The pubovesical complex-sparing technique on laparoscopic radical prostatectomy

Detalhes bibliográficos
Autor(a) principal: Rebouças, Rafael Batista
Data de Publicação: 2008
Outros Autores: Monteiro, Rodrigo Campos, Lima, João Paulo Pereira, Almeida, Filipe de Pádua B. F., Britto, Cesar Araujo, Machado, Marcos Tobias, Passerotti, Carlo
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UFRN
Texto Completo: https://repositorio.ufrn.br/handle/123456789/52712
https://doi.org/10.1590/S1677-5538.IBJU.2017.0359
Resumo: Introduction: Preservation of urinary continence is a great challenge in Radical Prostatectomy. In order to improve functional results, Asimakopoulos et al. (2010) described a robot-assisted surgical technique with preservation of the pubovesical complex (PVC). We present a pure laparoscopic execution. Presentation: A 61-year-old male patient with a diagnosis of prostate cancer, with PSA 6.54ng/ml, DRE: T1C and Gleason 6 (3+3) 1/12 fragments. All therapeutic possibilities were discussed, including active surveillance. The patient opted for surgical treatment. A transperitoneal technique was used. We started the dissection on the left side, in the limit between the detrusor and the base of the prostate. The left seminal vesicle was dissected and left neurovascular bundle released by a high anterior dissection. We repeated the same procedure on the right side. The urethra was then divided, prostatic apex was laterally drawn and PVC was released. The bladder neck was divided and an urethrovesical anastomosis was achieved. A pelvic drain was placed. Results: The total operative time was 150 minutes. The estimated blood loss was 300mL. The drain was removed on the 1st postoperative day and the patient was discharged. The Foley catheter was removed after 7 days and the patient remained completely dry. Hystopathology revealed adenocarcinoma Gleason 6, negative margins. PSA after 30 days was <0.04ng/mL, and the patient reported partial penile erection. Conclusion: The Pubovesical Complex-Sparing Technique on Laparoscopic Radical Prostatectomy was feasible and safe. Further adequately designed studies are needed to confirm whether this technique enhances early functional outcomes.
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spelling Rebouças, Rafael BatistaMonteiro, Rodrigo CamposLima, João Paulo PereiraAlmeida, Filipe de Pádua B. F.Britto, Cesar AraujoMachado, Marcos TobiasPasserotti, Carlo2023-06-15T20:11:25Z2023-06-15T20:11:25Z2008-07REBOUÇAS, Rafael Batista; MONTEIRO, Rodrigo Campos; LIMA, João Paulo Pereira; ALMEIDA, Filipe de Pádua B. F.; BRITTO, Cesar Araujo; MACHADO, Marcos Tobias; PASSEROTTI, Carlo. The pubovesical complex-sparing technique on laparoscopic radical prostatectomy. International Braz J Urol, [S.l.], v. 44, n. 4, p. 844-845, ago. 2018. FapUNIFESP (SciELO). http://dx.doi.org/10.1590/s1677-5538.ibju.2017.0359https://repositorio.ufrn.br/handle/123456789/52712https://doi.org/10.1590/S1677-5538.IBJU.2017.0359International Braz J