Robotic-Assisted Laparoscopic Radical Prostatectomy

Agarwal, Gautum; Valderrama, O; Luchey, Adam; Pow‐Sang, Julio M.

doi:10.1177/107327481502200305

Cited by 12 publications

(12 citation statements)

References 59 publications

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“…Radical prostatectomy either open or minimally invasive remains the gold standard for the treatment of localized and locally advanced prostate cancer [6] . Laparoscopic and robot-assisted radical prostatectomy have been linked to a shorter hospital stay, smaller surgical trauma and a fewer use of anesthetics [7] .…”

Section: Introductionmentioning

confidence: 99%

Is Retzius-sparing robot-assisted radical prostatectomy associated with better functional and oncological outcomes? Literature review and meta-analysis

Dirie

Pokhrel

Guan

et al. 2019

Asian Journal of Urology

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Objective To evaluate the efficiency, safety and clinical outcomes of Retzius-sparing robot-assisted radical prostatectomy (RS-RARP) in comparison with the standard RARP. Methods A systematic search from Web of Science, PubMed, EMBase, Cochrane Library and Google Scholar was performed using the terms “Retzius-sparing”, “Bocciardi approach” and “robot-assisted radical prostatectomy”. Video articles and abstract papers for academic conferences were excluded. Meta-analysis of interested outcomes such as positive surgical margins (PSMs) and continence recovery was undertaken. A comprehensive literature review of all studies regarding Retzius-sparing (RS) approach was conducted and summarized. Results From 2010 to 2017, 11 original articles about RS-RARP approach were retrieved. Of that, only four studies comparing the RS-RARP approach to the conventional RARP were comparable for meta-analysis. Faster overall continence recovery within 1 month after the surgery was noted in the RS group (61% vs. 43%; p = 0.004). PSMs of pT2 and pT3 stages were not significantly different between the groups (10.0% vs. 7.4%; p = 0.39 and 13.1% vs. 9.5%, p = 0.56, respectively). Of all the studies, only one reported sexual recovery outcomes after RS treatment in which 40% of the participants achieved sexual intercourse within the first month. Conclusion Though more technically demanding than the conventional RARP, the RS technique is a safe and feasible approach. This meta-analysis and literature review indicates that RS technique, as opposed to the conventional approach, is associated with a faster continence recovery while PSMs were comparable between the two groups. The limitations of observational studies and the small data in our meta-analysis may prevent an ultimate conclusion. Future well-designed RCTs are needed to validate and confirm our findings.

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Section: Introductionmentioning

confidence: 99%

Is Retzius-sparing robot-assisted radical prostatectomy associated with better functional and oncological outcomes? Literature review and meta-analysis

Dirie

Pokhrel

Guan

et al. 2019

Asian Journal of Urology

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“…17 RP is the most common treatment choice for patients with disease confined to the prostate, and often includes LN dissection in males with high risk of LN spread. [18][19][20] However, many patients fail to achieve an undetectable PSA (<0.03 ng ml −1 ) following RP, with 14-34% of patients failing to respond at the first post-operative PSA reading. [2][3][4][5][6] Information that predicts how well a patient responds to surgery is beneficial when weighing up the pros of curative treatment against the cons of unwanted side-effects.…”

Section: Discussionmentioning

confidence: 99%

⁶⁸Ga-HBEDD PSMA-11 PET/CT staging prior to radical prostatectomy in prostate cancer patients: Diagnostic and predictive value for the biochemical response to surgery

Nandurkar

Leeuwen

Stricker

et al. 2019

BJR

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Prostate cancer (PCa) is the most commonly diagnosed cancer amongst males in Australia leading to considerable morbidity and mortality. 1 Radical prostatectomy (RP) is the most widely used treatment for localised PCa. However, up to 14-34% of males do not have a biochemical response to RP and a multimodality approach is required. 2-6 Lymph nodal (LN) involvement, pathological tumour (pT), and seminal vesicle involvement (SVI) are poor prognostic indicators of initial response to RP. 3,7,8 68 Ga-prostate-specific membrane antigen (PSMA) positron emission tomography (PET) imaging has emerged as a potential tool for staging

