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Retzus-sparing robotic-assisted laparoscopic radical prostatectomy: a step–by-step technique description of this first brazilian experience

INTRODUCTION: Retzus-sparing robotic-assisted radical prostatectomy(RARP) is a newly approach that preserve the Retzus structures and provide better recovery of continence and erectile function. In Brazil, this approach has not yet been previously reported. OBJECTIVE: Our goal is to describe Step-by...

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Autores principales: Tobias-Machado, Marcos, Nunes-Silva, Igor, Hidaka, Alexandre Kiyoshi, Sato, Leticia Lumy Kanawa, Almeida, Roberto, Colombo, Jose Roberto, Zampolli, Hamilton de Campos, Pompeo, Antonio Carlos Lima
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Sociedade Brasileira de Urologia 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5117986/
https://www.ncbi.nlm.nih.gov/pubmed/27649115
http://dx.doi.org/10.1590/S1677-5538.IBJU.2015.0348
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author Tobias-Machado, Marcos
Nunes-Silva, Igor
Hidaka, Alexandre Kiyoshi
Sato, Leticia Lumy Kanawa
Almeida, Roberto
Colombo, Jose Roberto
Zampolli, Hamilton de Campos
Pompeo, Antonio Carlos Lima
author_facet Tobias-Machado, Marcos
Nunes-Silva, Igor
Hidaka, Alexandre Kiyoshi
Sato, Leticia Lumy Kanawa
Almeida, Roberto
Colombo, Jose Roberto
Zampolli, Hamilton de Campos
Pompeo, Antonio Carlos Lima
author_sort Tobias-Machado, Marcos
collection PubMed
description INTRODUCTION: Retzus-sparing robotic-assisted radical prostatectomy(RARP) is a newly approach that preserve the Retzus structures and provide better recovery of continence and erectile function. In Brazil, this approach has not yet been previously reported. OBJECTIVE: Our goal is to describe Step-by-Step the Retzus-sparing RARP surgical technique and report our first Brazilian experience. METHODS: We present a case of a 60-year-old white man with low risk prostate cancer. Surgical materials were four arms Da Vinci robotic platform system, six transperitoneal portals, two prolene wires and Polymer Clips. This surgical technique was step-by-step described according to Galfano et al. One additional step was added as a modification of Galfano et al. Primary technique description: The closure of the Denovellier fascia. RESULTS: We have operated one patient with this technique. The operative time was 180minutes, console time was135 min, the blood loss was 150ml, none perioperative or postoperative complications was found, hospital stay of 01 day. The anatomopathological classification revealed a pT2aN0M0 specimen with free surgical margins. The patient achieved continence immediately after bladder stent retrieval. Full erection reported after 30 days of surgery. CONCLUSION: Retzus-sparing RARP approach is feasible and reproducible. However, further comparative studies are necessary to demonstrate potential benefits in continence and sexual outcomes over the standard approaches.
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spelling pubmed-51179862016-11-22 Retzus-sparing robotic-assisted laparoscopic radical prostatectomy: a step–by-step technique description of this first brazilian experience Tobias-Machado, Marcos Nunes-Silva, Igor Hidaka, Alexandre Kiyoshi Sato, Leticia Lumy Kanawa Almeida, Roberto Colombo, Jose Roberto Zampolli, Hamilton de Campos Pompeo, Antonio Carlos Lima Int Braz J Urol Video Section INTRODUCTION: Retzus-sparing robotic-assisted radical prostatectomy(RARP) is a newly approach that preserve the Retzus structures and provide better recovery of continence and erectile function. In Brazil, this approach has not yet been previously reported. OBJECTIVE: Our goal is to describe Step-by-Step the Retzus-sparing RARP surgical technique and report our first Brazilian experience. METHODS: We present a case of a 60-year-old white man with low risk prostate cancer. Surgical materials were four arms Da Vinci robotic platform system, six transperitoneal portals, two prolene wires and Polymer Clips. This surgical technique was step-by-step described according to Galfano et al. One additional step was added as a modification of Galfano et al. Primary technique description: The closure of the Denovellier fascia. RESULTS: We have operated one patient with this technique. The operative time was 180minutes, console time was135 min, the blood loss was 150ml, none perioperative or postoperative complications was found, hospital stay of 01 day. The anatomopathological classification revealed a pT2aN0M0 specimen with free surgical margins. The patient achieved continence immediately after bladder stent retrieval. Full erection reported after 30 days of surgery. CONCLUSION: Retzus-sparing RARP approach is feasible and reproducible. However, further comparative studies are necessary to demonstrate potential benefits in continence and sexual outcomes over the standard approaches. Sociedade Brasileira de Urologia 2016 /pmc/articles/PMC5117986/ /pubmed/27649115 http://dx.doi.org/10.1590/S1677-5538.IBJU.2015.0348 Text en http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Video Section
Tobias-Machado, Marcos
Nunes-Silva, Igor
Hidaka, Alexandre Kiyoshi
Sato, Leticia Lumy Kanawa
Almeida, Roberto
Colombo, Jose Roberto
Zampolli, Hamilton de Campos
Pompeo, Antonio Carlos Lima
Retzus-sparing robotic-assisted laparoscopic radical prostatectomy: a step–by-step technique description of this first brazilian experience
title Retzus-sparing robotic-assisted laparoscopic radical prostatectomy: a step–by-step technique description of this first brazilian experience
title_full Retzus-sparing robotic-assisted laparoscopic radical prostatectomy: a step–by-step technique description of this first brazilian experience
title_fullStr Retzus-sparing robotic-assisted laparoscopic radical prostatectomy: a step–by-step technique description of this first brazilian experience
title_full_unstemmed Retzus-sparing robotic-assisted laparoscopic radical prostatectomy: a step–by-step technique description of this first brazilian experience
title_short Retzus-sparing robotic-assisted laparoscopic radical prostatectomy: a step–by-step technique description of this first brazilian experience
title_sort retzus-sparing robotic-assisted laparoscopic radical prostatectomy: a step–by-step technique description of this first brazilian experience
topic Video Section
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5117986/
https://www.ncbi.nlm.nih.gov/pubmed/27649115
http://dx.doi.org/10.1590/S1677-5538.IBJU.2015.0348
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