Robot-Assisted Radical Prostatectomy: Advanced Surgical Techniques

390 Pages·2022·43.232 MB·English

by  Shancheng Ren, Senthil Nathan, Nicola Pavan, Di Gu, Ashwin Sridhar, Riccardo Autorino

Shancheng Ren · Senthil Nathan 
Nicola Pavan · Di Gu · Ashwin Sridhar 
Riccardo Autorino   Editors
Robot-Assisted
Radical Prostatectomy
Advanced Surgical Techniques
123
Robot-Assisted Radical Prostatectomy
Shancheng Ren • Senthil Nathan
Nicola Pavan • Di Gu
Ashwin Sridhar • Riccardo Autorino
Editors
Robot-Assisted Radical
Prostatectomy
Advanced Surgical Techniques
Editors
Shancheng Ren Senthil Nathan
Changzheng Hospital Institute of Urology
Shanghai, China University College London
London, UK
Nicola Pavan
Urology Clinic, Medical, Surgical and Health Di Gu
Sciences Department The First affiliated Hospital of Guangzhou
University of Trieste Medical University
Trieste, Italy Guangzhou, China
Urology Clinic, Department of Surgical Riccardo Autorino
Oncological and Stomatological Sciences Department of Urology
University of Palermo Rush University Medical Center
Palermo, Italy Chicago, IL, USA
Ashwin Sridhar
Urology
University College London Hospital NHS Trust
Hatfield, UK
ISBN 978-3-031-05854-7 ISBN 978-3-031-05855-4 (eBook)
https://doi.org/10.1007/978-3-031-05855-4
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Preface
Most of us have heard the statement “We shot at the heart and hit the prostate”. Robotic sur-
gery has certainly represented the most striking technological innovation in the surgical field
over the past 20 years, and urology as specialty has led the field in the implementation of this
technology on large scale worldwide. Robotic-assisted laparoscopic radical prostatectomy
(RALP) has become de facto the new standard for the surgical treatment of prostate cancer, the
most common cancer in the male population. In the USA, over 80% of radical prostatectomy
procedures are nowadays done robotically, and similar figures have been reached worldwide.
Thus, not surprisingly, the field of robotic surgery has been largely fueled by this single surgi-
cal procedure. Many years have gone by since the first pioneering reports of radical prostatec-
tomy procedures by Dr. Abbou and Dr. Vallancien in Paris and Dr. Binder in Frankfurt, soon
followed by the establishment of the first structured robotic prostate surgery program by Dr.
Menon in Detroit. Over 5000 daVinci systems are now installed worldwide, and currently
available robotic platforms are undeniably much better than the one used by those pioneers,
and this has made the procedure safer, easier to learn and more reproducible. Moreover, new
robotic systems are coming to the market, and upcoming competition will drive further innova-
tion. As robotic surgical technology evolved, many advances were made in terms of knowledge
of the surgical anatomy, building on the foundations of early studies reported by Dr. Walsh in
the 1980s, and further advances brought by laparoscopic surgery in the early 2000s. A better
understanding of prostate cancer biology allowed to improve patient selection. Modern diag-
nostic pathways with the introduction of MRI-based biopsy techniques allowed to better risk-
stratify patients and aid surgical planning. All this translated into never-ending refinements of
surgical techniques and, ultimately, into improved outcomes.
The idea behind this book was to provide a comprehensive high yield and user-friendly
educational tool for urologists and trainees alike. With this aim in mind, we asked opinion
leaders across the globe to contribute with state-of-the-art chapters on a variety of topics
related to the ever-evolving field of robotic prostate cancer surgery. We would like to thank
these esteemed colleagues and their teams for their outstanding work, which is testament to
their commitment to foster future generations of robotic urologic surgeons and, ultimately, to
their dedication to provide better care to prostate cancer patients. This effort is even more valu-
able if one considers this book was conceived and prepared in the middle of a pandemic that
has unfortunately changed our lives. We are confident to have accomplished what we initially
planned; enjoy the reading!
