Robotically assisted laparoscopic radical prostatectomy: Feasibility studyin men

Citation
G. Pasticier et al., Robotically assisted laparoscopic radical prostatectomy: Feasibility studyin men, EUR UROL, 40(1), 2001, pp. 70-74
Citations number
8
Categorie Soggetti
Urology & Nephrology
Journal title
EUROPEAN UROLOGY
ISSN journal
03022838 → ACNP
Volume
40
Issue
1
Year of publication
2001
Pages
70 - 74
Database
ISI
SICI code
0302-2838(200107)40:1<70:RALRPF>2.0.ZU;2-U
Abstract
Purpose:We report our early experience of robotically assisted laparoscopic radical prostatectomy. Material and Methods: Five consecutive patients, with an average age of 58 years, PSA 12,1.6 positive biopsies, Gleason score 6, were operated in our institution over a period of 1 week by the same surgeon. A robotically assi sted laparoscopic nerve sparing radical prostatectomy was performed accordi ng to the Montsouris technique with the Da Vinci robot (intuitive Inc., Mou ntain View, Calif., USA). Results. The mean installation time was 93 min (range 76-149). The mean ope rating time (starting at the dissection of the seminal vesicles until the f inal stitch of the anastomosis) was 222 min (range 150-381 min). The averag e blood loss was 800 cm(3) (range 700-1,600 cm(3)). No postoperative compli cations were seen. Bladder catheter time: 6.5 days, hospital stay 5.5 days, urine leak 1/5, continence 4/5, positive margin 1/5. Conclusion; After this short experience, we conclude that:The use of a tele manipulation system accompanied by a three-dimensional view of the operati ng field provides a real benefit for the surgeon, and the urethro-anastomos is is easier to perform. The benefit for the patient is presently not very clear in terms of operating time, postoperative course and functional resul ts, our initial results show that the robotically assisted procedure is at least as safe and effective as the conventional laparoscopic procedure. Cop yright (C) 2001 S. Karger AG, Basel.