Robotic Freyer's prostatectomy: Operative technique and single-center experience
| Autor: | Varun Agarwal, Santosh S Waigankar, Bijal Kulkarni, Preetham Dev, Thyavihally B Yuvaraja, Abhinav Pednekar |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Prostatectomy business.industry Urology medicine.medical_treatment Enucleation Perioperative Single Center Diseases of the genitourinary system. Urology Surgery Catheter medicine.anatomical_structure Prostate medicine International Prostate Symptom Score Original Article RC870-923 Complication business |
| Zdroj: | Indian Journal of Urology : IJU : Journal of the Urological Society of India Indian Journal of Urology, Vol 37, Iss 3, Pp 247-253 (2021) |
| ISSN: | 1998-3824 0970-1591 |
| Popis: | Introduction: Transurethral resection of prostate replaced open surgery and remained the gold standard in surgical management of benign prostatic hyperplasia (BPH). Holmium laser enucleation and bipolar resection of prostate managed even larger glands. Open simple prostatectomy remains an option for large glands and concurrent pathologies. Minimally invasive laparoscopic simple prostatectomy lacks general acceptance. Surgeons have now started exploring the robotic platform due to its advantages. Herein, we present the technique and initial outcomes of robotic Freyer's prostatectomy (RFP). Materials and Methods: Thirteen transperitoneal RFPs were performed using the DaVinci Xi platform. We evaluated perioperative characteristics and functional outcomes. Results: Median patient age was 67.8 years and the mean prostate volume was 105.8 ml. The median International Prostate Symptom Score (IPSS) and American Urological Association quality of life (AUA-QoL) score was 19.6 and 5.3. There were no intraoperative complications or conversion to open surgery. The mean console time and estimated blood loss were 107.30 min and 92.5 ml, respectively. One patient required redo-surgery by robotic technique due to urine leak (Clavien-Dindo Grade 3b complication). Mean hospital stay and catheter duration were 4.9 days and 5.2 days, respectively. Change (preoperative vs. postoperative) in IPSS (19.6 vs. 4.67 points), maximum flow rate (6.8 vs. 15.1 ml/s), AUA-QoL score (5.3 vs. 2.2 points) and PVR (179.4 vs 7.1 ml) were significant (P < 0001). Conclusions: RFP is a safe and effective option for managing BPH, especially for large glands. It confers minimally invasive surgery benefits with good functional outcomes. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|