4261 views

Open Anterograde Anatomic Radical Retropubic Prostatectomy Technique R2PA2

This video describes step by step a new surgical technique for performing “Open Anterograde Anatomic Radical Retropubic Prostatectomy” (R2PA2) for the treatment of prostate cancer in the same way as performed by the robot, without the need for using the robotic platform, video or any equipment other than those used in the conventional open surgery described by Patrick Walsh in 1983. This prospective and randomized study is registered in the ClinicalTrials.gov identifier number: NCT02687308, and the full description of this technique was published in: Fabricio et al., Surgery Curr Res 2017, 7:5
DOI: 10.4172/2161-1076.1000304.

Authors: Borges Carrerette F. 1, Damião R. 1, Barberan J.P. 1, Mendes Miranda T. 1, Almeida Gazzoli R. 1, Lucio Carrasco C.H. 1, Alves Machado H. 1, Figueiredo Filho R.T. 1, Da Silva E.A.. 1, Costa Lara C. 1, Freire F. 1,

1 Pedro Ernesto University Hospital, Rio de Janeiro State University, Surgery, Urology, Rio de Janeiro, Brazil.

N/A
N/A
N/A
N/A
N/A
The authors report no conflict of interest
We thank all the employees of the Pedro Ernesto Hospital of the University of the State of Rio de Janeiro doctors and technicians who did not measure efforts to carry out this work
1. Francesco Montorsi, Timothy G. Wilson, Raymond C. Rosen, Thomas E. Ahlering, Walter Artibani, Peter R. Carroll, Anthony Costello, James A. Eastham, Vincenzo Ficarra, Giorgio Guazzoni, Mani Menon, Giacomo Novara, Vipul R. Patel, Jens-Uwe Stolzenburg, Henk Van der Poel, Hein Van Poppel, Alexandre Mottrie. Best practices in robot-assisted radical prostatectomy: recommendations of the Pasadena Consensus Panel. Eur Urol. 2012;62:368-81. DOI: 10.1016/j.eururo.2012.05.057 2. Ilic D, Evans SM, Allan CA, Jung JH, Murphy D, Frydenberg M. Laparoscopic and robotic-assisted versus open radical prostatectomy for the treatment of localised prostate cancer. Cochrane Database of Systematic Reviews 2017, Issue 9. Art. No.: CD009625. DOI: 10.1002/14651858.CD009625.pub2. 3. Edward W. Campbell. Total prostatectomy with preliminary ligation of the vascular pedicles. J Urol. 1959;81:464-7. PMID: 13642487 4. Walsh PC, Lepor H, Eggleston JC. Radical prostatectomy with preservation of sexual function: anatomical and pathological considerations. Prostate. 1983;4:473-85. PMID: 6889192 5. Fabricio BC, Ronaldo D, Alexandro da Silva E, Figueiredo TF, Celso Lara C, Fernanda P, Emanuel FC and Henrique M. Description of the Open Anterograde Anatomic Radical Retropubic Prostatectomy Technique. Surgery Curr Res 7: 304. Doi: 10.4172/2161-1076.1000304. 6. William W. Schuessler, Peter G. Schulam, Ralph V. Clayman, Louis R. Kavoussi. Laparoscopic radical prostatectomy: initial short-term experience. Urology. 1997;50:854-7. DOI: 10.1016/S0090-4295(97)00543-8 7. Abbou CC, Hoznek A, Salomon L, Lobontiu A, Saint F, Cicco A, Antiphon P, Chopin D. Remote laparoscopic radical prostatectomy carried out with a robot. Report of a case. Prog Urol. 2000;10:520-3. PMID: 11064890 8. William T. Lowrance, Tatum V. Tarin, Shahrokh F. Shariat. Evidence-based comparison of robotic and open radical prostatectomy. Scientific World Journal. 2010;10:2228-37. DOI: 10.1100/tsw.2010.218 9. Sciarra A, Gentile V, De Matteis A, Dattilo C, Autran Gomez AM, Salciccia S, Di Silverio F. Long-term experience with an anatomical anterograde approach to radical prostatectomy: results in terms of positive margin rate. Urol Int. 2008;80:151-6. DOI: 10.1159/000112605 10. Van Velthoven RF, Ahlering TE, Peltier A, Skarecky DW, Clayman RV. Technique for laparoscopic running urethrovesical anastomosis: the single knot method. Urology. 