Transvesical robotic radical prostatectomy

Mihir M. Desai, Monish Aron, Andre Berger, David Canes, Robert Stein, Georges Pascal Haber, Kazumi Kamoi, Sebastien Crouzet, Rene Sotelo, Inderbir S. Gill

Research output: Contribution to journalArticle

55 Citations (Scopus)

Abstract

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 established in both cases and the da Vinci-S robotic system (Intuitive Surgical, Sunnyvale, CA, USA) was used for the TRRP. All steps of the procedure, including dissection of the seminal vesicles and vas deferens, ligation of prostatic pedicles, release of neurovascular bundles, apical dissection, urethral transection, and urethro-vesical anastomosis, were done transvesically and robotically. Real time transrectal ultrasonography monitoring was used in the first cadaver. RESULTS: Both procedures were technically successful transvesically with no need for additional ports or conversion to standard laparoscopy. The operative duration for the multi-port procedure was 3 h and for the single-port procedure was 4.2 h. Clashing of the da Vinci arms was the primary technical difficulty with the single-port procedure, but did not occur in the multi-port procedure. CONCLUSIONS: TRRP under pneumovesicum is technically feasible using multiple-port or a single-port approach in the cadaver. The clinical application of this novel approach is imminent. Further refinement of technique and instruments might lead to an increasing role of percutaneous intraluminal surgery in various surgical disciplines.

Original languageEnglish (US)
Pages (from-to)1666-1669
Number of pages4
JournalBJU International
Volume102
Issue number11
DOIs
StatePublished - Dec 2008
Externally publishedYes

Fingerprint

Robotics
Prostatectomy
Cadaver
Dissection
Urinary Bladder
Vasectomy
Vas Deferens
Seminal Vesicles
Surgical Instruments
Laparoscopy
Prostate
Ultrasonography
Equipment and Supplies

Keywords

  • Radical prostatectomy
  • Robotics
  • Single-port
  • Transvesical

ASJC Scopus subject areas

  • Urology

Cite this

Desai, M. M., Aron, M., Berger, A., Canes, D., Stein, R., Haber, G. P., ... Gill, I. S. (2008). Transvesical robotic radical prostatectomy. BJU International, 102(11), 1666-1669. https://doi.org/10.1111/j.1464-410X.2008.08004.x

Transvesical robotic radical prostatectomy. / Desai, Mihir M.; Aron, Monish; Berger, Andre; Canes, David; Stein, Robert; Haber, Georges Pascal; Kamoi, Kazumi; Crouzet, Sebastien; Sotelo, Rene; Gill, Inderbir S.

In: BJU International, Vol. 102, No. 11, 12.2008, p. 1666-1669.

Research output: Contribution to journalArticle

Desai, MM, Aron, M, Berger, A, Canes, D, Stein, R, Haber, GP, Kamoi, K, Crouzet, S, Sotelo, R & Gill, IS 2008, 'Transvesical robotic radical prostatectomy', BJU International, vol. 102, no. 11, pp. 1666-1669. https://doi.org/10.1111/j.1464-410X.2008.08004.x
Desai MM, Aron M, Berger A, Canes D, Stein R, Haber GP et al. Transvesical robotic radical prostatectomy. BJU International. 2008 Dec;102(11):1666-1669. https://doi.org/10.1111/j.1464-410X.2008.08004.x
Desai, Mihir M. ; Aron, Monish ; Berger, Andre ; Canes, David ; Stein, Robert ; Haber, Georges Pascal ; Kamoi, Kazumi ; Crouzet, Sebastien ; Sotelo, Rene ; Gill, Inderbir S. / Transvesical robotic radical prostatectomy. In: BJU International. 2008 ; Vol. 102, No. 11. pp. 1666-1669.
@article{17fbfc86fd81400faa2a1ffa79146523,
title = "Transvesical robotic radical prostatectomy",
abstract = "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 established in both cases and the da Vinci-S robotic system (Intuitive Surgical, Sunnyvale, CA, USA) was used for the TRRP. All steps of the procedure, including dissection of the seminal vesicles and vas deferens, ligation of prostatic pedicles, release of neurovascular bundles, apical dissection, urethral transection, and urethro-vesical anastomosis, were done transvesically and robotically. Real time transrectal ultrasonography monitoring was used in the first cadaver. RESULTS: Both procedures were technically successful transvesically with no need for additional ports or conversion to standard laparoscopy. The operative duration for the multi-port procedure was 3 h and for the single-port procedure was 4.2 h. Clashing of the da Vinci arms was the primary technical difficulty with the single-port procedure, but did not occur in the multi-port procedure. CONCLUSIONS: TRRP under pneumovesicum is technically feasible using multiple-port or a single-port approach in the cadaver. The clinical application of this novel approach is imminent. Further refinement of technique and instruments might lead to an increasing role of percutaneous intraluminal surgery in various surgical disciplines.",
keywords = "Radical prostatectomy, Robotics, Single-port, Transvesical",
author = "Desai, {Mihir M.} and Monish Aron and Andre Berger and David Canes and Robert Stein and Haber, {Georges Pascal} and Kazumi Kamoi and Sebastien Crouzet and Rene Sotelo and Gill, {Inderbir S.}",
year = "2008",
month = "12",
doi = "10.1111/j.1464-410X.2008.08004.x",
language = "English (US)",
volume = "102",
pages = "1666--1669",
journal = "BJU International",
issn = "1464-4096",
publisher = "Wiley-Blackwell",
number = "11",

