In the era of robotic prostate surgery, various techniques have been developed to improve functional outcomes. Urinary continence has shown satisfactory results, but the preservation of lateral nerves to the periprostatic capsule is only achievable by sparing the pubovesical complex. This study aims to present the first cases of lateral-approach robot-assisted radical prostatectomy (LRRP) performed by a novice surgeon. We conducted a retrospective analysis of 70 prostate cancer patients who underwent LRRP between October 2019 and September 2021, analyzing the perioperative and functional outcomes. The median operative time and intraoperative blood loss were 102 (92-108) minutes and 150 (130-180) mL, respectively. Five minor postoperative complications were reported, and the median hospital stay was 2 (1-2) days. Eleven positive surgical margins occurred. Potency and urinary continence recovery were achieved in 59 (84%) and 66 (94%) patients, respectively, 12 months after surgery. Our analysis shows that LRRP is a safe and effective procedure for prostate cancer surgery. Continence and potency recovery required a short learning curve, with an acceptable recovery rate even in the initial cases.
Journal of robotic surgery. 2024 Jan 13*** epublish ***
Carlo Giulioni, Daniele Castellani, Nam-Son Vuong, Julien Riviere, Julie Piechaud-Kressmann, Laurent Hugo Lopez, Thierry Piechaud, Jean-Baptiste Roche, Jean Rouffilange, Jean-Luc Hoepffner, Andrea Benedetto Galosi, Richard Pierre Gaston, Grégory Pierquet
Department of Urology, Polytechnic University of Marche, Azienda Ospedaliera Universitaria della Marche, 71 Conca Street, 60126, Ancona, Italy. ., Department of Urology, Polytechnic University of Marche, Azienda Ospedaliera Universitaria della Marche, 71 Conca Street, 60126, Ancona, Italy., Urology Unit, Clinique Saint Augustin, Bordeaux, France.