V4 The role of surgical assistants during extraperitoneal laparoscopic radical prostatectomy

Objective: The aim of this project was to examine the role of surgical mentorship on the perioperative and oncological outcomes of patients undergoing laparoscopic radical prostatectomy (LRP) performed by two urologists inexperienced in the procedure. Methods: Forty-one (41) consecutive LRP cases were performed for clinically localised prostate cancer between December 2006 and June 2008 at a single centre. The surgical mentor approach was used with an experienced LRP surgeon being present for all cases that were performed by two urologists training in LRP. Data was retrospectively reviewed to assess morbidity and oncological outcomes of patients undergoing LRP by the team of trainees. Results: No LRP cases were converted to open and no major intraoperative complications were noted. Mean intraoperative blood loss was 493 ml (range 150–1000 ml) with the mean operative time being 220 minutes (range 100–315 minutes). The overall positive margin rate was only 12% (five out of 41 cases). Conclusion: LRP teaching units can be established with appropriate mentor supervision and can result in good oncological outcomes and minimal morbidity that compares favourably to robotic-assisted radical prostatectomy (RARP).

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The Role of Abdominal Imaging in the Evaluation of Patients Following Robot-assisted Laparoscopic Radical Prostatectomy

Journal of Men s Health ◽

10.1016/j.jomh.2009.08.106 ◽

2009 ◽

Vol 6 (3) ◽

pp. 254-254

Author(s):

T. Feng ◽

J. Yohannan ◽

M.E. Allaf

Keyword(s):

Radical Prostatectomy ◽

Abdominal Imaging ◽

Laparoscopic Radical Prostatectomy ◽

Robot Assisted

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The Role of Anterior Bladder Flap Neourethra (ABFN) in Early Urinary Continence after Laparoscopic Radical Prostatectomy The Anterior Bladder Flap Neourethra (ABFN) in RP

10.21203/rs.3.rs-754448/v1 ◽

2021 ◽

Author(s):

Zhibin Xu ◽

MaoMao Guo ◽

Hao Bian ◽

Zhenchi Li ◽

Chen Wang ◽

...

Keyword(s):

Radical Prostatectomy ◽

Marked Improvement ◽

Laparoscopic Radical Prostatectomy ◽

Catheter Removal ◽

Urinary Continence ◽

Control Group ◽

Urethral Pressure ◽

Continence Rate ◽

The Impact

Abstract Purpose To evaluate the impact of anterior bladder flap neourethra (ABFN) technique on early urinary continence after laparoscopic radical prostatectomy(RP). Materials and Methods Forty patients who underwent laparoscopic RP January 2019 to January 2021 were prospectively randomized into two groups: the ABFN group (n = 20) and the control group (n = 20). We compared continence rates and ICIQ-SF at 1d, 30 d, 90 d and 180 d after catheter removal. In addition, the urethral pressure of two groups, the length and thickness of neourethra in the ABFN group were measured at one week after catheter removal. Results The ABFN group had marked improvement incontinence rates at 1d, 30d and 90d after catheter removal vs the control group, while had the nearly same continence rate at 180 d. ICIQ-SF scores of the ABFN group were lower than the control group. Maximal urethral pressure (MUP), functional urethral length (FUL) and functional urethral area (UFA) for the ABFN group has significantly improvement than the control group. MRI showed that the neourethral length of the ABFN group was 13.7–16.2 mm, the thickness was 3.6–5.2 mm. Conclusions The ABFN technique markedly improved the early continence rate after laparoscopic RP.

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Robotic-Assisted Laparoscopic Radical Prostatectomy: An Objective Assessment and Review of the Literature

The Scientific World JOURNAL ◽

10.1100/tsw.2006.400 ◽

2006 ◽

Vol 6 ◽

pp. 2589-2061 ◽

Cited By ~ 1

Author(s):

Lester S. Borden Jr. ◽

Paul M. Kozlowski

Keyword(s):

Prostate Cancer ◽

Radical Prostatectomy ◽

Objective Assessment ◽

Cancer Control ◽

Laparoscopic Radical Prostatectomy ◽

Robotic Assisted ◽

Open Radical Prostatectomy ◽

Term Data

Robotic-assisted laparoscopic radical prostatectomy (RLRP) has become an accepted treatment option for men with prostate cancer. A search of the available literature through January 2006 was performed to analyze the surgical technique, outcomes data, and other unique issues regarding RLRP. While prospective, randomized trials and long-term data are lacking, short-term data from single institution series have demonstrated outcomes for RLRP that appear to be equivalent to those for open radical prostatectomy (ORP). Although not yet proven, some encouraging data suggest that RLRP may be able to achieve improved cancer control, postoperative urinary control, and erectile function compared to open surgery for prostate cancer. Definite advantages of RLRP over ORP are not yet established. Future studies will determine the role of RLRP in the surgical treatment of men with prostate cancer.

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