UrolAttribution 3.0 Brazilhttp://creativecommons.org/licenses/by/3.0/br/info:eu-repo/semantics/openAccesslaparoscopictechniqueThe pubovesical complex-sparing technique on laparoscopic radical prostatectomyinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleIntroduction: Preservation of urinary continence is a great challenge in Radical Prostatectomy. In order to improve functional results, Asimakopoulos et al. (2010) described a robot-assisted surgical technique with preservation of the pubovesical complex (PVC). We present a pure laparoscopic execution. Presentation: A 61-year-old male patient with a diagnosis of prostate cancer, with PSA 6.54ng/ml, DRE: T1C and Gleason 6 (3+3) 1/12 fragments. All therapeutic possibilities were discussed, including active surveillance. The patient opted for surgical treatment. A transperitoneal technique was used. We started the dissection on the left side, in the limit between the detrusor and the base of the prostate. The left seminal vesicle was dissected and left neurovascular bundle released by a high anterior dissection. We repeated the same procedure on the right side. The urethra was then divided, prostatic apex was laterally drawn and PVC was released. The bladder neck was divided and an urethrovesical anastomosis was achieved. A pelvic drain was placed. Results: The total operative time was 150 minutes. The estimated blood loss was 300mL. The drain was removed on the 1st postoperative day and the patient was discharged. The Foley catheter was removed after 7 days and the patient remained completely dry. Hystopathology revealed adenocarcinoma Gleason 6, negative margins. PSA after 30 days was <0.04ng/mL, and the patient reported partial penile erection. Conclusion: The Pubovesical Complex-Sparing Technique on Laparoscopic Radical Prostatectomy was feasible and safe. Further adequately designed studies are needed to confirm whether this technique enhances early functional outcomes.engreponame:Repositório Institucional da UFRNinstname:Universidade Federal do Rio Grande do Norte (UFRN)instacron:UFRNORIGINALPubovesicalComplex-sparing_Brito_Etal_2018.pdfPubovesicalComplex-sparing_Brito_Etal_2018.pdfapplication/pdf470768https://repositorio.ufrn.br/bitstream/123456789/52712/1/PubovesicalComplex-sparing_Brito_Etal_2018.pdf6b3a204879264335c573d411c26806d0MD51CC-LICENSElicense_rdflicense_rdfapplication/rdf+xml; charset=utf-8914https://repositorio.ufrn.br/bitstream/123456789/52712/2/license_rdf4d2950bda3d176f570a9f8b328dfbbefMD52LICENSElicense.txtlicense.txttext/plain; charset=utf-81484https://repositorio.ufrn.br/bitstream/123456789/52712/3/license.txte9597aa2854d128fd968be5edc8a28d9MD53123456789/527122023-06-15 