed and 198 in Embase, 16 papers reporting different RASP techniques. After the first procedure described by Sotelo et al. [9], several authors contributed to the development of the RASP technique. John et al. [24] proposed the extraperitoneal access, and Yuh et al. [23] first reported the adenoma transcapsular dissection. Some modifications were proposed by Coelho et al. [31] on trigonization, posterior reconstruction, and urethro-vesical anastomosis. Other groups focused on urethral-preserving procedures. Moschovas et al. [28] and Clavijo et al. [32] recently described an intrafascial RASP with the removal of the entire prostatic tissue. Finally, Kaouk et al. [29] reported the feasibility and safety of the da Vinci Single Port approach. Conclusion In the last eighteen years, the robotic-assisted approach to BPH disease has been evolved, and different techniques have been described. This review details all the technical developments on RASP that distinctive groups have proposed since the multiport robotic platforms until the new da Vinci Single Port.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Robotic surgery techniques to approach benign prostatic hyperplasia disease: A comprehensive literature review and the state of art

Moschovas

Timóteo

Lins

et al. 2021

Asian Journal of Urology

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Predictors of re-intervention after greenlight laser photoselective vaporization of the prostate: multicenter long/mid-term follow-up experience

Campobasso¹,

Marchioni²,

Nunzio³

et al. 2021

MIS

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Robotic Freyer's prostatectomy: Operative technique and single-center experience

et al. 2021

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Introduction: Transurethral resection of prostate replaced open surgery and remained the gold standard in surgical management of benign prostatic hyperplasia (BPH). Holmium laser enucleation and bipolar resection of prostate managed even larger glands. Open simple prostatectomy remains an option for large glands and concurrent pathologies. Minimally invasive laparoscopic simple prostatectomy lacks general acceptance. Surgeons have now started exploring the robotic platform due to its advantages. Herein, we present the technique and initial outcomes of robotic Freyer's prostatectomy (RFP). Materials and Methods: Thirteen transperitoneal RFPs were performed using the DaVinci Xi platform. We evaluated perioperative characteristics and functional outcomes. Results: Median patient age was 67.8 years and the mean prostate volume was 105.8 ml. The median International Prostate Symptom Score (IPSS) and American Urological Association quality of life (AUA-QoL) score was 19.6 and 5.3. There were no intraoperative complications or conversion to open surgery. The mean console time and estimated blood loss were 107.30 min and 92.5 ml, respectively. One patient required redo-surgery by robotic technique due to urine leak (Clavien-Dindo Grade 3b complication). Mean hospital stay and catheter duration were 4.9 days and 5.2 days, respectively. Change (preoperative vs. postoperative) in IPSS (19.6 vs. 4.67 points), maximum flow rate (6.8 vs. 15.1 ml/s), AUA-QoL score (5.3 vs. 2.2 points) and PVR (179.4 vs 7.1 ml) were significant ( P < 0001). Conclusions: RFP is a safe and effective option for managing BPH, especially for large glands. It confers minimally invasive surgery benefits with good functional outcomes.

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Robot-assisted simple prostatectomy with temporary internal iliac arteries clamping: our preliminary results

Cited by 3 publications

References 18 publications

Robotic surgery techniques to approach benign prostatic hyperplasia disease: A comprehensive literature review and the state of art

Robotic surgery techniques to approach benign prostatic hyperplasia disease: A comprehensive literature review and the state of art

Predictors of re-intervention after greenlight laser photoselective vaporization of the prostate: multicenter long/mid-term follow-up experience

Robotic Freyer's prostatectomy: Operative technique and single-center experience

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