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Robotic Anastomoses and Bladder Neck Reconstruction Following Radical Prostatectomy

  • Marc C. SmaldoneEmail author
  • Tina K. Schuster
  • Stephen V. Jackman
Chapter
Part of the Current Clinical Urology book series (CCU)

Abstract

With the introduction of robotic-assisted technology, there has been a dramatic evolution of minimally invasive prostate cancer surgery. Rapidly gaining popularity in both the United States and abroad, advantages of the robotic platform include enhanced stereoscopic depth of field vision and dexterity facilitating precise suturing for reconstruction. In addition to the conventional benefits of laparoscopy including reduced blood loss and quicker convalescence, reported short-term and intermediate quality of life and oncologic outcomes are now comparable to that of the traditional open radical retropubic prostatectomy. With increasing experience, successful outcomes have been reported in patients with obesity, prior abdominal surgeries, pronounced median lobe, previous prostate surgery, and salvage cases following pelvic radiation. In this chapter, we review basic technique, discuss challenging anatomy with suggestions for technical modification, and discuss current oncologic and functional outcomes following robotic-assisted laparoscopic prostatectomy.

Keywords

Prostatectomy Robotic assisted Minimally invasive Technique Outcomes 

Supplementary material

Robotic Vesicourethral Anastomosis and Bladder Neck Reconstruction Following Robot Assisted Radical Prostatectomy (49.1 MB)

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Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  • Marc C. Smaldone
    • 1
    Email author
  • Tina K. Schuster
    • 2
  • Stephen V. Jackman
    • 2
  1. 1.Department of Surgical OncologyFox Chase Cancer CenterPhiladelphiaUSA
  2. 2.Department of UrologyUniversity of Pittsburgh Medical CenterPittsburghUSA

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