2003;61:699-702. PMID: 12670546 11. D'Amico AV, Desjardin A, Chung A, Chen MH, Schultz D, Whittington R, Malkowicz SB, Wein A, Tomaszewski JE, Renshaw AA, Loughlin K, Richie JP. Assessment of outcome prediction models for patients with localized prostate carcinoma managed with radical prostatectomy or external beam radiation therapy. Cancer. 1998;82:1887-96. PMID: 9587121 12. Ficarra V, Novara G, Fracalanza S, D'Elia C, Secco S, Iafrate M, Cavalleri S, Artibani W. A prospective, non-randomized trial comparing robot-assisted laparoscopic and retropubic radical prostatectomy in one European institution. BJU Int. 2009;104:534-9. DOI: 10.1111/j.1464-410X.2009.08419.x 13. Frota R, Turna B, Barros R, Gill IS. Comparison of radical prostatectomy techniques: open, laparoscopic and robotic assisted. Int Braz J Urol. 2008;34:259-69. PMID: 18601755 14. Tewari A, Takenaka A, Mtui E, Horninger W, Peschel R, Bartsch G, Vaughan ED. The proximal neurovascular plate and the tri-zonal neural architecture around the prostate gland: importance in the athermal robotic technique of nerve-sparing prostatectomy. BJU Int. 2006;98:314-23. DOI: 10.1111/j.1464-410X.2006.06266.x 15. Brunocilla E, Pultrone C, Pernetti R, Schiavina R, Martorana G. Preservation of the smooth muscular internal (vesical) sphincter and of the proximal urethra during retropubic radical prostatectomy: description of the technique. Int J Urol. 2012;19:783-5. DOI: 10.1111/j.1442-2042.2012.03028.x 16. Ozu C, Hagiuda J, Nakagami Y, Hamada R, Horiguchi Y, Yoshioka K, Nakashima J, Hatano T, Tachibana M. Radical retropubic prostatectomy with running vesicourethral anastomosis and early catheter removal: our experience. Int J Urol. 2009;16:487-92. DOI: 10.1111/j.1442-2042.2009.02281.x 17. Lim JH, Park CM, Kim HK, Park JY. Comparison of perioperative outcomes between running versus interrupted vesicourethral anastomosis in open radical prostatectomy: a single-surgeon experience. Korean J Urol. 2015;56:443-8. DOI: 10.4111/kju.2015.56.6.443 18. Matsuyama H, Matsumoto H, Nagao K, Harada N, Hara T, Sakano S. Running suture versus interrupted suture for vesicourethral anastomosis in retropubic radical prostatectomy: a randomized study. Int J Urol. 2015;22:271-7. DOI: 10.1111/iju.12667 19. Brunocilla E, Pultrone C, Pernetti R, Schiavina R, Martorana G. Preservation of the smooth muscular internal (vesical) sphincter and of the proximal urethra during retropubic radical prostatectomy: description of the technique. Int J Urol. 2012;19:783-5. DOI: 10.1111/j.1442-2042.2012.03028.x 20. Yossepowitch O, Bjartell A, Eastham JA, Graefen M, Guillonneau BD, Karakiewicz PI, Montironi R, Montorsi F. Positive surgical margins in radical prostatectomy: outlining the problem and its long-term consequences. Eur Urol. 2009;55:87-99. DOI: 10.1016/j.eururo.2008.09.051 21. Giacomo Novara, Vincenzo Ficarra, Raymond C. Rosen, Walter Artibani, Anthony Costello, James A. Eastham, Markus Graefen, Giorgio Guazzoni, Shahrokh F. Shariat, Jens-Uwe Stolzenburg, Hendrik Van Poppel, Filiberto Zattoni, Francesco Montorsi, Alexandre Mottrie, Timothy G. Wilson. Systematic Review and Meta-analysis of Perioperative Outcomes and Complications After Robot-assisted Radical Prostatectomy. Eur Urol. 2012;62:382-404. DOI: 10.1016/j.eururo.2012.05.044 22. Al-Hathal N, El-Hakim A. Perioperative, oncological and functional outcomes of the first robotic prostatectomy program in Quebec: single fellowship-trained surgeon’s experience of 250 cases. Can Urol Assoc J. 2013;7:316-32. DOI: 10.5489/cuaj.319.

Review Open Anterograde Anatomic Radical Retropubic Prostatectomy Technique R2PA2.

Your email address will not be published. Required fields are marked *

Related Videos

Your 30-second teaser has ended. Log in or sign up to watch the full video.

Newsletter Signup

"*" indicates required fields

Name*