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Extraperitoneal robot-assisted laparoscopic radical prostatectomy through single incision: Establishment and application of a modified channel / 中华男科学杂志
National Journal of Andrology ; (12): 892-898, 2021.
Article in Chinese | WPRIM | ID: wpr-922172
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 time of drainage tube indwelling averaged 2.68 (2-7) d and urinary catheterization 6.78 (6-9) d. Urinary continence was achieved in 11 cases (31.4%) immediately after catheter removal and in 29 cases (82.8%) at 1 month after surgery. The mean incision length was 4.97 (4.6-5.8) cm and the average follow-up time was 1.88 (1-3) months. The total cost was about ¥6 000 less than that of the robotic surgery via a multichannel port.@*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.、.
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Full text: Available Index: WPRIM (Western Pacific) Main subject: Prostatectomy / Robotics / Blood Loss, Surgical / Laparoscopy / Robotic Surgical Procedures Limits: Humans / Male Language: Chinese Journal: National Journal of Andrology Year: 2021 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Main subject: Prostatectomy / Robotics / Blood Loss, Surgical / Laparoscopy / Robotic Surgical Procedures Limits: Humans / Male Language: Chinese Journal: National Journal of Andrology Year: 2021 Type: Article