Antero-posterior reconstruction during robot-assisted radical prostatectomy: The VV technique
Objective: To describe a simplified antero-posterior reconstruction using a single suture during robot assisted radical prostatectomy (RARP). Patients and surgical procedure: We retrospectively evaluated the functional and oncological outcomes of the first 100 consecutive patients undergoing the ind...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-06-01
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| Series: | Urology Video Journal |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2590089723000221 |
| _version_ | 1797823093182300160 |
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| author | M. Valerio R. Diamand N. Grilo R. Van Velthoven |
| author_facet | M. Valerio R. Diamand N. Grilo R. Van Velthoven |
| author_sort | M. Valerio |
| collection | DOAJ |
| description | Objective: To describe a simplified antero-posterior reconstruction using a single suture during robot assisted radical prostatectomy (RARP). Patients and surgical procedure: We retrospectively evaluated the functional and oncological outcomes of the first 100 consecutive patients undergoing the index technique. RARP was performed in a standardised fashion combining a posterior approach, an antegrade nerve-sparing and an extended pelvic bilateral node dissection when clinically indicated. An antero-posterior reconstruction using a double arm barbed suture, named VV by its shape, was performed at the time of the urethra-vesical anastomosis carried out according to the Van Velthoven technique. Functional and oncological outcomes are reported Results: Median age was 64 years (IQR 59–67) and median PSA was 7.8 ng/ml (6–12.1). 7%, 66% and 27% subjects were considered low, intermediate and high risk, respectively. 36% had extracapsular extension and/ or seminal vesicle invasion at final pathology. 5% required prolonged catheterisation time due to a leak at the first cystogram performed after a median of 10 days (7–11). After a median follow-up after surgery of 12 months (9–24), social continence, full continence and potency were achieved in 95%, 93% and 45%, respectively. No patient developed strictures or bladder neck contractures. Conclusion: We have shown that in this quality control study a simplified antero-posterior reconstruction mirrors the outcomes reported with more complex techniques. A formal evaluation against a relevant control group is needed to confirm these findings |
| first_indexed | 2024-03-13T10:18:55Z |
| format | Article |
| id | doaj.art-86118ada34e842a68e817a6e93b0cdc8 |
| institution | Directory Open Access Journal |
| issn | 2590-0897 |
| language | English |
| last_indexed | 2024-03-13T10:18:55Z |
| publishDate | 2023-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Urology Video Journal |
| spelling | doaj.art-86118ada34e842a68e817a6e93b0cdc82023-05-21T04:35:29ZengElsevierUrology Video Journal2590-08972023-06-0118100228Antero-posterior reconstruction during robot-assisted radical prostatectomy: The VV techniqueM. Valerio0R. Diamand1N. Grilo2R. Van Velthoven3Department of Urology, Lausanne University Hospital, University of Lausanne, Lausanne, Switzerland; Corresponding author at: Department of Urology, Lausanne University Hospital, University of Lausanne, Lausanne, Switzerland, Rue du Bugnon 46, 1011 Lausanne.Department of Urology, Jules Bordet Institute – Erasmus Hopistal, Hôpital Universitaire de Bruxelles, Université Libre de Bruxelles, Brussels, BelgiumDepartment of Urology, Lausanne University Hospital, University of Lausanne, Lausanne, SwitzerlandDepartment of Urology, Lausanne University Hospital, University of Lausanne, Lausanne, SwitzerlandObjective: To describe a simplified antero-posterior reconstruction using a single suture during robot assisted radical prostatectomy (RARP). Patients and surgical procedure: We retrospectively evaluated the functional and oncological outcomes of the first 100 consecutive patients undergoing the index technique. RARP was performed in a standardised fashion combining a posterior approach, an antegrade nerve-sparing and an extended pelvic bilateral node dissection when clinically indicated. An antero-posterior reconstruction using a double arm barbed suture, named VV by its shape, was performed at the time of the urethra-vesical anastomosis carried out according to the Van Velthoven technique. Functional and oncological outcomes are reported Results: Median age was 64 years (IQR 59–67) and median PSA was 7.8 ng/ml (6–12.1). 7%, 66% and 27% subjects were considered low, intermediate and high risk, respectively. 36% had extracapsular extension and/ or seminal vesicle invasion at final pathology. 5% required prolonged catheterisation time due to a leak at the first cystogram performed after a median of 10 days (7–11). After a median follow-up after surgery of 12 months (9–24), social continence, full continence and potency were achieved in 95%, 93% and 45%, respectively. No patient developed strictures or bladder neck contractures. Conclusion: We have shown that in this quality control study a simplified antero-posterior reconstruction mirrors the outcomes reported with more complex techniques. A formal evaluation against a relevant control group is needed to confirm these findingshttp://www.sciencedirect.com/science/article/pii/S2590089723000221AnteriorPosteriorProstate cancerReconstructionRobot-assisted radical prostatectomy |
| spellingShingle | M. Valerio R. Diamand N. Grilo R. Van Velthoven Antero-posterior reconstruction during robot-assisted radical prostatectomy: The VV technique Urology Video Journal Anterior Posterior Prostate cancer Reconstruction Robot-assisted radical prostatectomy |
| title | Antero-posterior reconstruction during robot-assisted radical prostatectomy: The VV technique |
| title_full | Antero-posterior reconstruction during robot-assisted radical prostatectomy: The VV technique |
| title_fullStr | Antero-posterior reconstruction during robot-assisted radical prostatectomy: The VV technique |
| title_full_unstemmed | Antero-posterior reconstruction during robot-assisted radical prostatectomy: The VV technique |
| title_short | Antero-posterior reconstruction during robot-assisted radical prostatectomy: The VV technique |
| title_sort | antero posterior reconstruction during robot assisted radical prostatectomy the vv technique |
| topic | Anterior Posterior Prostate cancer Reconstruction Robot-assisted radical prostatectomy |
| url | http://www.sciencedirect.com/science/article/pii/S2590089723000221 |
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