V12-06 ROBOT ASSISTED RADICAL PROSTATECTOMY BY COMPLETE LATERAL ACCESS WITH PRESERVATION OF THE PUBOVESICAL COMPLEX: DESCRIPTION OF THE TECHNIQUE AND RESULTS

Abstract

You have accessJournal of UrologyProstate Oncology I (Prostatectomy) (V12)1 Sep 2021V12-06 ROBOT ASSISTED RADICAL PROSTATECTOMY BY COMPLETE LATERAL ACCESS WITH PRESERVATION OF THE PUBOVESICAL COMPLEX: DESCRIPTION OF THE TECHNIQUE AND RESULTS Javier Reinoso Elbers, Moisés Rodríguez Socarras, Juan Gómez Rivas, Richard Gaston, Luis Llanes, Julio Fernández Del Álamo, Diego Carrion, and Fernando Gómez -Sancha Javier Reinoso ElbersJavier Reinoso Elbers More articles by this author , Moisés Rodríguez SocarrasMoisés Rodríguez Socarras More articles by this author , Juan Gómez RivasJuan Gómez Rivas More articles by this author , Richard GastonRichard Gaston More articles by this author , Luis LlanesLuis Llanes More articles by this author , Julio Fernández Del ÁlamoJulio Fernández Del Álamo More articles by this author , Diego CarrionDiego Carrion More articles by this author , and Fernando Gómez -SanchaFernando Gómez -Sancha More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000002093.06AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Minimally invasive surgery for prostate cancer is constantly evolving. The development of technology and robotic surgery has contributed to a better understanding of prostate anatomy, allowing patients to receive an individualized treatment. The objective is to present the results of 302 consecutive patients treated of prostate cancer with robot assisted radical prostatectomy(RARP) by right lateral access with preservation of the pubovesical complex(PVC). METHODS: 302 specimens of patients undergoing robot assisted radical prostatectomy between January 2016 and May 2019 were studied. Demographic, preoperative, intraoperative, post-operative, oncologic and functional outcomes at 1½ year follow up were analyzed. Surgical technique: The principles of bladder neck preservation, tension and energy-free dissection of the bundles, seminal vesicle sparing, as well as PVC and Santorini´s plexus preservation are described. A lateral running suture is performed to restore continuity of the urinary tract. RESULTS: Mean surgical time was 139.34 min (SD+/-45.79). The complete lateral access and PVC preservation was feasible in 93.13% of cases. Mean hospital stay was 2,99 days (IQR+/-1.07). Complication rate was 6.53%(Clavien-Dindo I/II 3.59%).Clinically significant prostate cancer (ISUP ≥2) rate was 90.84%. Positive surgical margins (PSM) rate was 28%(93,2 %focal; 6.8% extensive). Biochemical recurrence at 1 1/2 year follow up was 0.092%. Total continence rate at 1,3,12 months was 75.24%,92.7% and 97.6%. Potency rate was 67.8% at 1 year follow up. CONCLUSIONS: The surgical treatment of prostate cancer with a lateral approach and complete pubovesical preservation is a safe and reproducible technique in well-selected cases. The results observed in this series are comparable to the robotic surgery series described in the literature by other working groups. Long-term follow-up of the series is necessary to define the oncological and functional results in this group of patients. Source of Funding: None. © 2021 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 206Issue Supplement 3September 2021Page: e1025-e1025 Advertisement Copyright & Permissions© 2021 by American Urological Association Education and Research, Inc.MetricsAuthor Information Javier Reinoso Elbers More articles by this author Moisés Rodríguez Socarras More articles by this author Juan Gómez Rivas More articles by this author Richard Gaston More articles by this author Luis Llanes More articles by this author Julio Fernández Del Álamo More articles by this author Diego Carrion More articles by this author Fernando Gómez -Sancha More articles by this author Expand All Advertisement Loading ...