Anastomotic leak after robot-assisted laparoscopic radical prostatectomy: evaluation with MDCT cystography with multiplanar reformatting and 3D display.

AJR Am J Roentgenol

The Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins University School of Medicine, Johns Hopkins Hospital, JHOC 3235A, 601 N Caroline St, Baltimore, MD 21287, USA.

Published: November 2012

Objective: This article reviews the pattern of anastomotic leak after robot-assisted laparoscopic radical prostatectomy (RALRP) on MDCT cystography with multiplanar reformatting and 3D display and discusses key surgical procedures to explain intraperitoneal leak and the incidence and clinical significance of anastomotic leak.

Conclusion: RALRP is a minimally invasive surgery for localized prostate cancer, and its use has increased recently. Intraperitoneal extension of vesicourethral anastomotic leak after RALRP can occur, which is not associated with radical retropubic prostatectomy. MDCT cystography is a fast and accurate method for detection and evaluation of the extent of anastomotic leak after RALRP.

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http://dx.doi.org/10.2214/AJR.12.8700DOI Listing

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