}

TY - JOUR

T1 - Transvesical robotic radical prostatectomy

AU - Desai, Mihir M.

AU - Aron, Monish

AU - Berger, Andre

AU - Canes, David

AU - Stein, Robert

AU - Haber, Georges Pascal

AU - Kamoi, Kazumi

AU - Crouzet, Sebastien

AU - Sotelo, Rene

AU - Gill, Inderbir S.

PY - 2008/12

Y1 - 2008/12

N2 - 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 established in both cases and the da Vinci-S robotic system (Intuitive Surgical, Sunnyvale, CA, USA) was used for the TRRP. All steps of the procedure, including dissection of the seminal vesicles and vas deferens, ligation of prostatic pedicles, release of neurovascular bundles, apical dissection, urethral transection, and urethro-vesical anastomosis, were done transvesically and robotically. Real time transrectal ultrasonography monitoring was used in the first cadaver. RESULTS: Both procedures were technically successful transvesically with no need for additional ports or conversion to standard laparoscopy. The operative duration for the multi-port procedure was 3 h and for the single-port procedure was 4.2 h. Clashing of the da Vinci arms was the primary technical difficulty with the single-port procedure, but did not occur in the multi-port procedure. CONCLUSIONS: TRRP under pneumovesicum is technically feasible using multiple-port or a single-port approach in the cadaver. The clinical application of this novel approach is imminent. Further refinement of technique and instruments might lead to an increasing role of percutaneous intraluminal surgery in various surgical disciplines.

AB - 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 established in both cases and the da Vinci-S robotic system (Intuitive Surgical, Sunnyvale, CA, USA) was used for the TRRP. All steps of the procedure, including dissection of the seminal vesicles and vas deferens, ligation of prostatic pedicles, release of neurovascular bundles, apical dissection, urethral transection, and urethro-vesical anastomosis, were done transvesically and robotically. Real time transrectal ultrasonography monitoring was used in the first cadaver. RESULTS: Both procedures were technically successful transvesically with no need for additional ports or conversion to standard laparoscopy. The operative duration for the multi-port procedure was 3 h and for the single-port procedure was 4.2 h. Clashing of the da Vinci arms was the primary technical difficulty with the single-port procedure, but did not occur in the multi-port procedure. CONCLUSIONS: TRRP under pneumovesicum is technically feasible using multiple-port or a single-port approach in the cadaver. The clinical application of this novel approach is imminent. Further refinement of technique and instruments might lead to an increasing role of percutaneous intraluminal surgery in various surgical disciplines.

KW - Radical prostatectomy

KW - Robotics

KW - Single-port

KW - Transvesical

UR - http://www.scopus.com/inward/record.url?scp=56649088441&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=56649088441&partnerID=8YFLogxK

U2 - 10.1111/j.1464-410X.2008.08004.x

DO - 10.1111/j.1464-410X.2008.08004.x

M3 - Article

C2 - 18990136

AN - SCOPUS:56649088441

VL - 102

SP - 1666

EP - 1669

JO - BJU International

JF - BJU International

SN - 1464-4096

IS - 11

ER -