The timing and route of seminal vesicle dissection during robotic prostatectomy

نویسندگان

  • David I. Lee
  • Randy Fagin
چکیده

It is with great pleasure that I introduce this new section in the “Journal of Robotic Surgery”. This section, which will appear on a regular basis in the journal, will focus on some of the tough questions that surgeons face during their learning curve or application of robotic technologies to surgery. The Weld of robotic surgery is growing both in experience and technique. As we explore these topics of debate, likely many of these issues have no clear-cut “right” answer, but certainly there are experts who perform similar procedures in markedly diVerent ways, and it is our hope that this section will help the reader gain an understanding of why these surgeons prefer one method over another. We hope that you will gain an appreciation for the struggles and successes of these experiences and techniques and then you can “take home” and incorporate the insights that you Wnd most sensible into your own practice. In the Wrst in the series of controversies we are pleased to have Dr. Randy Fagin from Austin, TX giving his perspective on dissection of the seminal vesicles at the outset of the robotic prostatectomy, while I will address the later dissection of the seminal vesicles. Advantages of the posterior approach to the seminal vesicles during robotic prostatectomy

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Urethtral approach in retroperitoneoscopic radical prostatectomy: a novel technique for safe prostate dissection.

BACKGROUND AND OBJECTIVES Laparoscopic radical prostatectomy (LRP) remains technically challenging and is associated with a steep learning curve. Prostate apex dissection (PAD) is one the most challenging elements of LRP. This study describes a novel technique for PAD using a transurethral approach (urethral assistance). METHODS Through the transurethral route, Young's foreign body forceps is...

متن کامل

Seminal Vesicle Leiomyoma Mimicking Extra-prostatic Extension of Prostatic Adenocarcinoma

Leiomyomas are common smooth muscle neoplasms; however, leiomyomas of the seminal vesicles are extremely rare. We report a case of seminal vesicle leiomyoma in a 55-year-old African American male who underwent robot assisted laparoscopic prostatectomy (RALP) for Gleason 8 (4 + 4) adenocarcinoma. An incidental nodule arising from the left seminal vesicle was discovered during surgery, complicati...

متن کامل

Transvesical robotic radical prostatectomy.

OBJECTIVE To report the technical feasibility of performing transvesical robotic radical prostatectomy (TRRP) in a cadaver. MATERIALS AND METHODS TRRP was performed in two fresh male cadavers (prostate volume 46 and 30 mL). In the first procedure we used four laparoscopic transvesical trocars and in the second a single-port device was placed percutaneously into the bladder. Pneumovesicum was ...

متن کامل

Impact of prostate weight on perioperative outcomes of robot-assisted laparoscopic prostatectomy with a posterior approach to the seminal vesicle

BACKGROUND To determine the effect of prostate weight on the preoperative and postoperative outcomes of robotic-assisted laparoscopic radical prostatectomy with a posterior approach to the seminal vesicle. METHODS This retrospective study examined prospectively collected data on 219 robotic-assisted laparoscopic radical prostatectomies performed from May 2011 to February 2013. Patients were d...

متن کامل

Outcomes of Robot-Assisted Laparoscopic Prostatectomy with a Posterior Approach to the Seminal Vesicle in 300 Patients

Background. The goal of this study was to analyze the perioperative outcomes of robot-assisted laparoscopic radical prostatectomies (RALPs) performed at our center. Methodology. We retrospectively reviewed 300 consecutive patients with clinically localized prostate cancer who underwent RALP with a posterior dissection approach to the seminal vesicle between May 2011 and November 2013. The mean ...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:

دوره 1  شماره 

صفحات  -

تاریخ انتشار 2008