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Robotic perineal radical prostatectomy and pelvic lymph node dissection using a purpose-built single-port robotic platform.
BJU Int
November 2016
Glickman Urological and Kidney Institute, Cleveland Clinic, Cleveland, OH, USA.
Objectives: To describe the features of the novel, purpose-built da Vinci model SP1098 single-port robotic platform and to describe a step-by-step approach for perineal prostatectomy and pelvic lymph node dissection in a cadaver model.
Methods: Three single-port robotic radical perineal prostatectomies and two pelvic lymph node dissections were performed on three male cadavers to assess the feasibility of the SP1098 da Vinci robotic platform. The steps in the procedure included division of the rectourethralis muscle, splitting of the levator ani muscles bilaterally, opening of Denonvilliers fascia with dissection of the seminal vesicles, apical dissection and urethral division, anterior and lateral dissection with ligation of prostatic pedicles, bilateral pelvic lymph node dissection, and creation of the new vesico-urethral anastomosis.
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