Category: Robotic Surgery: Lower Tract - Malignant
VS9-6 - Robot-assited Perineal Radical Prostatectomy
Introduction & Objective :
We aim to present a robotic radical prostatectomy operation with a perineal approach to the patient who is diagnosed with prostate cancer in this video.
Methods :
Sixty-three-year-old male patient underwent a true-cut biopsy of transrectal ultrasonography on PSA 5,6 and the pathology was reported as 3 + 3 adenocarcinoma in 3/12 focus. There was no extraprostatic extension in the lower abdominal multiparametric magnetic resonance imaging for prostate examination. The patient underwent robotic radical prostatectomy with perineal approach.
Results :
The patient was taken to the lithotomy position in the supine position. Lower extremities were taken to the exaggerated lithotomy position. After the skin and subcutaneous fats have passed, the rectum is released with surrounding oily tissues. After placing the gel port in the perineal region, 3 robotic trocars were placed in the gel port and 1 assistant trocar was placed. The operation time is 110 minutes. Blood loss was measured as 60 cc. The patient was discharged on the second postoperative day. Postoperative pathology is gleason 3+3 adenocarsinom. Surgical margin is negative.
Conclusions : Robotic radical prostatectomy with perineal approach is a minimally invasive method that can be safely performed in experienced centers.
- ME
Mithat Eksi
– Resident, Bakirkoy Dr. Sadi Konuk Training and Research Hospital, İstanbul, Istanbul, Turkey 
Volkan Tuğcu
– chief, University of Health Sciences, Istanbul Bakirkoy Dr. Sadi Konuk Training and Research Hospital, Department of Urology, Istanbul, Turkey, İstanbul, Istanbul, Turkey- OA
Oktay Akca
– chief, University of Health Sciences, Istanbul Kartal Dr. Lütfi Kırdar Research and Training Hospital, Department of Urology, Istanbul, Turkey, İstanbul, Istanbul, Turkey - AS
Abdulmuttalip Simsek
– specialist, University of Health Sciences, Istanbul Bakirkoy Dr. Sadi Konuk Training and Research Hospital, Department of Urology, Istanbul, Turkey, Istanbul, Istanbul, Turkey - ES
Emre Sam
– University of Health Sciences, Istanbul Bakirkoy Dr. Sadi Konuk Training and Research Hospital, Department of Urology, Istanbul, Istanbul, Turkey - MY
Mustafa Gurkan Yenice
– specialist, University of Health Sciences, Istanbul Bakirkoy Dr. Sadi Konuk Training and Research Hospital, Department of Urology, Istanbul, Turkey, Istanbul, Istanbul, Turkey - SS
Selcuk Sahin
– specialist, University of Health Sciences, Istanbul Bakirkoy Dr. Sadi Konuk Training and Research Hospital, Department of Urology, Istanbul, Turkey, istanbul, Istanbul, Turkey - AT
Ali Tasci
– specialist, University of Health Sciences, Istanbul Bakirkoy Dr. Sadi Konuk Training and Research Hospital, Department of Urology, Istanbul, Turkey, Istanbul, Istanbul, Turkey - IY
Ismail Yigitbasi
– Urologist, urology department, Bakirkoy Sadi Konuk Training and Research Hospital Center, Turkey, Bakirkoy Sadi Konuk Training and Research Hospital Center, Turkey, istanbul, Istanbul, Turkey - IY
Ismail Yigitbasi
– Urologist, urology department, Bakirkoy Sadi Konuk Training and Research Hospital Center, Turkey, Bakirkoy Sadi Konuk Training and Research Hospital Center, Turkey, istanbul, Istanbul, Turkey