Related Experiment Video
Updated: May 17, 2026
Retzius-Sparing Robot-Assisted Radical Prostatectomy
Published on: May 19, 2022
Anastomotic leak after robot-assisted laparoscopic radical prostatectomy: evaluation with MDCT cystography with
Satomi Kawamoto1, Mohamad Allaf, Frank M Corl
1The Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins University School of Medicine, Johns Hopkins Hospital, JHOC 3235A, 601 N Caroline St, Baltimore, MD 21287, USA. skawamo1@jhmi.edu
Objective:
This article reviews the pattern of anastomotic leak after robot-assisted laparoscopic radical prostatectomy (RALRP) on MDCT cystography with multiplanar reformatting and 3D display and discusses key surgical procedures to explain intraperitoneal leak and the incidence and clinical significance of anastomotic leak.
Conclusion:
RALRP is a minimally invasive surgery for localized prostate cancer, and its use has increased recently. Intraperitoneal extension of vesicourethral anastomotic leak after RALRP can occur, which is not associated with radical retropubic prostatectomy. MDCT cystography is a fast and accurate method for detection and evaluation of the extent of anastomotic leak after RALRP.
Insights
Robot-assisted laparoscopic radical prostatectomy (RALRP) can lead to intraperitoneal anastomotic leaks. Multi-detector computed tomography (MDCT) cystography accurately detects and evaluates these leaks, aiding in understanding their clinical significance.
Area of Science:
- Urology
- Radiology
- Surgical Oncology
Background:
- Robot-assisted laparoscopic radical prostatectomy (RALRP) is increasingly used for localized prostate cancer.
- Anastomotic leak is a potential complication following RALRP.
- Understanding the pattern and significance of these leaks is crucial for patient management.
Purpose of the Study:
- To review the pattern of anastomotic leaks after RALRP using MDCT cystography.
- To discuss surgical factors contributing to intraperitoneal leaks.
- To evaluate the incidence and clinical significance of anastomotic leaks post-RALRP.
Main Methods:
- Review of cases undergoing RALRP.
- MDCT cystography with multiplanar reformatted and 3D imaging.
- Analysis of leak patterns, extent, and correlation with surgical procedures.
Main Results:
- Anastomotic leaks can extend intraperitoneally after RALRP.
- MDCT cystography demonstrates high accuracy in detecting and assessing leak extent.
- The findings provide insights into the specific characteristics of RALRP-associated leaks.
Conclusions:
- RALRP is a prevalent minimally invasive approach for prostate cancer.
- Intraperitoneal vesicourethral anastomotic leaks are a recognized complication of RALRP.
- MDCT cystography is an effective tool for diagnosing and evaluating anastomotic leaks after RALRP.
