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Updated: Feb 2, 2026

Retzius-Sparing Robot-Assisted Radical Prostatectomy
Published on: May 19, 2022
Gasless robotic perineal radical prostatectomy: An initial experience.
Ali İhsan Taşçı1, Abdulmuttalip Şimşek1, Emre Şam1
1Department of Urology, University of Health Sciences, Bakırköy Dr. Sadi Konuk Health Application and Research Center, İstanbul, Turkey.
This report details the first successful gasless robotic perineal radical prostatectomy for localized prostate cancer. This minimally invasive approach offers a novel alternative for treating prostate cancer patients.
Area of Science:
- Urology
- Surgical Oncology
- Minimally Invasive Surgery
Background:
- Radical prostatectomy (RP) is the standard treatment for localized prostate cancer.
- RP can be performed via open or minimally invasive techniques.
- Robotic perineal radical prostatectomy (r-RPP) using CO2 insufflation was described in 2014.
Purpose of the Study:
- To report the first successful case of gasless robotic perineal radical prostatectomy (r-RPP).
Main Methods:
- A 68-year-old patient with localized prostate cancer underwent a gasless robotic perineal radical prostatectomy.
- The procedure utilized a Gel-Point system without CO2 insufflation.
Main Results:
- Successful completion of gasless robotic perineal radical prostatectomy.
- This represents the first reported case of this specific technique.
Conclusions:
- Gasless robotic perineal radical prostatectomy is a feasible technique for localized prostate cancer.
- This minimally invasive approach may offer an alternative to existing methods.
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