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ISSN: 2641-1687

Journal of Urology & Nephrology Studies

Research Article(ISSN: 2641-1687)

Robot-Assisted Radical Prostatectomy our Technique Description

Volume 3 - Issue 1

Corona-Montes Víctor Enrique1,2,3,5*, González-Cuenca Eduardo1,2, Fernández-Noyola Gerardo2,5, Rueda-Loaiza Jesús Alejandro3, Ramírez-Muciño José Arturo4 and Vázquez-Lavista Luis Gabriel4,5

  • Author Information Open or Close
    • 1Unidad de Uro-Oncología, Hospital General de México, Universidad Nacional Autónoma de México (UNAM), México
    • 2Centro Médico A.B.C (American British Cowdray) Observatorio, México
    • 3Clínica de Urología,. Hospital Angeles del Pedregal, Ciudad de México
    • 4Fundación Clínica Médica Sur, México
    • 5Centro de Cirugía Robótica, San Angel Inn Universidad, México

    *Corresponding author: Víctor Enrique Corona MontesHospital General de México/Centro Médico A.B.C. Observatorio/Hospital San Angel Inn Universidad, Unidad de Uro – Oncología, Universidad Nacional Autónoma de México (UNAM), México

Received: October 09, 2020;   Published: October 21, 2020

DOI: 10.32474/JUNS.2020.03.000153

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Objective: To describe step-by-step technique in Robot Assisted Radical Prostatectomy of our transperitoneal posterioranterior technique for prostatic dissection with preservation of the endopelvic fascia, preservation of the puboprostatic ligaments and dorsal venous complex.

Materials and Methods: Description of our surgical technique over 80 patients who underwent RARP and the characteristics group from 2016 to 2019 excluding the rest of cases who went to different surgical approach and technique for robot-assisted radical prostatectomy.

Results: The mean age was 63 years old, 7% of patients were overweight and 7.5% had obesity. The mean pre-operative prostate volume was 42.620 cc, mean prostatic specific antigen (PSA) of 10.414.8 ng/dl. The mean console time was 198±47. The surgical margins were positive in 13.75% of the patients. Complications were recorded in the peri-operative period, five (6.2%) Clavien-Dindo I and six (7.5%) Clavien-Dindo II.

Conclusions: After 8 years of experience in our center we have modified our technique of robot assisted radical prostatectomy, improving our results, following different worldwide concepts in the prostatic dissection. Even if necessary, to increase the number of cases we have find an easier way to reproduce with acceptable results.

Keywords: Robotic Radical Prostatectomy, Prostate Dissection, Transperitoneal Approach

Abstract| Introduction| Materials and Methods| Results and Discussion| Conclusion| Disclosure Statement| Conflict of interest statement| Fundingsource| Competing Interests| Authors’ Contributions| Acknowledgements| References|