Extraperitoneal v intraperitoneal robotic prostatectomy: analysis of operative outcomes

Journal of Endourology
Rabii MadiDavid P Wood

Abstract

Robotic prostatectomy can be performed either via an extra- or intraperitoneal approach. The extraperitoneal approach has advantages similar to those of an extraperitoneal open radical prostatectomy, but the potential disadvantages of a small working space. We report our experience using both approaches. From July 2003 to June 2004, 55 patients underwent a robot-assisted laparoscopic prostatectomy. During the first 6 months, 21 prostatectomies were performed using an intraperitoneal approach (group 1); 34 were performed using an extraperitoneal approach (group 2) during the next 6 months. Clinicopathologic parameters and perioperative complications were compared in both groups. All patients were categorized as intent-to-treat analysis. Median surgery time was significantly shorter in the extraperitoneal compared with the intraperitoneal approach (3 hours and 34 minutes v 4 hours and 1 minute, respectively, P = 0.017). This was because of the shorter time interval between the skin incision and incision of the endopelvic fascia in the extraperitoneal v the intraperitoneal approach (55 minutes v 74 minutes, respectively, P < 0.0001). There was no significant difference in terms of patient age, clinical and pathologic stage, length...Continue Reading

References

Oct 19, 2002·Urology·Ashutosh TewariMani Menon
Apr 3, 2003·Urology·Roland F Van VelthovenRalph V Clayman
May 29, 2003·The Journal of Urology·Mani MenonUNKNOWN VIP Team
Jul 10, 2003·World Journal of Urology·M WolframW-D Beecken
Jul 11, 2003·The Journal of Urology·Matthew T GettmanClément-Claude Abbou
Mar 15, 2005·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·Aksu Tarik, Coskun Fehmi

❮ Previous
Next ❯

Citations

Dec 20, 2011·Asian Journal of Andrology·Jens-Uwe StolzenburgEvangelos Liatsikos
Mar 8, 2008·Journal of Endourology·Roger L SurLi-Ming Su
Jan 19, 2010·Journal of Endourology·Seth A StropeBrent K Hollenbeck
Oct 3, 2013·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Joo Yong LeeYoung Deuk Choi
Dec 16, 2011·Surgical Innovation·Bruce L JacobsBrent K Hollenbeck
Feb 4, 2010·Urologic Oncology·Emilie K Johnson, David P Wood
Mar 12, 2011·BJU International·Shiv Mohan BhanotNader Awad
Dec 17, 2011·Scandinavian Journal of Urology and Nephrology·Marcus HorstmannHubert John
Sep 25, 2010·Urologic Oncology·Evanguelos XylinasAlexandre de la Taille
Oct 21, 2016·International Braz J Urol : Official Journal of the Brazilian Society of Urology·Nozomu KishimotoSeiji Yamaguchi
Jul 20, 2018·Minerva urologica e nefrologica = The Italian journal of urology and nephrology·Marcello ScarciaGiuseppe M Ludovico
Dec 6, 2008·Current Opinion in Urology·T Casey McCulloughGuy Vallancien
Mar 21, 2009·Current Opinion in Urology·Walter R ParkerDavid P Wood
Jul 28, 2015·International Journal of Urology : Official Journal of the Japanese Urological Association·Murat AkandMutlu Ates
Apr 19, 2017·Current Urology Reports·Alice Semerjian, Christian P Pavlovich

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.