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Retzius-Sparing Robot-Assisted Radical Prostatectomy
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Robotically assisted radical laparoscopic prostatectomy in a patient with ectopic ureteral insertion into the
Scott G Hubosky1, John W Davis1, Robert W Given1
1Eastern Virginia Medical School, 400 W. Brambleton Ave., Suite # 100, Norfolk, VA 23503 USA.
Journal of Robotic Surgery
|December 9, 2014
Summary
Robotically assisted laparoscopic radical prostatectomy (RaLRP) is a viable option for prostate cancer, even with rare ureteral anomalies. This case demonstrates successful RaLRP in a patient with complete left ureteral duplication and ectopic ureter insertion.
Area of Science:
- Urology
- Robotic Surgery
- Oncology
Background:
- Robotically assisted laparoscopic radical prostatectomy (RaLRP) is a standard treatment for localized prostate cancer.
- Anatomical variations can necessitate modifications to standard surgical techniques.
Purpose of the Study:
- To describe the first successful completion of RaLRP in a patient with a complex ureteral anomaly.
- To highlight the adaptability of robotic surgery for unique anatomical challenges.
Main Methods:
- The study details a case of RaLRP in a patient with complete left ureteral duplication and ectopic upper pole ureter insertion.
- The procedure involved standard radical prostatectomy followed by specific reconstructive maneuvers for the ureteral anomaly.
Main Results:
- The RaLRP was successfully completed without conversion to open surgery.
- Additional reconstructive steps included a Y-type conjoined ureteral anastomosis and ureteroneocystotomy.
- The patient experienced no obstruction post-operatively, as confirmed by IVP.
Conclusions:
- RaLRP can be safely performed in the presence of ureteral anomalies.
- Robotic technology facilitates complex reconstructive maneuvers required for such cases.
