Abstract
Since its initial description in 2000, robot-assisted laparoscopic radical prostatectomy (RALP) has rapidly grown in popularity with the majority of men with prostate cancer seeking this approach over other surgical techniques. As compared to conventional laparoscopic radical prostatectomy, RALP has experienced more rapid adoption by a broader range of urologists including those with limited laparoscopic training and in a brief few years has virtually supplanted the laparoscopic approach in the US. While debate still remains as to its relative superiority over open surgery, its minimally invasive approach, superior optics, three dimensional visualization, and intuitive ergonomic movements of the wristed robotic instrumentation have made RALP more attractive to patients and surgeons alike. The technique of RALP has undergone considerable modifications since its early description that was based upon the original standardized approach of laparoscopic radical prostatectomy. Herein, we describe the transperitoneal posterior approach to RALP.
This chapter contains a video segment which can be found at the URL: http://www.springerimages.com/Su
This is a preview of subscription content, log in via an institution.
Buying options
Tax calculation will be finalised at checkout
Purchases are for personal use only
Learn about institutional subscriptionsReferences
Kaouk JH, Hafron J, Goel R, Haber GP, Jones JS (2008) Robotic salvage retropubic prostatectomy after radiation/brachytherapy: initial results. BJU Int 102(1):93–96
Boris RS, Bhandari A, Krane LS, Eun D, Kaul S, Peabody JO (2009) Salvage robotic-assisted radical prostatectomy: initial results and early report of outcomes. BJU Int 103(7):952–956
Guillonneau B, Vallancien G (2000) Laparoscopic radical prostatectomy: the Montsouris experience. J Urol 163(2):418–422
Smith JA (2004) Robotically assisted laparoscopic prostatectomy: an assessment of its contemporary role in the surgical management of localized prostate cancer. Am J Surg 188(4A Suppl):63S–67S
Kaul S, Savera A, Badani K, Fumo M, Bhandari A, Menon M (2006) Functional outcomes and oncological efficacy of Vattikuti Institute prostatectomy with Veil of Aphrodite nerve-sparing: an analysis of 154 consecutive patients. BJU Int 97(3):467–472
Ong AM, Su LM, Varkarakis I, Inagaki T, Link RE, Bhayani SB, Patriciu A, Crain B, Walsh PC (2004) Nerve sparing radical prostatectomy: effects of hemostatis energy sources on the recovery of cavernous nerve function in a canine model. J Urol 172(4 Pt 1):1318–1322
Ahlering TE, Eichel L, Chou D, Skarecky DW (2005) Feasibility study for robotic radical prostatectomy cautery-free neurovascular bundle preservation. Urology 65(5):994–997
Rocco F, Carmignani L, Acquati P, Gadda F, Dell’Orto P, Rocco B, Bozzini G, Gazzano G, Morabito A (2006) Restoration of posterior aspect of rhabdosphincter shortens continence time after radical retropubic prostatectomy. J Urol 175(6):2201–2206
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Electronic Supplementary material
Video 4.1 Robot-assisted laparoscopic radical prostatectomy (18.4 MB)
Video 4.2 Lay of the land (2.57 MB)
Video 4.3 Vas and seminal vesicle dissection (17.1 MB)
Video 4.4 Vas and seminial vesicle dissection posterior (11.4 MB)
Video 4.5 Entering retropubic space (10.8 MB)
Video 4.6 Endopelvic fascia and puboprostatics (19.1 MB)
Video 4.7 Dorsal venous complex ligation (11.1 MB)
Video 4.8 Anterior bladder neck (16.7 MB)
Video 4.9 Posterior bladder neck (27.8 MB)
Video 4.10 Bladder neck dissection anterior approach (27.4 MB)
Video 4.11 Neurovascular bundle dissection (23.9 MB)
Video 4.12 Division of dvc and apical dissection (14.3 MB)
Video 4.13 Pelvic lymph node dissection (19.8 MB)
Video 4.14 Entrapment of prostate and lymph nodes (3.98 MB)
Video 4.15 Instrumentation (14.1 MB)
Video 4.16 Vesicourethral anastomosis (17.7 MB)
Video 4.17 Extraction of specimen (4.82 MB)
Rights and permissions
Copyright information
© 2011 Springer Science+Business Media, LLC
About this chapter
Cite this chapter
Turpen, R., Atalah, H., Su, LM. (2011). Transperitoneal Robot-Assisted Laparoscopic Radical Prostatectomy: Posterior Approach. In: Su, LM. (eds) Atlas of Robotic Urologic Surgery. Current Clinical Urology. Humana Press. https://doi.org/10.1007/978-1-60761-026-7_4
Download citation
DOI: https://doi.org/10.1007/978-1-60761-026-7_4
Published:
Publisher Name: Humana Press
Print ISBN: 978-1-60761-025-0
Online ISBN: 978-1-60761-026-7
eBook Packages: MedicineMedicine (R0)