Descriptive technique and initial results for robotic radical perineal prostatectomy

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dc.authorid0000-0002-4245-7506
dc.contributor.authorKaouk, Jihad H.
dc.contributor.authorAkça, Oktay
dc.contributor.authorZargar, Homayoun
dc.contributor.authorCaputo, Peter
dc.contributor.authorRamirez, Daniel
dc.contributor.authorAndrade, Hiury
dc.contributor.authorAlbayrak, Selami
dc.contributor.authorLaydner, Humberto
dc.contributor.authorAngermeier, Kenneth
dc.date.accessioned10.07.201910:49:13
dc.date.accessioned2019-07-10T20:04:26Z
dc.date.available10.07.201910:49:13
dc.date.available2019-07-10T20:04:26Z
dc.date.issued2016
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Üroloji Ana Bilim Dalı
dc.descriptionWOS: 000383696400035
dc.descriptionPubMed ID: 27233935
dc.description.abstractOBJECTIVE To minimize technical challenges of radical perineal prostatectomy (RPP), we conceived and applied the robotic approach to this technique in an aim to improve surgical applicability of RPP. Radical prostatectomy via the perineal route, avoiding the intra-abdominal cavity, has been shown to be oncologically safe, with excellent functional outcomes and a short hospital stay. We report our initial results with this novel approach. MATERIALS AND METHODS We performed the procedure in 4 patients. With the patient in the exaggerated lithotomy position, following a 3 cm perineal incision, the initial perineal dissection using Belt's approach is performed, followed by single port placement and docking of the robot. RESULTS The median age for patients was 64 years (60-69). Two patients had no rectum because of the abdominoperineal resection due to inflammatory bowel diseases. One of the other 2 patients had a surgical history of aborted robotic-assisted laparoscopic radical prostatectomy and 1 patient had no surgical history. There were no perioperative complications and the patients were discharged within 16-48 hours. Urethral catheter was removed within 10 days in 3 patients, and 3 weeks in 1 patient. Two patients were immediately continent when Foley was removed. The final pathology revealed focally positive margin in those 3 patients who had surgical histories and it was margin negative in the patient with native anatomy. All patients had undetectable prostate-specific antigen postoperatively. CONCLUSION RPP was successfully completed in 4 cases, applying a single port robotic perineal approach. Initial results are encouraging, with short hospital stay and minimal postoperative pain.
dc.description.sponsorshipTUBITAKen_US
dc.description.sponsorshipDr. Jihad H. Kaouk is a lecturer for Endocare. Dr. Oktay Akca received grant from TUBITAK. Dr. Kenneth Angermeier is a lecturer for the American Medical Systems. The remaining authors declare that they have no relevant financial interests.en_US
dc.identifier.citationKaouk, J. H., Akça, O., Zargar, H., Caputo, P., Ramirez, D., Andrade, H. ... Angermeier, K. (2016). Descriptive technique and initial results for robotic radical perineal prostatectomy. Urology, 94, 129-136. https://dx.doi.org/10.1016/j.urology.2016.02.063
dc.identifier.doi10.1016/j.urology.2016.02.063
dc.identifier.endpage136
dc.identifier.issn0090-4295
dc.identifier.issn1527-9995
dc.identifier.scopusqualityQ1
dc.identifier.startpage129
dc.identifier.urihttps://dx.doi.org/10.1016/j.urology.2016.02.063
dc.identifier.urihttps://hdl.handle.net/20.500.12511/4050
dc.identifier.volume94
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherElsevier Science Inc
dc.relation.ispartofUrologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/embargoedAccess
dc.titleDescriptive technique and initial results for robotic radical perineal prostatectomy
dc.typeArticle

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