Tugcu Volkan, Simsek Abdulmuttalip, Yigitbasi Ismail, Yenice Mustafa Gurkan, Sahin Selcuk, Tasci Ali Ihsan
Department of Urology, University of Health Sciences, Istanbul Bakirkoy Dr. Sadi Konuk Research and Training Hospital, Istanbul, Turkey.
J Endourol Case Rep. 2018 Feb 1;4(1):21-24. doi: 10.1089/cren.2017.0119. eCollection 2018.
After almost two decades, transabdominal robotic radical prostatectomy techniques have been fully developed and are widely practiced by many robotic urologists. Recently, a transperineal robotic radical prostatectomy, a technique not yet popular to many, was introduced as an alternative approach in patients with previous abdominal surgery. Here, we present our unique experience with robotic perineal radical prostatectomy (r-PRP) on a kidney transplant recipient. A 71-year-old man who had a kidney transplant 4 months previously was diagnosed with prostate cancer (PCa) and underwent r-PRP using the da Vinci Xi robotic system. The operative time was 110 minutes and blood loss was minimal. After the perineal drain was removed on postoperative day 3, the patient was discharged. The urethral catheter was subsequently removed on postoperative day 8. Pathologic analysis revealed localized PCa with negative surgical margins. The r-PRP offers all the advantages of minimally invasive surgery. Moreover, in a kidney transplant recipient, it provides additional benefits, such as avoidance of allograft vascular and ureteral injuries, while maintaining an equivalent oncologic efficacy and surgical safety compared with its transabdominal counterpart.
经过近二十年的发展，经腹机器人根治性前列腺切除术技术已完全成熟，并被许多机器人泌尿外科医生广泛应用。最近，经会阴机器人根治性前列腺切除术作为一种对许多人来说尚不流行的技术，被引入作为既往有腹部手术史患者的替代方法。在此，我们介绍我们在一名肾移植受者身上进行机器人会阴根治性前列腺切除术（r-PRP）的独特经验。一名4个月前接受肾移植的71岁男性被诊断为前列腺癌（PCa），并使用达芬奇Xi机器人系统进行了r-PRP。手术时间为110分钟，失血极少。术后第3天拔除会阴引流管后，患者出院。术后第8天拔除尿道导管。病理分析显示为局限性PCa，手术切缘阴性。r-PRP具有微创手术的所有优点。此外，对于肾移植受者，它还提供了额外的益处，例如避免同种异体移植血管和输尿管损伤，同时与经腹手术相比，在肿瘤学疗效和手术安全性方面相当。
