Clinical Outcomes Associated with Robot-Assisted Radical Prostatectomy (RARP) Using the Extraperitoneal Approach in Japanese Men

Kiyoshi Takahara, Atsuhiko Yoshizawa, Masashi Nishino, Masahiro Ito, Masaru Hikichi, Kosuke Fukaya, Manabu Ichino, Naohiko Fukami, Hitomi Sasaki, Mamoru Kusaka and Ryoichi Shiroki

Department of Urology, Fujita Health University School of Medicine, Toyoake, Aichi, Japan

^*Correspondance to: Kiyoshi Takahara 

 PDF  Full Text DOI: 10.25107/2474-1647.1952

Abstract

Background: Robot-Assisted Radical Prostatectomy (RARP) has become a widely adopted procedure to treat localized Prostate Cancer (PCa). However, it is sometimes difficult to perform such a procedure using the typical Transperitoneal (TP) approach in those cases that have undergone prior abdominal operations. Herein, we performed RARP using the Extraperitoneal (EP) approach for Japanese PCa cases with prior abdominal operations to evaluate the feasibility and clinical outcomes associated with this procedure.Material and
Methods: Seven hundred eighty-eight Japanese PCa cases underwent RARP from August 2009 to March 2017; 15 cases that were operated on using the EP approach comprised the study cohort.Results: The abdominal operations in the 15 cases were performed for the following reasons: three for nephrectomy, two for panperitonitis, two for appendectomy, and nine for other reasons, including overlap. There were no significant differences with respect to six factors (operation time, console time, estimated intraoperative blood loss volume, surgical margin positivity, postoperative catheterization time, and postoperative hospital length of stay) between the cases that underwent the procedure using the TP and EP approach, despite the total number of cases in each group being different.Conclusions: We propose that RARP could be safely performed using the EP approach in Japanese PCa cases that have had prior abdominal operations.

Keywords

Prostate cancer; RARP; Extraperitoneal approach

Cite the article

Takahara K, Yoshizawa A, Nishino M, Ito M, Hikichi M, Fukaya K, et al. Clinical Outcomes Associated with Robot-Assisted Radical Prostatectomy (RARP) Using the Extraperitoneal Approach in Japanese Men. Clin Surg. 2018; 3: 1952.