Advertisement

Robot-Assisted Radical Prostatectomy for Large Glands and Median Lobe

  • Ugur Boylu
  • Raju ThomasEmail author
Chapter

Abstract

With the introduction of robotic surgery, robotic-assisted radical prostatectomy (RARP) is rapidly becoming the preferred surgical approach for management of localized prostate cancer.

Keywords

Bladder Neck Prostate Volume Positive Surgical Margin Median Lobe Ureteral Orifice 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. 1.
    Badani KK, Kaul S, Menon M. Evolution of robotic radical prostatectomy: assessment after 2766 procedures. Cancer. 2007;110:1951.PubMedCrossRefGoogle Scholar
  2. 2.
    Pruthi RS, Wallen EM. Current status of robotic prostatectomy: promises fulfilled. J Urol. 2009;181:2420.PubMedCrossRefGoogle Scholar
  3. 3.
    Tanagho EA, Nguyen HT. Embryology of the genitourinary system. In: Tanagho EA, McAninch JW, eds. Smith’s General Urology. 17th ed. New York, NY: McGraw-Hill Professional; 2007:17–29.Google Scholar
  4. 4.
    Glenister TW. The development of the utricle and of the so-called ‘middle’ or ‘median’ lobe of the human prostate. J Anat. 1962;96:443.PubMedGoogle Scholar
  5. 5.
    Jenkins LC, Nogueira M, Wilding GE, Tan W, Kim HL, Mohler JL, et al. Median lobe in robot-assisted radical prostatectomy: evaluation and management. Urology. 2008;71:810.PubMedCrossRefGoogle Scholar
  6. 6.
    Meeks JJ, Zhao L, Greco KA, Macejko A, Nadler RB. Impact of prostate median lobe anatomy on robotic-assisted laparoscopic prostatectomy. Urology. 2009;73:323.PubMedCrossRefGoogle Scholar
  7. 7.
    Sarle R, Tewari A, Hemal AK, Menon M. Robotic-assisted anatomic radical prostatectomy: technical difficulties due to a large median lobe. Urol Int. 2005;74:92.PubMedCrossRefGoogle Scholar
  8. 8.
    Rehman J, Chughtai B, Guru K, Shabsigh R, Samadi DB. Management of an enlarged median lobe with ureteral orifices at the margin of bladder neck during robotic-assisted laparoscopic prostatectomy. Can J Urol. 2009;16:4490.PubMedGoogle Scholar
  9. 9.
    Myers RP. Practical surgical anatomy for radical prostatectomy. Urol Clin North Am. 2001;28:473.PubMedCrossRefGoogle Scholar
  10. 10.
    Chang CM, Moon D, Gianduzzo TR, Eden CG. The impact of prostate size in laparoscopic radical prostatectomy. Eur Urol. 2005;48:285.PubMedCrossRefGoogle Scholar
  11. 11.
    Freedland SJ, Isaacs WB, Platz EA, Terris MK, Aronson WJ, Amling CL, et al. Prostate size and risk of high-grade, advanced prostate cancer and biochemical progression after radical prostatectomy: a search database study. J Clin Oncol. 2005;23:7546.PubMedGoogle Scholar
  12. 12.
    Frota R, Turna B, Santos BM, Lin YC, Gill IS, Aron M. The effect of prostate weight on the outcomes of laparoscopic radical prostatectomy. BJU Int. 2008;101:589.PubMedCrossRefGoogle Scholar
  13. 13.
    Hsu EI, Hong EK, Lepor H. Influence of body weight and prostate volume on intraoperative, perioperative, and postoperative outcomes after radical retropubic prostatectomy. Urology. 2003;61:601.PubMedCrossRefGoogle Scholar
  14. 14.
    Yadav R, Tu JJ, Jhaveri J, Leung RA, Rao S, Tewari AK. Prostate volume and the incidence of extraprostatic extension: is there a relation? J Endourol. 2009;23:383.PubMedCrossRefGoogle Scholar
  15. 15.
    Zorn KC, Orvieto MA, Mikhail AA, Gofrit ON, Lin S, Schaeffer AJ, et al. Effect of prostate weight on operative and postoperative outcomes of robotic-assisted laparoscopic prostatectomy. Urology. 2007;69:300.PubMedCrossRefGoogle Scholar
  16. 16.
    El-Hakim A, Leung RA, Richstone L, Kim TS, Te AE, Tewari A. Athermal robotic technique of prostatectomy in patients with large prostate glands (>75 g): technique and initial results. BJU Int. 2006;98:47.PubMedCrossRefGoogle Scholar
  17. 17.
    Msezane LP, Gofrit ON, Lin S, Shalhav AL, Zagaja GP, Zorn KC. Prostate weight: an independent predictor for positive surgical margins during robotic-assisted laparoscopic radical prostatectomy. Can J Urol. 2007;14:3697.PubMedGoogle Scholar
  18. 18.
    Boczko J, Erturk E, Golijanin D, Madeb R, Patel H, Joseph JV. Impact of prostate size in robot-assisted radical prostatectomy. J Endourol. 2007;21:184.PubMedCrossRefGoogle Scholar

Copyright information

© Springer London 2011

Authors and Affiliations

  1. 1.Department of UrologyCenter for Minimally Invasive and Robotic Surgery, Tulane University School of MedicineNew OrleansUSA

Personalised recommendations