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Robotic-assisted laparoscopic radical prostatectomy: The Ohio State University technique

View Article: PubMed Central - PubMed

ABSTRACT

Robotic radical prostatectomy is a new innovation in the surgical treatment of prostate cancer. The technique is continuously evolving. In this article we demonstrate The Ohio State University technique for robotic radical prostatectomy. Robotic radical prostatectomy is performed using the da Vinci surgical system. The video demonstrates each step of the surgical procedure. Preliminary results with robotic prostatectomy demonstrate the benefits of minimally invasive surgery while also showing encouraging short-term outcomes in terms of continence, potency and cancer control. Robotic radical prostatectomy is an evolving technique that provides a minimally invasive alternative for the treatment of prostate cancer. Our experience with the procedure now stands at over 1,300 cases.

Electronic supplementary material: The online version of this article (doi:10.1007/s11701-007-0018-x) contains supplementary material, which is available to authorized users.

No MeSH data available.


Urethra is incised at the apex of the prostate under direct vision
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Fig19: Urethra is incised at the apex of the prostate under direct vision

Mentions: The landmarks are the ligated DVC, urethra, apex of the prostate and NVB. It is essential to securely ligate the DVC to prevent bleeding which may interfere with the apical dissection and division of the urethra under direct vision (Fig. 18). Cold scissors are used to divide the DVC and a long urethral stump is developed, as a longer urethral stump facilitates the anastomosis and may improve continence. Complete dissection of the apex and urethra is facilitated by the robotic magnification. The urethra is then incised at the apex of the prostate under direct vision to completely liberate the prostate (Fig. 19).Fig. 18


Robotic-assisted laparoscopic radical prostatectomy: The Ohio State University technique
Urethra is incised at the apex of the prostate under direct vision
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4559575&req=5

Fig19: Urethra is incised at the apex of the prostate under direct vision
Mentions: The landmarks are the ligated DVC, urethra, apex of the prostate and NVB. It is essential to securely ligate the DVC to prevent bleeding which may interfere with the apical dissection and division of the urethra under direct vision (Fig. 18). Cold scissors are used to divide the DVC and a long urethral stump is developed, as a longer urethral stump facilitates the anastomosis and may improve continence. Complete dissection of the apex and urethra is facilitated by the robotic magnification. The urethra is then incised at the apex of the prostate under direct vision to completely liberate the prostate (Fig. 19).Fig. 18

View Article: PubMed Central - PubMed

ABSTRACT

Robotic radical prostatectomy is a new innovation in the surgical treatment of prostate cancer. The technique is continuously evolving. In this article we demonstrate The Ohio State University technique for robotic radical prostatectomy. Robotic radical prostatectomy is performed using the da Vinci surgical system. The video demonstrates each step of the surgical procedure. Preliminary results with robotic prostatectomy demonstrate the benefits of minimally invasive surgery while also showing encouraging short-term outcomes in terms of continence, potency and cancer control. Robotic radical prostatectomy is an evolving technique that provides a minimally invasive alternative for the treatment of prostate cancer. Our experience with the procedure now stands at over 1,300 cases.

Electronic supplementary material: The online version of this article (doi:10.1007/s11701-007-0018-x) contains supplementary material, which is available to authorized users.

No MeSH data available.