Standardized procedure of robotic assisted laparoscopic radical prostatectomy from case 1 to case 1200

Abstract

Objective: To standardize the procedure of robotic assisted laparoscopic radical prostatectomy (RaLRP) after evolution, learning and modification from 1,200 experienced cases. Materials and Methods: From December 2005 to April 2016, 1,200 cases involved patients receiving RaLRP was performed by a single surgeon. A preoperative 3.0-Tesla magnet with a slice thickness 30), included 6% and 10.5% of prostate volume >70 cm3, 10.5% of previous transurethral resection of prostate, 1.08% of salvage-RALP. The trifecta rate was 83.20% and pentafecta rate was 63.33%. The 3-year, 5-year, and 7-year biochemical recurrence-free survival rates were 79.2%, 75.3%, and 70.2%, respectively. Conclusions: Meticulous preoperative evaluation, MRI planning and a dedicated robotic team to do RALP is essential. The procedure was standardized during each step. Complications were minimized. High risk patients had an acceptable oncologic outcome.

Keywords

• robotic surgery
• prostate cancer
• procedure