Tugcu Volkan, Simsek Abdulmuttalip, Yigitbasi Ismail, Yenice Mustafa Gürkan, Sahin Selcuk, Tasci Ali Ishsan
Bakirkoy Dr. Sadi Konuk Research and Training Hospital, Department of Urology, Istanbul.
Arch Ital Urol Androl. 2018 Mar 31;90(1):65-67. doi: 10.4081/aiua.2018.1.65.
Minimally invasive techniques are ever improving and are preferred more. Many techniques were developed in radical prostatectomy operations. Robotic radical prostatectomy with the perineal approach is a new technique.
A 66-year-old male patient presented because of lower urinary tract symptoms, a PSA value of 5.5 ng/ml was detected, prostate biopsy was performed under transrectal ultrasound guide, a Gleason 3+3 adenocarcinoma on 3/12 foci was reported at pathology. Robotic perineal radical prostatectomy (r-PRP) operation was performed in the patient who had a prostate volume of 130 cc with middle lobe and a body mass index of 32 without additional disease. The duration of operation was 140 minutes in total and the duration at the console was 95 minutes, the amount of bleeding was 85 cc and no intraoperative complication was detected.
r-PRP is a technique that can be applied safely without prolonging the operation period and without additional morbidity to the patient, preserving the oncologic and functional outcomes in patients with surgical history and large prostate volume.
微创技术不断进步，越来越受到青睐。在根治性前列腺切除术中有多种技术被研发出来。经会阴途径的机器人辅助根治性前列腺切除术是一项新技术。
一名66岁男性患者因下尿路症状就诊，检测前列腺特异抗原（PSA）值为5.5 ng/ml，在经直肠超声引导下进行前列腺活检，病理报告显示12个病灶中有3个为Gleason 3+3腺癌。对一名前列腺体积为130 cc且有中叶、体重指数为32且无其他疾病的患者实施了经会阴机器人辅助根治性前列腺切除术（r-PRP）。手术总时长为140分钟，控制台操作时长为95分钟，出血量为85 cc，未检测到术中并发症。
r-PRP是一种可安全应用的技术，不会延长手术时间，也不会给患者带来额外的发病率，能在有手术史和前列腺体积较大的患者中保留肿瘤学和功能学结果。
