Intrafascial nerve-sparing radical prostatectomy with a laparoscopic robot-assisted extraperitoneal approach: early oncological and functional results

Journal of Endourology
Evanguelos XylinasAlexandre de la Taille

Abstract

We investigated whether an intrafascial approach to prostatectomy would provide significantly improved outcomes compared with retropubic and laparoscopic approaches. We performed 50 radical prostatectomies with an intrafascial, nerve-sparing, laparoscopic, robot-assisted extraperitoneal approach. From December 2007 to June 2008, 50 consecutive patients underwent nerve sparing surgery using the intrafascial technique with robotic assistance. All surgeries were performed by the same senior urologist. Patient characteristics and perioperative data were collected prospectively. Oncological outcomes were assessed by pathological examination and postoperative prostate-specific antigen levels. Functional outcomes, including continence, potency, and quality of life, were assessed from patient questionnaires. The mean operative time was 127 minutes (range: 80-205), the mean hospital stay was 4.2 days (range: 2-9), and the mean catheterization time was 7.8 days (range: 4-11). No perioperative complications occurred. One patient required a transfusion at the postoperative stage. The overall positive surgical margin rate was 12%; adjusted by tumor, nodes, and metastasis stage, it was 9.5% in pT2 and 17% in pT3 disease. At the 1-month follo...Continue Reading

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Citations

Dec 20, 2011·Asian Journal of Andrology·Jens-Uwe StolzenburgEvangelos Liatsikos
May 17, 2014·Urology Annals·Prem Nath DograBrusabhanu Nayak
Dec 28, 2012·World Journal of Urology·Guillaume PloussardAlexandre de la Taille
Jul 18, 2014·Fukushima Journal of Medical Science·Tomohiko YanagidaYoshiyuki Kojima
Aug 7, 2014·Indian Journal of Urology : IJU : Journal of the Urological Society of India·Kazushi TanakaMasato Fujisawa
Nov 2, 2015·Progrès en urologie : journal de l'Association française d'urologie et de la Société française d'urologie·L SalomonM Soulié
Jul 12, 2013·International Journal of Urology : Official Journal of the Japanese Urological Association·Yoshiyuki KojimaDavid I Lee
Sep 25, 2010·Urologic Oncology·Evanguelos XylinasAlexandre de la Taille
Jul 15, 2015·Therapeutic Advances in Urology·Ateş KadıoğluGerald Brock
Jul 20, 2018·Minerva urologica e nefrologica = The Italian journal of urology and nephrology·Marcello ScarciaGiuseppe M Ludovico

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