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Related Experiment Video

Updated: Jun 25, 2026

Retzius-Sparing Robot-Assisted Radical Prostatectomy
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Retzius-Sparing Robot-Assisted Radical Prostatectomy

Published on: May 19, 2022

Preperitoneal robotic prostate adenomectomy.

Hubert John1, Christine Bucher, Nadja Engel

  • 1Center of Urology, Klinik Hirslanden, Zurich, Switzerland. hubert.john@hirslanden.ch

Urology
|February 7, 2009
PubMed
Summary

Robotic-assisted preperitoneal prostate adenomectomy is a feasible surgical technique for large benign prostate adenomas. This pilot study demonstrated successful outcomes with minimal blood loss and no conversions to open surgery.

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Area of Science:

  • Urology
  • Minimally Invasive Surgery
  • Robotic Surgery

Background:

  • Benign prostatic adenomas can necessitate surgical intervention.
  • Traditional open adenomectomy may involve significant morbidity.
  • Robotic assistance offers potential advantages in complex prostate procedures.

Purpose of the Study:

  • To detail the surgical technique for robotic-assisted preperitoneal prostate adenomectomy.
  • To assess the feasibility of this approach for large benign prostate adenomas in a pilot series.

Main Methods:

  • A pilot study included 13 patients undergoing planned open adenomectomy.
  • An extraperitoneal robotic approach was standardized.
  • Feasibility was assessed by conversion rate, operative time, and blood loss.

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Robot-assisted Total Mesorectal Excision and Lateral Pelvic Lymph Node Dissection for Locally Advanced Middle-low Rectal Cancer

Published on: February 12, 2022

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Last Updated: Jun 25, 2026

Retzius-Sparing Robot-Assisted Radical Prostatectomy
12:10

Retzius-Sparing Robot-Assisted Radical Prostatectomy

Published on: May 19, 2022

Robot-assisted Total Mesorectal Excision and Lateral Pelvic Lymph Node Dissection for Locally Advanced Middle-low Rectal Cancer
12:45

Robot-assisted Total Mesorectal Excision and Lateral Pelvic Lymph Node Dissection for Locally Advanced Middle-low Rectal Cancer

Published on: February 12, 2022

Main Results:

  • The procedure was feasible with no open conversions required.
  • Median operative time was 210 minutes, reduced to 140 minutes with single-finger assistance (P=.007).
  • Median blood loss was 500 mL, reduced to 250 mL with assistance (P=.02), with a 0% transfusion rate.

Conclusions:

  • Robotic-assisted preperitoneal transvesical prostate adenomectomy is a feasible and reproducible technique.
  • Further studies with larger cohorts and adenomas are warranted to confirm findings.