Initial experience with robot-assisted laparoscopic prostatectomy for complicated cases
	    		
		   		
		   			
		   		
	    	
    	 
    	10.11817/j.issn.1672-7347.2017.05.021
   		
        
        	
        		- VernacularTitle:复杂病例行机器人辅助腹腔镜前列腺癌根治术的初步经验
 
        	
        	
        	
        		- Author:
	        		
		        		
		        		
			        		Kun YAO
			        		
			        		;
		        		
		        		
		        		
			        		Leye HE
			        		
			        		;
		        		
		        		
		        		
			        		Bin LIU
			        		
			        		;
		        		
		        		
		        		
			        		Jin TANG
			        		
			        		;
		        		
		        		
		        		
			        		Yingbo DAI
			        		
			        		;
		        		
		        		
		        		
			        		Zhi LONG
			        		
			        		;
		        		
		        		
		        		
			        		Jianye LIU
			        		
			        		;
		        		
		        		
		        		
			        		Yichuan ZHANG
			        		
			        		
		        		
		        		
		        		
		        		
		        		
			        		
			        		
		        		
	        		
        		 
        	
        	
        	
        	
        		- Keywords:
        			
	        			
	        				
	        				
			        		
				        		robot;
			        		
			        		
			        		
				        		radical prostatectomy;
			        		
			        		
			        		
				        		challenging cases
			        		
			        		
	        			
        			
        		
 
        	
            
            
            	- From:
	            		
	            			Journal of Central South University(Medical Sciences)
	            		
	            		 2017;42(5):600-604
	            	
            	
 
            
            
            	- CountryChina
 
            
            
            	- Language:Chinese
 
            
            
            	- 
		        	Abstract:
			       	
			       		
				        
				        	Objective:To present our initial experience with robot-assisted laparoscopic prostatectomy (RALP) for complicated cases.Methods:Clinical and pathological data from 4 complicated prostate cancer cases,who underwent RALP from October to November in 2015,were analyzed retrospectively.All the cases were conducted transurethral plasmakinetic enucleation of prostate and hormonal therapy before RALP.Results:All surgeries were done successfully.The age,baseline prostatic special antigen,clinical tumor stage,operation time and estimated blood loss were 58-70 years,6.04-70.15 ng/mL,T2bT3b,210-360 min and 50-250 mL,respectively.No blood transfusion was needed.All surgical margin were negative.Conclusion:Although previous transurethral surgeries and hormonal therapies may increase the difficulty for operations,RALP is still appropriate for the complicated cases of prostate cancer.