medigraphic.com
Organo Oficial de la Sociedad Mexicana de Urología

2023, Number 5

<< Back Next >>

Rev Mex Urol 2023; 83 (5)

Retzius-sparing robot-assisted radical prostatectomy: initial experience

Corona-Montes VE, Barzallo-Sánchez JL, Hernández-Méndez R, Hernández-Calderón J, Rosas-Nava JE, Sánchez-Núñez JE

Language: Spanish
References: 12
Page: 1-8
PDF size: 224.06 Kb.


ABSTRACT

Introduction: Robot-Assisted Radical Prostatectomy has positioned itself as the approach of choice in the treatment of prostate cancer.
Objective: of this study is to describe our experience with the Retziussparing technique started in 2018.
Material and methods: to describe the perioperative, functional and oncological outcomes of 13 patients who were taken to the Retzius space-preserving approach in patients with cancer of the prostate, evaluating perioperative variables, perioperative outcome, pathology, urinary continence, sexual function and oncological control. SPPS Windows V 22 was used for the statistical description.
Results: age of 64.9 years, specific prostate antigen of 25.85 ng/dl, presurgical IPSS 61% had mild symptoms, 30% moderate and 7% severe symptoms, the risk groups corresponded to low in 15%, intermediate 38% and high 46%. 6 patients two pT2 and four pT3 of which 4 received three-dimensional external conformal radiotherapy and two radiotherapy plus total androgen deprivation.
Conclusions: a slight tendency to control early urinary continence has been observed with the Retzius-sparing technique, but over time the continence rates are equalized. Conclusions: The present study demonstrated that laparoscopic radical prostatectomy is a good procedure over open radical prostatectomy to treat prostate cancer.


REFERENCES

  1. Abrams P, Andersson KE, Birder L, BrubakerL, Cardozo L, Chapple C, et al. FourthInternational Consultation on IncontinenceRecommendations of the InternationalScientific Committee: Evaluation andtreatment of urinary incontinence, pelvic organprolapse, and fecal incontinence. NeurourolUrodyn. 2010;29(1):213–40. doi: https://doi.org/10.1002/nau.20870

  2. Galfano A, Ascione A, Grimaldi S, PetraliaG, Strada E, Bocciardi AM. A new anatomicapproach for robot-assisted laparoscopicprostatectomy: a feasibility study for completelyintrafascial surgery. Eur Urol. 2010;58(3):457–61. doi: https://doi.org/10.1016/j.eururo.2010.06.008

  3. Wolfram M, Bräutigam R, Engl T, Bentas W,Heitkamp S, Ostwald M, et al. Robotic-assistedlaparoscopic radical prostatectomy: the Frankfurttechnique. World J Urol. 2003;21(3):128–32.doi: https://doi.org/10.1007/s00345-003-0346-z

  4. Corona-Montes VE, González-Cuenca E,Fernández-Noyola G, Rueda-Loaiza JA,Ramírez-Muciño JA, Vázquez-Lavista LG.Robot-Assisted Radical Prostatectomy ourTechnique Description. JUNS. 21 de octubrede 2020;3(1):236-41. doi: https://doi.org/10.32474/juns.2020.03.000153

  5. Tobias-Machado M, Corona Montes VE,Hidaka AK, Taha A, Nunes-Silva I, ZampolliH de C. Retzius Sparing Robot-Assisted RadicalProstatectomy Applied to High-Risk ProstateCancer: Detailed Surgical Steps to Achieve aComplete Extrafascial Surgery. Videoscopy.2021;31(1). doi: https://doi.org/10.1089/vor.2020.0669

  6. Fuentes GT. Aplicación de la escala internacionalde síntomas prostáticos a adultos mayores.Medimay. 2010;16(1):37–47.

  7. Rosen RC, Cappelleri JC, Gendrano N. TheInternational Index of Erectile Function (IIEF):a state-of-the-science review. Int J ImpotRes. 2002;14(4):226–44. doi: https://doi.org/10.1038/sj.ijir.3900857

  8. Bristol Urological Institute. InternationalConsultation on Incontinence Questionnaire-Urinary Incontinence Short Form (ICIQ-UI SF).2004.

  9. Patel VR, Sandri M, Grasso AAC, De LorenzisE, Palmisano F, Albo G, et al. A novel tool forpredicting extracapsular extension during gradedpartial nerve sparing in radical prostatectomy.BJU International. 2018;121(3):373–82. doi:https://doi.org/10.1111/bju.14026

  10. Yılmaz K, Özsoy Ç, Ölçücü MT, Aksaray EE,Okuducu Y, Ateş M. Is Retzius-sparing robotassistedlaparoscopic radical prostatectomyeffective in early continence? A single-centerexperience of the first 50 patients. Turk JUrol. 2021;47(2):125–30. doi: https://doi.org/10.5152/tud.2020.20411

  11. Galfano A, Tappero S, Eden C, Dell’oglio P,Fransis K, Guo H, et al. Multicentric experiencein Retzius-sparing robot-assisted radicalprostatectomy performed by expert surgeons forhigh-risk prostate cancer. Minerva Urol Nephrol.octubre de 2022;74(5):607-14. doi: https://doi.org/10.23736/s2724-6051.22.04857-1

  12. Kishore TA, Kuriakose MJ, RaveendranV, Ramaprasad MK. The impact oftransition from conventional robot-assistedradical prostatectomy to retzius sparingrobot-assisted radical prostatectomy: Aretrospective multivariate analysis. IndianJ Urol. 2021;37(2):140–6. doi: https://doi.org/10.4103/iju.iju_414_20




2020     |     www.medigraphic.com