Real-time transrectal ultrasound guidance during nerve sparing laparoscopic radical prostatectomy: pictorial essay

The Journal of Urology
Osamu Ukimura, Inderbir S Gill

Abstract

We report that real-time TRUS can visualize prostate/periprostatic anatomy and provide intraoperative navigation during nerve sparing LRP. Real-time TRUS navigation during radical prostatectomy, whether open or laparoscopic, is a novel application about which little is known. Transperitoneal LRP with TRUS guidance has been performed in 77 consecutive men since March 2003. Gray-scale ultrasound (7.5 MHz) and power Doppler ultrasound were used. Real-time TRUS monitoring was performed preoperatively, intraoperatively and immediately postoperatively. Emphasis was placed on identifying the neurovascular bundles, defining the prostate apex contour and evaluating the location and extent of any hypoechoic cancer nodules. Intraoperative TRUS navigation appeared to be helpful for certain specific technical aspects of LRP, including 1) the identification of hypoechoic prostate cancer nodules, 2) precision during lateral pedicle transection and neurovascular bundle release, 3) calibrated, wider dissection at the site of suspected extracapsular extension of cancer nodules to achieve negative margins, 4) tailored dissection according to the individual prostate apex and (5) facilitation of posterior bladder neck transection for the novice. Re...Continue Reading

Citations

Sep 25, 2008·Journal of Endourology·Osamu UkimuraInderbir S Gill
Oct 6, 2011·Journal of Endourology·Tobias SimpfendörferDogu Teber
Aug 22, 2012·JSLS : Journal of the Society of Laparoendoscopic Surgeons·Andrea TinelliLiselotte Mettler
Oct 13, 2014·The Urologic Clinics of North America·Christopher R Mitchell, S Duke Herrell
May 11, 2011·Urologic Oncology·Angela D Gupta, Misop Han
May 2, 2009·The Urologic Clinics of North America·Gerald Y TanAshutosh K Tewari
Nov 2, 2015·Progrès en urologie : journal de l'Association française d'urologie et de la Société française d'urologie·L SalomonM Soulié
Sep 16, 2011·BJU International·Alexei WedmidDavid I Lee
Jan 23, 2014·International Journal of Urology : Official Journal of the Japanese Urological Association·Sunao ShojiOsamu Ukimura
May 16, 2013·IEEE Transactions on Bio-medical Engineering·Omid MohareriSeptimiu E Salcudean
Nov 28, 2008·BJU International·Georges-Pascal HaberInderbir S Gill
Oct 10, 2007·BJU International·Rodrigo FrotaMonish Aron
Jul 8, 2008·International Braz J Urol : Official Journal of the Brazilian Society of Urology·Rodrigo FrotaInderbir S Gill
Aug 11, 2015·Nature Reviews. Urology·Nathaniel M Fried, Arthur L Burnett
Jan 26, 2010·Current Opinion in Urology·Osamu Ukimura
Jun 20, 2008·International Journal of Urology : Official Journal of the Japanese Urological Association·Osamu UkimuraTsuneharu Miki
Sep 1, 2011·Expert Review of Endocrinology & Metabolism·Liselotte MettlerAntonio Malvasi
Mar 14, 2019·International Journal of Computer Assisted Radiology and Surgery·Prateek MathurSeptimiu Salcudean
Jul 7, 2007·Cancer Control : Journal of the Moffitt Cancer Center·Julio M Pow-SangLoveleen C Kang
Oct 5, 2016·Biomedical Optics Express·Yeoreum YoonKi Hean Kim
Jan 29, 2021·International Journal of Urology : Official Journal of the Japanese Urological Association·Nobuhiro HagaHirofumi Matsuoka

❮ Previous
Next ❯

Related Concepts

Related Feeds

Cancer Imaging

Imaging techniques, including CT and MR, have become essential to tumor detection, diagnosis, and monitoring. Here is the latest research on cancer imaging.