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Retzius-Sparing Robot-Assisted Radical Prostatectomy
Published on: May 19, 2022
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Transurethral assistant transumbilical laparoendoscopic single-site radical prostatectomy
Chen Zhu1, Jian Su1, Lin Yuan1
1Department of Urology, Affiliated Hospital of Nanjing University of Traditional Chinese Medicine, Nanjing, China.
Asian Journal of Andrology
|April 1, 2016
Summary
Laparoendoscopic single-site radical prostatectomy (LESS-RP) is a feasible option for prostate cancer. A transurethral assistant improved outcomes, reducing operation time and difficulty.
Area of Science:
- Urology
- Minimally Invasive Surgery
- Surgical Oncology
Background:
- Laparoscopic surgery innovations are rapidly advancing in urology.
- Laparoendoscopic single-site (LESS) surgery represents a significant development.
- Radical prostatectomy (RP) is a common treatment for prostate cancer.
Purpose of the Study:
- To evaluate the initial experience with LESS radical prostatectomy (LESS-RP).
- To analyze the early outcomes of LESS-RP.
- To compare conventional LESS-RP with transurethral assistant LESS-RP.
Main Methods:
- Nineteen patients with prostate cancer underwent LESS-RP.
- Patients were divided into conventional LESS and transurethral assistant LESS groups.
- Preoperative, perioperative, postoperative, pathologic, and functional outcomes were assessed.
Main Results:
- Transurethral assistance significantly decreased mean operation and anastomosis times.
- No positive surgical margins or prostate-specific antigen recurrence at 1 month.
- 32% of patients achieved complete continence at 1 month postoperatively.
- No intraoperative or postoperative complications were reported.
Conclusions:
- LESS-RP is a feasible and effective treatment for prostate cancer.
- Transurethral assistance enhances LESS-RP by reducing difficulty and operation time.
- LESS-RP demonstrates promising early oncologic and functional outcomes.

