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Retzius-sparing versus standard robot-assisted laparoscopic prostatectomy: A two-year patient-reported and oncological assessment.
Prostate
February 2025
Department of Urology, Europe Hospitals, Ste-Elisabeth, Brussels, Belgium.
Article Synopsis
- The study compares the two-year functional and oncological outcomes of Retzius-sparing robot-assisted laparoscopic prostatectomy (rsRALP) vs. standard robot-assisted laparoscopic prostatectomy (sRALP) in patients with localized prostate cancer.
- Results show that rsRALP significantly improves urinary function and quality of life over time, while sexual function differences were negligible after 12 months.
- Although rsRALP had some negative surgical margin characteristics, it did not affect biochemical recurrence rates after five years, indicating no significant difference in long-term oncological outcomes between the two methods.
Retzius-Sparing Robot-Assisted Radical Prostatectomy Using the Hinotori Surgical Robot System Platform: Report of the First Series of Experiences.
Curr Oncol
September 2024
Department of Urology, Graduate School of Medicine, The University of Tokyo, Tokyo 113-8655, Japan.
Background: The aim of this study is to describe the first series of six patients undergoing Retzius-sparing robot-assisted radical prostatectomy (rs-RARP) using the hinotori surgical robot system (hinotori SRS) and to compare the treatment outcomes with those achieved with the da Vinci surgical platform.
Methods: This study included 20 cases involving the rs-RARP procedure (hinotori: N = 6; da Vinci: N = 14) that were performed between May 2021 and April 2024 in a single institution.
Results: No significant differences were observed between the hinotori and da Vinci groups regarding the preoperative findings.
Does a retzius-sparing surgical technique improve urinary continence recovery after a robot-assisted laparoscopic radical prostatectomy: results of a systematic review and meta-analysis of comparative studies.
Prostate Cancer Prostatic Dis
August 2024
The Wesley Hospital, Brisbane, QLD, Australia.
A novel pelvis-prostate model BPPP predicts immediate urinary continence after Retzius-sparing robotic-assisted laparoscopic radical prostatectomy.
Sci Rep
August 2024
Department of Urology, Nanjing Drum Tower Hospital, Affiliated Medical College of Nanjing University, Nanjing, 210008, China.
This study aimed to construct a novel pelvis-prostate model BPPP which consists of body mass index (BMI), prostate volume (PV), pelvic cavity index (PCI) and prostate-muscle index (PMI) to predict the immediate urinary continence after Retzius-sparing robot assisted laparoscopic radical prostatectomy (RS-RARP). The perioperative data of patients with prostate cancer who underwent RS-RARP in the department of urology of Nanjing Drum Tower Hospital from June 2018 to June 2022 were retrospectively analyzed. 280 patients were eligible for this study in total.
View Article and Find Full Text PDFPeritoneal Distraction Technique to Reduce Symptomatic Lymphoceles after Retzius-Sparing Robot-Assisted Radical Prostatectomy.
Saudi J Med Med Sci
June 2024
Department of Urology, Aster Medcity, Kochi, Kerala, India.
Background: In Retzius-sparing robot-assisted radical prostatectomy (RARP), lymphocele formation is a troublesome complication. The use of peritoneal flaps has emerged as a promising novel technique to tackle this complication. We explored this technique by suturing both the medial peritoneal flaps to each other and keeping them distracted so that the lymphadenectomy beds are left wide open.
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