Abstract
Robot-assisted simple prostatectomy with temporary internal iliac arteries clamping: our preliminary results
Highlights
Minimally invasive surgery is the most common surgical approach for symptomatic benign prostatic hyperplasia (BPH)
The median temporary clamping of internal iliac arteries duration average 12 min during each adenoma’s enucleation that were performed in about 10 min
Simple prostatectomies represent the 14-32% of all invasive procedures performed for BPH in Europe.[12]
Summary
Minimally invasive surgery is the most common surgical approach for symptomatic benign prostatic hyperplasia (BPH). According to the EAU (European Association of Urology) guidelines, transurethral resection of the prostate represents the treatment of choice for men with prostate size < 80 mL.[1] Some patients can be affected by complex conditions such as large adenoma (> 80 mL) associated with moderate-to-severe lower urinary tract symptoms (LUTSs) and/or concomitant bladder diverticulum. In these cases, the endoscopic approach should be replaced by more invasive procedures. This new alternative combines the advantages of laparoscopic surgery and three-dimensional vision, and increased digital degrees of freedom, resulting in surgical precision and improved results.[6,7] The aim of the present study was to demonstrate the possibility of obtaining better intraoperative and postoperative results with RASP in terms of estimated blood loss, postoperative care and hospitalization using a surgical variation to the standard technique: the temporary bilateral internal iliac arteries clamping
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