Sincerely,
Chicago, IL, USA Riccardo Autorino
Guangzhou, China Di Gu
London, UK Senthil Nathan
Trieste, Trieste, Italy Nicola Pavan
Shanghai, China Shancheng Ren
Hatfield, UK Ashwin Sridhar
v
Contents
Part I Introduction to RALP
1 A Historical Perspective of RALP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Giacomo Rebez and Maria Carmen Mir
2 Surgical Anatomy of the Prostate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Anthony J. Costello and Daniel M. Costello
3 Robotic Training for RALP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
Nicholas Raison and Prokar Dasgupta
Part II Imaging in RALP
4 Magnetic Resonance Imaging in Prostate Cancer . . . . . . . . . . . . . . . . . . . . . . . . . . 29
Martina Pecoraro, Emanuele Messina, Giorgia Carnicelli,
Claudio Valotto, Vincenzo Ficarra, Gianluca Giannarini,
and Valeria Panebianco
5 PET/CT for Detection of Biochemical Recurrence Post
Radical Prostatectomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43
Victoria Jahrreiss, Bernhard Grubmüller, Sazan Rasul,
and Shahrokh F. Shariat
6 Augmented Reality in RALP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47
Francesco Porpiglia, Stefano Granato, Michele Sica, Paolo Verri,
Daniele Amparore, Enrico Checcucci, and Cristian Fiori
Part III Transperitoneal RALP Anterior Approach
7 The Bladder Neck Management . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55
Walter Artibani, Giovanni Enrico Cacciamani, Alessandro Crestani,
and Angelo Porreca
8 Extrafascial (No-Nerve Sparing) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61
Dan Xia, Shuo Wang, Taile Jing, and Di Gu
9 Posterior Approach to Seminal Vesicles . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 65
William R. Visser and Lance J. Hampton
10 Retrograde Release of Neurovascular Bundles with Preservation
of the Dorsal Venous Complex . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 69
Jonathan Noël, Marcio Covas Moschovas, Rafael Ferreira Coelho,
and Vipul Patel
vii
viii Contents
11 The Hood Technique for Robotic- Assisted Radical Prostatectomy:
Preserving Vital Structures in the Space of Retzius and the
Pouch of Douglas . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 79
Ash Tewari, Vinayak Wagaskar, Parita Ratnani, Sneha Parekh, Adriana
Pedraza, and Bhavya Shukla
12 Apical Dissection During Trans- Peritoneal, Anterior Robot-Assisted
Radical Prostatectomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 89
Alexandre Mottrie and Carlo Andrea Bravi
Part IV Intraoperative Assessment of Surgical Margins
13 Intra-operative Assessment of Surgical Margins: NeuroSAFE . . . . . . . . . . . . . . . 99
Eoin Dinneen and Greg Shaw
14 Ex Vivo Fluorescence Confocal Microscopy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .111
Bernardo Rocco, Luca Sarchi, Tommaso Calcagnile, Simone Assumma,
Alessandra Cassani, Sofia Maggiorelli, and Maria Chiara Sighinolfi
Part V Reconstruction of Continence Mechanisms
15 The Single Knot Running Vesico- Urethral Anastomosis . . . . . . . . . . . . . . . . . . . . .123
Simone Albisinni, Romain Diamand, Massimo Valerio,
and Roland van Velthoven
16 Urethral Suspension . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .131
Ryoichi Shiroki, Kiyoshi Takahara, Kenji Zennami, Masashi Takenaka,
Makoto Sumitomo, and Mamoru Kusaka
17 Posterior Reconstruction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .137
Jonathan Noël, Bernardo Rocco, Maria Chiara Sighinolfi, Simone Assumma,
and Vipul Patel
18 CORPUS: Complete Posterior Reconstruction to Improve
Continence After Robotic Prostatectomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .145
Alessandro Morlacco, Valeria Lami, Nicola Zanovello, and Fabrizio Dal Moro
19 Total Anatomical Reconstruction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .149
Francesco Porpiglia, Paolo Verri, Stefano Granato, Michele Sica,
Daniele Amparore, Cristian Fiori, and Enrico Checcucci
Part VI T ransperitoneal RALP Retzius-Sparing Approach
20 Transperitoneal RALP Retzius-Sparing Approach: Bocciardi Technique . . . . . .161
Aldo Massimo Bocciardi, Stefano Tappero, Mattia Longoni,
Paolo Dell’Oglio, and Antonio Galfano
21 Transperitoneal Robot-Assisted Laparoscopic Radical Prostatectomy
Retzius-Sparing Approach: Yonsei Technique . . . . . . . . . . . . . . . . . . . . . . . . . . . . .169
Sylvia L. Alip, Periklis Koukourikis, and Koon Ho Rha
22 Retzius Sparing Robot-Assisted Radical Prostatectomy: Evolution,
Technique and Outcomes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .179
Deepansh Dalela, Wooju Jeong, Mani Menon, and Firas Abdollah
23 UCL Technique . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .191
Tushar Aditya Narain and Prasanna Sooriakumaran
Contents ix
Part VII Extraperitoneal RALP
