Robotic Single-port Partial Prostatectomy for Anterior Tumors: Transvesical Approach
Urology, ISSN: 0090-4295, Vol: 118, Page: 242
2018
- 8Citations
- 23Captures
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Example: if you select the 1-year option for an article published in 2019 and a metric category shows 90%, that means that the article or review is performing better than 90% of the other articles/reviews published in that journal in 2019. If you select the 3-year option for the same article published in 2019 and the metric category shows 90%, that means that the article or review is performing better than 90% of the other articles/reviews published in that journal in 2019, 2018 and 2017.
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Metrics Details
- Citations8
- Citation Indexes8
- CrossRef3
- Captures23
- Readers23
- 23
Video Description
To evaluate the feasibility of a single-port transvesical robotic approach for anterior partial prostatectomy in a cadaver model. The cadavers were placed in a lithotomy position and secured to the operating table. A 3-cm midline incision was made in the suprapubic skin fold. After opening the Retzius space, a single-port mini device (GelPOINT, Rancho Margarita, CA) was introduced percutaneously directly into the bladder. The da Vinci Si robotic platform (Intuitive Surgical, Sunnyvale, CA) was docked to the GelPOINT by inserting 2 8-mm (robotic arms) and 1 12-mm (camera) trocar through the GelSeal Cap. The surgical steps for en bloc anterior prostatectomy were performed in the following order: (1) retrograde dissection of transition zone at the bladder neck, (2) lateral excision of the peripheral zone, and (3) urethrovesical anastomosis. Primary outcomes such as intraoperative complications, rate of conversion to standard techniques, and operative times were recorded. Single-port transvesical robotic approach for anterior partial prostatectomy was technically completed in 2 male cadavers. Both cases were completed successfully using the da Vinci Si surgical system without conversion or the need for additional ports. There were no intraoperative complications. The total operative time was 124.1 and 81.3 minutes. Step-specific times are listed in Table 1. Transvesical robotic partial prostatectomy is technically feasible using a single-port approach in a preclinical model. Further studies are needed for evaluation on patients with anterior localized prostate cancer. Prospective comparison with standard surgical techniques and focal therapy are warranted. Refinement of this technique may potentially expand the role of single-site surgery in the clinical practice.
Bibliographic Details
http://www.sciencedirect.com/science/article/pii/S0090429518302917; http://dx.doi.org/10.1016/j.urology.2018.03.034; http://www.scopus.com/inward/record.url?partnerID=HzOxMe3b&scp=85057930040&origin=inward; http://www.ncbi.nlm.nih.gov/pubmed/29704582; https://linkinghub.elsevier.com/retrieve/pii/S0090429518302917; https://dx.doi.org/10.1016/j.urology.2018.03.034
Elsevier BV
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