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Current Urology Reports
Erschienen in: Current Urology Reports 5/2017

01.05.2017 | Endourology (P Mucksavage, Section Editor)

Robot-Assisted Simple Prostatectomy: Expanding on an Established Operative Approach

verfasst von: Ross Cockrell, David I. Lee

Erschienen in: Current Urology Reports | Ausgabe 5/2017

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Abstract

Purpose of Review

The leading cause of voiding dysfunction in older men is benign prostatic obstruction. In the setting of a grossly enlarged prostate (>80cm3), an open simple prostatectomy has been the gold standard for surgical treatment. Here, we will discuss the minimally invasive robot-assisted approach and compare it to the classic open approach and holmium laser enucleation of the prostate.

Recent Findings

Literature on robot-assisted simple prostatectomy, in concurrence with our institutional experience, has shown an overall lower morbidity, shorter hospital stay, and decreased indwelling catheter time, with equivalent functional outcomes compared to open simple prostatectomy. Similar operative times and hospital stays were found compared to holmium laser enucleation of the prostate, although a steep learning curve and cost of new equipment hinder the wide spread use of this transurethral approach.

Summary

On review of current literature in addition to our institutional experience, we favor robot-assisted simple prostatectomy over open simple, based on associated increased morbidity/catheter time/hospital stay, and holium laser enucleation of the prostate, based on steep learning curve and cost of new equipment.
Literatur
1.
Irwin DE, Kopp ZS, Agatep B, Milsom I, Abrams P. Worldwide prevalence estimates of lower urinary tract symptoms, overactive bladder, urinary incontinence and bladder outlet obstruction. BJU Int. 2011;108(7):1132–8.CrossRefPubMed
2.
Han M and Partin AW. Simple prostatectomy: open and robot-assisted laparoscopic approaches. Campbell-Walsh Urology, 106, 2535–2542. e1
3.
Madersbacher S, Alivizatos G, Nordling J, et al. EAU 2004 guidelines on assessment, therapy and follow-up of men with lower urinary tract symptoms suggestive of benign prostatic obstruction (BPH guidelines). Eur Urol. 2004;46:547–54.CrossRefPubMed
4.
McVary KT, Roehrborn CG, Avins AL, et al. Update on AUA guideline on the management of benign prostatic hyperplasia. J Urol. 2011;185:1793–803.CrossRefPubMed
5.
Freyer PJ. A new method of performing prostatectomy. Lancet. 1900;1:774.
6.
Freyer PJ. One thousand cases of total enucleation of the prostate for radical cure of enlargement of that organ. Br Med J. 1912;2:868.CrossRef
7.
Meier DE, Tarpley JL, et al. The outcome of suprapubic prostatectomy: a contemporary series in the developing world. Urology. 1995;46(1):40–4.CrossRefPubMed
8.
Schuessler WW, Schulam PG, Clayman RV, et al. Laparoscopic radical prostatectomy: initial short-term experience. Urology. 1997;50:854.CrossRefPubMed
9.
Guillonneau B, Cathelineau X, Doublet JD, et al. Laparoscopic radical prostatectomy: assessment after 550 procedures. Crit Rev Oncol Hematol. 2002;43(2):123–33.CrossRefPubMed
10.
Mariano MD, Graziottin TM, Tefilli MV. Laparoscopic prostatectomy for vascular control for benign prostatic hyperplasia. J Urol. 2002;167(6):2528–9.CrossRefPubMed
11.
Sotelo R, Clavijo R, Carmona O, et al. Robotic simple prostatectomy. J Urol. 2008;179:513–5.CrossRefPubMed
12.
Gilling PJ, Fraundorfer MR. Holmium laser prostatectomy: a technique in evolution. Curr Opin Urol. 1998;8:11.CrossRefPubMed
13.
Tooher R, Sutherland P, Costello A, Gilling P, et al. A systematic review of holmium laser prostatectomy for benign prostatic hyperplasia. J Urol. 2004;171(Issue 5):1773–81.CrossRefPubMed
14.
Naspro R, Suardi N, Salonia A, et al. Holumium laser enucleation of the prostate versus open prostatectomy for prostates >70g; 24m follow up. Eur Urol 2006; 563–8
15.
Salonia A, Suradi N, Naspro R, et al. Holumium laser enucleation versus open prostectomy for benign prostatic hyperplasia: an inpatient cost analysis. Urology. 2006;68:302–6.CrossRefPubMed
16.
Kuntz RM, Lehrich K, Ahyai S. Holmium laser enucleation of the prostate versus open prostatectomy for prostates greater than 100grams: 5 year follow-up results of a randomized clinical trial. Eur Urol. 2008;53:160–6.CrossRefPubMed
17.
Kaplan SA. Update on the American Urological Association Guidelines for treatment of benign prostatic hyperplasia. Rev Urol. 2006;8(Suppl 4):S10–7.PubMedPubMedCentral
18.
Yezdani M, Katz B, Yu S, Lee A, Lee DI. A novel transversus abdominal plane block during robotic assisted radical prostatectomy. Philadelphia: AUA Annual Meeting Moderated Poster Presentation; 2015.
19.
