Journal of Modern Urology 2024;29(1):1-4

doi:10.3969/j.issn.1009-8291.2024.01.001

Technical points of Retzius-sparing robot-assisted laparoscopic radical prostatectomy with retrograde release of the neurovascular bundle

Yong WANG 1 ; Zihao LIU 1 ; Yang LIU 1 ; Hua HUANG 1 ; Yuan SHAO 1 ; Yuanjie NIU 1

Affiliations

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Keywords

prostate cancer; neurovascular bundle; retrograde release; robot-assisted radical prostatectomy; urethral anastomosis; Retzius-sparing

Country

China

Language

Chinese

Abstract

Retzius-sparing robot assisted radical prostatectomy (RS-RARP) can significantly improve the immediate urinary continence without increasing the positive rate of surgical margin.However, the learning curve is long, and fewer than 10% of the surgeons can master it.Therefore,we have optimized the procedures of RS-RARP, applying radical prostatectomy with retrograde release of neurovascular bundle to preserve it to the maximum extent.Urethral anastomosis can be performed with only one suture, which eliminates the need for Hem-o-lok and reduces subsequent complications.Our team routinely carries out this operation, and conlcudes that this surgical method can achieve good tumor control, good urinary continence, fast recovery of sexual function, few complications, and strong operability.This article details the key steps and operation experience of this technique.