24 Robot-Assisted Radical Prostatectomy: The Extraperitoneal Approach
and the Future with Single Port . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .199
Thomas L. Osinski and Jean V. Joseph
25 The CUF Technique: Extraperitoneal Robot-Assisted Radical
Prostatectomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .209
António Pinheiro, Pedro Bargão Santos, and Estevao Lima
Part VIII Pelvic Lymph Node Dissection
26 Predictive Models in Prostate Cancer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .217
Elio Mazzone, Giorgio Gandaglia, Vito Cucchiara, and Alberto Briganti
27 Extended Lymphadenectomy Technique . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .227
John W. Davis and Ahmet Urkmez
28 Fluorescence Guided Node Dissection. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .235
A. C. Berrens, O. Özman, T. Maurer, F. W. B. Van Leeuwen,
and H. G. van der Poel
29 Radioguided Surgery in Recurrent Prostate Cancer . . . . . . . . . . . . . . . . . . . . . . . .249
Sophie Knipper and Tobias Maurer
Part IX Techniques to Prevent Lymphocele Formation in RALP
30 Four Point Peritoneal Flap Fixation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .257
Jens-Uwe Stolzenburg and Vinodh-Kumar-Adithyaa Arthanareeswaran
31 PLEAT: A New Technique for Preventing Lymphoceles After Robotic
Prostatectomy and Pelvic Lymph Node Dissection . . . . . . . . . . . . . . . . . . . . . . . . .259
Alessandro Morlacco, Valeria Lami, and Fabrizio Dal Moro
Part X Perineal RALP
32 Tugcu Bakirkoy Technique . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .265
Selcuk Sahin and Volkan Tugcu
33 Bari Technique for Robotic Radical Perineal Prostatectomy . . . . . . . . . . . . . . . . .271
Pasquale Ditonno, Umberto Carbonara, Paolo Minafra, Giuseppe Papapicco,
Michele Battaglia, and Antonio Vitarelli
34 Single Port Robotic Perineal Radical Prostatectomy . . . . . . . . . . . . . . . . . . . . . . .281
Zeyad R. Schwen and Jihad Kaouk
Part XI Single-Port RALP
35 Different Access of Single-port Robotic Prostatectomy on da Vinci Si:
Changzheng Hospital Technique . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .291
Yifan Chang, Xiaofeng Zou, Qingyi Zhu, and Shancheng Ren
36 Single Port Extraperitoneal Radical Prostatectomy . . . . . . . . . . . . . . . . . . . . . . . .301
Zeyad R. Schwen and Jihad Kaouk
x Contents
37 UIC Technique . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .309
Marcin Zuberek and Simone Crivellaro
38 Fudan Zhongshan Technique: Single- Port Suprapubic Transvesical
Robotic Assisted Radical Prostatectomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .317
Shuai Jiang, Jiajun Wang, Yu Xia, Hang Wang, and Jianming Guo
Part XII Special Situations in RALP
39 Large Median Lobe: Robot-Assisted Radical Prostatectomy (RARP) . . . . . . . . .325
Xu Zhang and Xin Ma
40 Large Volume Gland with Small Pelvis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .329
Chin-Heng Lu and Yen-Chuan Ou
41 Robot Assisted Laparoscopic Radical Prostatectomy in Kidney
Transplant Recipients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .335
Brendan Dias and Homayoun Zargar
42 Patients with Previous BPH Surgery. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .343
Ng Chi Fai Anthony and Chiu Ka-Fung Peter
43 Salvage Robot-Assisted Radical Prostatectomy . . . . . . . . . . . . . . . . . . . . . . . . . . . .347
Camille Berquin, Arjun Nathan, Ruben De Groote, and Senthil Nathan
44 Super-Extended Robot Assisted Radical Prostatectomy in Locally
Advanced Prostate Cancer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .351
Elio Mazzone, Alberto Briganti, and Francesco Montorsi
45 Prostatectomy in Oligometastatic Prostate Cancer . . . . . . . . . . . . . . . . . . . . . . . . .359
Tushar Aditya Narain, Mohammad Alkhamees, and Prasanna Sooriakumaran
46 Inguinal Hernia Repair During Robot- Assisted Radical Prostatectomy . . . . . . . .367
Abdullah Erdem Canda, Arif Özkan, and Emre Balık
47 Robot Assisted Partial Prostatectomy for Anterior Cancer . . . . . . . . . . . . . . . . . .373
Arnauld Villers and Jonathan Olivier
48 Complications in Robotic-Assisted Laparoscopic Radical
Prostatectomy: Prevention and Management . . . . . . . . . . . . . . . . . . . . . . . . . . . . .377
Laura C. Perez, Aref S. Sayegh, Anibal La Riva, Charles F. Polotti,
and Rene Sotelo
Part XIII Functional Recovery After RALP
49 Functional Recovery After RALP: Erectile Function . . . . . . . . . . . . . . . . . . . . . . .389
Giacomo Rebez, Ottavia Runti, Michele Rizzo, Giovanni Liguori,
Andrea Lissiani, and Carlo Trombetta
50 Functional Recovery POST-RALP: Continence . . . . . . . . . . . . . . . . . . . . . . . . . . .397
Dahong Zhang, Yuchen Bai, and Qi Zhang
Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .411
Part I
Introduction to RALP