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“…Prostate cancer is the second leading cancer-related cause of death in the USA, affecting 1 in 7 men in their lifetime. 1,2 In the last decade, minimally invasive, robotic-assisted laparoscopic radical prostatectomy (RALRP) has become a common treatment choice. 1–3 Eighty percent of radical prostatectomies are completed in this fashion, and a complication rate of 10.8% has been reported in the literature; with or without pelvic lymph node dissection (PLND).…”

Section: Introductionmentioning

confidence: 99%

“…1,2 In the last decade, minimally invasive, robotic-assisted laparoscopic radical prostatectomy (RALRP) has become a common treatment choice. 1–3 Eighty percent of radical prostatectomies are completed in this fashion, and a complication rate of 10.8% has been reported in the literature; with or without pelvic lymph node dissection (PLND). 1,2 A common risk associated with the procedure is postoperative lymphocele formation, at an incidence of 27%.…”

Section: Introductionmentioning

confidence: 99%

“…1–3 Eighty percent of radical prostatectomies are completed in this fashion, and a complication rate of 10.8% has been reported in the literature; with or without pelvic lymph node dissection (PLND). 1,2 A common risk associated with the procedure is postoperative lymphocele formation, at an incidence of 27%. 1,4 This collection contains lymphatic fluid without a distinct epithelial lining, and may occur when there is inadequate closure and injury of lymphatic vessels following surgical dissection.…”

Section: Introductionmentioning

confidence: 99%

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Robotic prostatectomy leading to a delayed MRSA infected lymphocele: a case report and review of the literature

Kaminski

Recco

Siegel

2017

Therapeutic Advances in Urology

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Prostate cancer is the second leading cancer-related cause of death in the USA with the majority presenting as localized disease. In the last decade minimally invasive, roboticassisted laparascopic, radical prostatectomy has become the most favored treatment choice. A complication that has been observed in 27% of patients is the formation of an asymptomatic lymphocele. It is a very rare complication for these to become infected, and when they do 80% have occurred 2-12 months post-procedure. In this case report the patient presented with fever and leukocytosis of unknown origin and was found to have a methicillin-resistant Staphylococcus aureus (MRSA) infected lymphocele over 2 years after a radical prostatectomy. The infected fluid collection was drained percutaneously and the patient was treated with a 4-week course of intravenous ceftaroline with complete resolution of symptoms.

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Robotic-Assisted Laparoscopic Radical Prostatectomy

Cited by 12 publications

References 59 publications

Is Retzius-sparing robot-assisted radical prostatectomy associated with better functional and oncological outcomes? Literature review and meta-analysis

Is Retzius-sparing robot-assisted radical prostatectomy associated with better functional and oncological outcomes? Literature review and meta-analysis

⁶⁸Ga-HBEDD PSMA-11 PET/CT staging prior to radical prostatectomy in prostate cancer patients: Diagnostic and predictive value for the biochemical response to surgery

Robotic prostatectomy leading to a delayed MRSA infected lymphocele: a case report and review of the literature

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Robotic-Assisted Laparoscopic Radical Prostatectomy

Cited by 12 publications

References 59 publications

Is Retzius-sparing robot-assisted radical prostatectomy associated with better functional and oncological outcomes? Literature review and meta-analysis

Is Retzius-sparing robot-assisted radical prostatectomy associated with better functional and oncological outcomes? Literature review and meta-analysis

68Ga-HBEDD PSMA-11 PET/CT staging prior to radical prostatectomy in prostate cancer patients: Diagnostic and predictive value for the biochemical response to surgery

Robotic prostatectomy leading to a delayed MRSA infected lymphocele: a case report and review of the literature

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⁶⁸Ga-HBEDD PSMA-11 PET/CT staging prior to radical prostatectomy in prostate cancer patients: Diagnostic and predictive value for the biochemical response to surgery