Sutherland DE, Perez DS, Weeks DC. Robot-assisted simple prostatectomy for severe benign prostatic hyperplasia. J Endourol. 2011;25:641–4.CrossRefPubMed
20.
Banapour P, Patel N, Kane CJ, Cohen SA, Parsons JK. Robotic-assisted simple prostatectomy: a systematic review and report of a single institution case series. Prostate Cancer Prostatic Dis. 2014;17:1–5.CrossRefPubMed
21.
Leslie S, de Castro Abreu AL, Chopra S, et al. Transvesical robotic simple prostatectomy: initial clinical experience. Urol. 2014;66:321–9.
22.
Coelho RF, Chauhan S, Sivaraman A, et al. Modified technique of robotic-assisted simple prostatectomy: advantages of a vesico-urethral anastomosis. BJU Int. 2012;109:426–33.CrossRefPubMed
23.
Umari P, Fossati N, Gandaglia G, et al. Robotic assisted simple prostatectomy (RASP) versus holmium laser enucleation of the prostate (HoLEP) for lower urinary tract symptoms in patients with large volume prostates (>100ml): a comparative analysis from a high volume center. J Urol. 2016; doi:10.​1016/​j.​juro.​2016.​08.​114.PubMed
24.
Matei DV, Brescia A, Mazzoleni F, et al. Robot-assisted simple prostatectomy (RASP): does it make sense? BJU Int. 2012;110(11 Pt C):E972–9.CrossRefPubMed
25.
Vora A, Mittal S, Hwang J, et al. Robot-assisted simple prostatectomy: multi-institutional outcomes for glands larger than 100grams. J Endourol. 2012;26:499–502.CrossRefPubMed
26.
Clavijo R, Carmona O, et al. Robot-assisted simple prostatectomy: novel technique. J Endourol. 2013;27(3):328–32.CrossRefPubMed
27.
Joseph JV, Rosenbaum R, et al. Robotic extraperiotenal radical prostatectomy: an alternative approach. J Urol. 2006;175(3):945–51.CrossRefPubMed
28.
Shah HN, Mahajan AP, Sodha HS, Hegde S, Mohile PD, Bansal MB. Prospective evaluation of the learning curve for holmium laser enucleation of the prostate. J Urol. 2007;177:1468–74.CrossRefPubMed
29.
Matei DV, Spinelli MG, Nordio A, et al. Robotic simple prostatectomy. Eur Urol Suppl. 2008;9:337.CrossRef
30.
Placer J, Gelabert-Mas A, Vallmanya F, et al. Holmium laser enucleation of prostate: outcome and complications of self-taught learning curve. Urology. 2009;73:1042–8.CrossRefPubMed
31.
Robert G, Cornu JN, Fourmarier M, et al. Multicenter prospective evaluation of the learning curve of holmium laser enucleation of the prostate (HoLEP). BJU. 2016;117:495–9.CrossRef
32.
Pokorny M, et al. Robot-assisted simple prostatectomy for treatment of lower urinary tract symptoms secondary to benign prostatic enlargement: surgical technique and outcomes in a high-volume robotic centre. Euro Urol. 2015;68(3):451–7.CrossRef
33.
Uffort EE, Jensen JC. Robotic-assisted laparoscopic simple prostatectomy: an alternative minimal invasive approach for prostate adenoma. J Robotic Surg. 2010;4:7–10.CrossRef
34.
Varkarakis I, Kyriakakis Z, Delis A, Protogerou V, Deliveliotis C. Long-term results of open transvesical prostatectomy from a contemporary series of patients. Urology. 2004;64:306.CrossRefPubMed
35.
Adam C, Hofstetter A, Deubner J, Zaak D, Weitkunat R, Seitz M, et al. Retropubic transvesical prostatectomy for significant prostatic enlargement must remain a standard part of urology training. Scand J Urol Nephrol. 2004;38:472.CrossRefPubMed
36.
Tubaro A, Carter S, Hind A, Vicentini C, Miano L. A prospective study of the safety and efficacy of suprapubic transvesical prostatectomy in patients with benign prostatic hyperplasia. J Urol. 2001;166:172.CrossRefPubMed
37.
Autorino R, Zargar H, Mariano M, et al. Perioperative outcomes of robotic and laparoscopic simple prostatectomy: a European- American multi-institutional analysis. Eur Urol. 2015;68:86–94.CrossRefPubMed
38.
Humphreys MR, Miller NL, Handa SE, Terry C. Holium laser enucleation of the prostate—outcomes independent of prostate size? J Urol. 2008;180(6):2431–5.CrossRefPubMed
39.
El Tayeb MM, Jacob JM, Bhojani N, Bammerlin E, Lingeman JE. Holmium laser enucleation of the prostate in patients requiring anticoagulation. J Endourol. 2016;30(7):805–9.CrossRefPubMed
40.
Lucca I, Shariat SF, Hofbauer SL, et al. Outcomes of minimally invasive simple prostatectomy for benign prostatic hyperplasia: a systematic review and meta-analysis. World J Urol. 2015;33:563–70.CrossRefPubMed
41.
Gratzke C, Schlenker B, Seitz M et al. Complications and early postoperative outcomes after open prostatectomy in patients with benign prostatic enlargement: Results of a prospective multicenter study. J Urol 2007: 1419–1422
Metadaten
Titel
Robot-Assisted Simple Prostatectomy: Expanding on an Established Operative Approach
verfasst von
Ross Cockrell
David I. Lee
Publikationsdatum
01.05.2017
Verlag
Springer US
Erschienen in
Current Urology Reports / Ausgabe 5/2017
Print ISSN: 1527-2737
Elektronische ISSN: 1534-6285
DOI
https://doi.org/10.1007/s11934-017-0681-z

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