17:11:45.794oai:https://repositorio.ufrn.br:123456789/52712Tk9OLUVYQ0xVU0lWRSBESVNUUklCVVRJT04gTElDRU5TRQoKCkJ5IHNpZ25pbmcgYW5kIGRlbGl2ZXJpbmcgdGhpcyBsaWNlbnNlLCBNci4gKGF1dGhvciBvciBjb3B5cmlnaHQgaG9sZGVyKToKCgphKSBHcmFudHMgdGhlIFVuaXZlcnNpZGFkZSBGZWRlcmFsIFJpbyBHcmFuZGUgZG8gTm9ydGUgdGhlIG5vbi1leGNsdXNpdmUgcmlnaHQgb2YKcmVwcm9kdWNlLCBjb252ZXJ0IChhcyBkZWZpbmVkIGJlbG93KSwgY29tbXVuaWNhdGUgYW5kIC8gb3IKZGlzdHJpYnV0ZSB0aGUgZGVsaXZlcmVkIGRvY3VtZW50IChpbmNsdWRpbmcgYWJzdHJhY3QgLyBhYnN0cmFjdCkgaW4KZGlnaXRhbCBvciBwcmludGVkIGZvcm1hdCBhbmQgaW4gYW55IG1lZGl1bS4KCmIpIERlY2xhcmVzIHRoYXQgdGhlIGRvY3VtZW50IHN1Ym1pdHRlZCBpcyBpdHMgb3JpZ2luYWwgd29yaywgYW5kIHRoYXQKeW91IGhhdmUgdGhlIHJpZ2h0IHRvIGdyYW50IHRoZSByaWdodHMgY29udGFpbmVkIGluIHRoaXMgbGljZW5zZS4gRGVjbGFyZXMKdGhhdCB0aGUgZGVsaXZlcnkgb2YgdGhlIGRvY3VtZW50IGRvZXMgbm90IGluZnJpbmdlLCBhcyBmYXIgYXMgaXQgaXMKdGhlIHJpZ2h0cyBvZiBhbnkgb3RoZXIgcGVyc29uIG9yIGVudGl0eS4KCmMpIElmIHRoZSBkb2N1bWVudCBkZWxpdmVyZWQgY29udGFpbnMgbWF0ZXJpYWwgd2hpY2ggZG9lcyBub3QKcmlnaHRzLCBkZWNsYXJlcyB0aGF0IGl0IGhhcyBvYnRhaW5lZCBhdXRob3JpemF0aW9uIGZyb20gdGhlIGhvbGRlciBvZiB0aGUKY29weXJpZ2h0IHRvIGdyYW50IHRoZSBVbml2ZXJzaWRhZGUgRmVkZXJhbCBkbyBSaW8gR3JhbmRlIGRvIE5vcnRlIHRoZSByaWdodHMgcmVxdWlyZWQgYnkgdGhpcyBsaWNlbnNlLCBhbmQgdGhhdCB0aGlzIG1hdGVyaWFsIHdob3NlIHJpZ2h0cyBhcmUgb2YKdGhpcmQgcGFydGllcyBpcyBjbGVhcmx5IGlkZW50aWZpZWQgYW5kIHJlY29nbml6ZWQgaW4gdGhlIHRleHQgb3IKY29udGVudCBvZiB0aGUgZG9jdW1lbnQgZGVsaXZlcmVkLgoKSWYgdGhlIGRvY3VtZW50IHN1Ym1pdHRlZCBpcyBiYXNlZCBvbiBmdW5kZWQgb3Igc3VwcG9ydGVkIHdvcmsKYnkgYW5vdGhlciBpbnN0aXR1dGlvbiBvdGhlciB0aGFuIHRoZSBVbml2ZXJzaWRhZGUgRmVkZXJhbCBkbyBSaW8gR3JhbmRlIGRvIE5vcnRlLCBkZWNsYXJlcyB0aGF0IGl0IGhhcyBmdWxmaWxsZWQgYW55IG9ibGlnYXRpb25zIHJlcXVpcmVkIGJ5IHRoZSByZXNwZWN0aXZlIGFncmVlbWVudCBvciBhZ3JlZW1lbnQuCgpUaGUgVW5pdmVyc2lkYWRlIEZlZGVyYWwgZG8gUmlvIEdyYW5kZSBkbyBOb3J0ZSB3aWxsIGNsZWFybHkgaWRlbnRpZnkgaXRzIG5hbWUgKHMpIGFzIHRoZSBhdXRob3IgKHMpIG9yIGhvbGRlciAocykgb2YgdGhlIGRvY3VtZW50J3MgcmlnaHRzCmRlbGl2ZXJlZCwgYW5kIHdpbGwgbm90IG1ha2UgYW55IGNoYW5nZXMsIG90aGVyIHRoYW4gdGhvc2UgcGVybWl0dGVkIGJ5CnRoaXMgbGljZW5zZQo=Repositório de PublicaçõesPUBhttp://repositorio.ufrn.br/oai/opendoar:2023-06-15T20:11:45Repositório Institucional da UFRN - Universidade Federal do Rio Grande do Norte (UFRN)false
dc.title.pt_BR.fl_str_mv The pubovesical complex-sparing technique on laparoscopic radical prostatectomy
title The pubovesical complex-sparing technique on laparoscopic radical prostatectomy
spellingShingle The pubovesical complex-sparing technique on laparoscopic radical prostatectomy
Rebouças, Rafael Batista
laparoscopic
technique
title_short The pubovesical complex-sparing technique on laparoscopic radical prostatectomy
title_full The pubovesical complex-sparing technique on laparoscopic radical prostatectomy
title_fullStr The pubovesical complex-sparing technique on laparoscopic radical prostatectomy
title_full_unstemmed The pubovesical complex-sparing technique on laparoscopic radical prostatectomy
title_sort The pubovesical complex-sparing technique on laparoscopic radical prostatectomy
author Rebouças, Rafael Batista
author_facet Rebouças, Rafael Batista
Monteiro, Rodrigo Campos
Lima, João Paulo Pereira
Almeida, Filipe de Pádua B. F.
Britto, Cesar Araujo
Machado, Marcos Tobias
Passerotti, Carlo
author_role author
author2 Monteiro, Rodrigo Campos
Lima, João Paulo Pereira
Almeida, Filipe de Pádua B. F.
