Abstract
We present our current technique of robotic radical prostatectomy – the Vattikuti Institute Prostatectomy (VIP – and describe an extended nerve sparing of the lateral prostatic fascia which we call the “veil of Aphrodite.” We believe that this technique minimizes morbidity and maximizes functional outcomes. Patients with low-volume and low-grade tumor undergo the veil nerve-sparing procedure. A transperitoneal six-port approach is used. The bladder neck is transected without opening the endopelvic fascia or ligating the dorsal vein complex. Prostatectomy is performed in an antegrade fashion. A plane between the prostatic capsule and the prostatic fascia is developed in a craniocaudal direction sparing prostatic fascia and the neurovascular tissue – the veil tissue. Anastomosis is performed by a double-armed continuous suture. We believe a structured program, stereoscopic displays for assistants, and proper patient selection are essential for a smooth initiation of a robotic prostatectomy program.
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© 2008 Springer-Verlag Berlin Heidelberg
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Shrivastava, A., Peabody, J., Menon, M. (2008). Vattikuti Institute Prostatectomy: Veil of Aphrodite Nerve-sparing Technique. In: John, H., Wiklund, P. (eds) Robotic Urology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-74140-4_8
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DOI: https://doi.org/10.1007/978-3-540-74140-4_8
Publisher Name: Springer, Berlin, Heidelberg
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