Salvage robotic radical prostatectomy with pelvic lymph node dissection

Mariaconsiglia Ferriero1, Giuseppe Simone1, Rocco Papalia2, Riccardo Mastroianni2, Francesco Minisola1, Salvatore Guaglianone1, Michele Gallucci1
  • 1 Istituto Nazionale Tumori "Regina Elena" (Roma)
  • 2 Università Campus Bio-Medico (Roma)

Abstract

The video shows a case of a salvage robotic radical prostatectomy with pelvic lymph node dissection for radiorecurrent prostate cancer.
A five trocar access and docking were performed. After divided some adesions, bilateral extended pelvic lymph node dissection was performed. The Retzius space was developed and the endopelvic fascia bilaterally incised. After sealing Dorsal Vein complex with Ligasure, urethral stamp was transected and the apex retrogradely dissected. Bladder neck was isolated and sectioned. Denonvilliers fascia was opened and seminal vescicles were isolated. Bilateral extra fascial radical prostatectomy was accomplished. A Van Velthoven anastomosis with posterior reconstruction was performed.
Operative time was 132 minutes. Blood loss was 300 ml. Patient was discharged on 3rd postoperative day.

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