Britto, Cesar Araujo
Machado, Marcos Tobias
Passerotti, Carlo
author2_role author
author
author
author
author
author
dc.contributor.author.fl_str_mv Rebouças, Rafael Batista
Monteiro, Rodrigo Campos
Lima, João Paulo Pereira
Almeida, Filipe de Pádua B. F.
Britto, Cesar Araujo
Machado, Marcos Tobias
Passerotti, Carlo
dc.subject.por.fl_str_mv laparoscopic
technique
topic laparoscopic
technique
description Introduction: Preservation of urinary continence is a great challenge in Radical Prostatectomy. In order to improve functional results, Asimakopoulos et al. (2010) described a robot-assisted surgical technique with preservation of the pubovesical complex (PVC). We present a pure laparoscopic execution. Presentation: A 61-year-old male patient with a diagnosis of prostate cancer, with PSA 6.54ng/ml, DRE: T1C and Gleason 6 (3+3) 1/12 fragments. All therapeutic possibilities were discussed, including active surveillance. The patient opted for surgical treatment. A transperitoneal technique was used. We started the dissection on the left side, in the limit between the detrusor and the base of the prostate. The left seminal vesicle was dissected and left neurovascular bundle released by a high anterior dissection. We repeated the same procedure on the right side. The urethra was then divided, prostatic apex was laterally drawn and PVC was released. The bladder neck was divided and an urethrovesical anastomosis was achieved. A pelvic drain was placed. Results: The total operative time was 150 minutes. The estimated blood loss was 300mL. The drain was removed on the 1st postoperative day and the patient was discharged. The Foley catheter was removed after 7 days and the patient remained completely dry. Hystopathology revealed adenocarcinoma Gleason 6, negative margins. PSA after 30 days was <0.04ng/mL, and the patient reported partial penile erection. Conclusion: The Pubovesical Complex-Sparing Technique on Laparoscopic Radical Prostatectomy was feasible and safe. Further adequately designed studies are needed to confirm whether this technique enhances early functional outcomes.
publishDate 2008
dc.date.issued.fl_str_mv 2008-07
dc.date.accessioned.fl_str_mv 2023-06-15T20:11:25Z
dc.date.available.fl_str_mv 2023-06-15T20:11:25Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
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dc.identifier.citation.fl_str_mv REBOUÇAS, Rafael Batista; MONTEIRO, Rodrigo Campos; LIMA, João Paulo Pereira; ALMEIDA, Filipe de Pádua B. F.; BRITTO, Cesar Araujo; MACHADO, Marcos Tobias; PASSEROTTI, Carlo. The pubovesical complex-sparing technique on laparoscopic radical prostatectomy. International Braz J Urol, [S.l.], v. 44, n. 4, p. 844-845, ago. 2018. FapUNIFESP (SciELO). http://dx.doi.org/10.1590/s1677-5538.ibju.2017.0359
dc.identifier.uri.fl_str_mv https://repositorio.ufrn.br/handle/123456789/52712
dc.identifier.doi.none.fl_str_mv https://doi.org/10.1590/S1677-5538.IBJU.2017.0359
identifier_str_mv REBOUÇAS, Rafael Batista; MONTEIRO, Rodrigo Campos; LIMA, João Paulo Pereira; ALMEIDA, Filipe de Pádua B. F.; BRITTO, Cesar Araujo; MACHADO, Marcos Tobias; PASSEROTTI, Carlo. The pubovesical complex-sparing technique on laparoscopic radical prostatectomy. International Braz J Urol, [S.l.], v. 44, n. 4, p. 844-845, ago. 2018. FapUNIFESP (SciELO). http://dx.doi.org/10.1590/s1677-5538.ibju.2017.0359
url https://repositorio.ufrn.br/handle/123456789/52712
https://doi.org/10.1590/S1677-5538.IBJU.2017.0359
dc.language.iso.fl_str_mv eng
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dc.rights.driver.fl_str_mv Attribution 3.0 Brazil
http://creativecommons.org/licenses/by/3.0/br/
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rights_invalid_str_mv Attribution 3.0 Brazil
http://creativecommons.org/licenses/by/3.0/br/
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dc.publisher.none.fl_str_mv International Braz J Urol
publisher.none.fl_str_mv International Braz J Urol
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