Extraperitoneal robot-assisted laparoscopic radical prostatectomy through single incision: Establishment and application of a modified channel.
- Author:
Fang ZHOU
1
;
Shang-Qing REN
1
;
Shi-da FAN
1
;
Qian L
1
;
Zheng-Jun CHEN
1
;
Yong OU
1
;
Yu NIE
1
;
Jing-Zhi TIAN
1
;
Jiao-Jiao HUANG
1
;
Dong WANG
1
Author Information
1. Center of Robot Minimally Invasive Surgery, Sichuan Academy of Medical Sciences, Sichuan Provincial People's Hospital, Chengdu, Sichuan 61000, China.
- Publication Type:Journal Article
- Keywords:
extraperitoneal approach;
modified channel;
multichannel port;
prostate cancer;
robot-assisted laparoscopic radical prostatectomy;
single-incision surgery
- MeSH:
Blood Loss, Surgical;
Humans;
Laparoscopy;
Male;
Prostatectomy;
Robotic Surgical Procedures;
Robotics
- From:
National Journal of Andrology
2021;27(10):892-898
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To assess the feasibility and validity of the establishment of a modified channel for extraperitoneal robot-assisted laparoscopic radical prostatectomy (RARP) through single incision.
METHODS:From November 2020 to January 2021, 35 cases of localized PCa were treated by extraperitoneal RARP through single incision in our center. All the operations were performed by the same surgeon, none via the multichannel port for the establishment of the channel. We recorded and analyzed the intra- and postoperative parameters, operation cost, complications, pathological findings and follow-up data.
RESULTS:All the operations were successfully completed, without conversion to open surgery or additional channels, or serious postoperative complications, the time for establishing the extraperitoneal space averaging 25.4 (20.0－45.0) min, the operation time 67.3 (35.0－125.0) min, intraoperative blood loss 75.5 (60.0－150.0) ml, time to first postoperative anal exhaust 26 (8－48) h, and postoperative hospital stay 7.89 (7－10) d. Postoperative pathology showed adenocarcinoma in all the cases, with Gleason score (GS) 3+3 in 9 (25.7%), GS 3+4 in 9 (25.7%), GS 4+3 in 8 (22.9%), and GS ≥ 8 in 9 (25.7%) of the cases, 23 (65.7%) in the
CONCLUSIONS:The establishment of the modified channel for extraperitoneal RARP through single incision is a safe and feasible procedure, with the advantages of good cosmesis, fast recovery, effective tumor control and continence, no serious postoperative complications, and less cost.、.
