Abstract

Research Article

“Maximum Preservation Radical Prostatectomy”: Oncological, functional and other contemporary aspects of Retzius Sparing Robotic Assisted Radical Prostatectomy

Marcos Tobias-Machado*, Hamilton C Zampolli, Edgar O Sarmento and Igor Nunes-Silva

Published: 30 April, 2020 | Volume 4 - Issue 1 | Pages: 024-028

The surgical treatment of prostate cancer (PCa) had as its initial milestone the first prostatectomy, performed by H.H. Young at the Johns Hopkins Hospital, in 1904 [1], however, the procedure only reached a fundamental role after 1982, based on a better understanding and description of the male pelvic anatomy, by Walsh [2-6] and other [7-11]. Subsequently, minimally invasive approaches emerged: laparoscopic prostatectomy (1992) [12] and robot- assisted laparoscopic prostatectomy (RALP) (2000) [13], which modified and optimized the execution of key surgical steps of this procedure, such as bladder neck preservation, nerve-sparing dissection, and prostate apex management [14].

Read Full Article HTML DOI: 10.29328/journal.acst.1001018 Cite this Article Read Full Article PDF

References

  1. Young HH. The early diagnosis and radical cure of carcinoma of the prostate - being a study of 40 cases and presentation of a radical operation which was carried out in four cases. 1905. J Urol. 2002;168: 914-921. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/12187190
  2. Walsh PC, Jewett AJ. Radical surgery for prostatic cancer. Cancer 1980; 45: 1906-19011. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/29603168
  3. Walsh PC, Lepor H, Eggleston JC. Radical prostatectomy with preservation of sexual function: anatomical and pathological considerations. Prostate. 1983; 4: 473–485. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/6889192
  4. Walsh PC, Mostwin JL. Radical prostatectomy and cystoprostatectomy with preservation of potency. Results using a new nerve-sparing technique. Br J Urol. 1984; 56: 694– 697. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/6534493
  5. Walsh PC. Radical prostatectomy, preservation of sexual function, cancer control. The controversy. Urol Clin North Am. 1987; 14: 663–673. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/3314061
  6. Walsh PC. Nerve sparing radical prostatectomy for early stage prostate cancer. Semin Oncol. 1988; 15: 351–358. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/3406755
  7. Stenzl A, Colleselli K, Poisel S, Feichtinger H, Pontasch H, et al. Rationale and technique of nerve sparing radical cystectomy before an orthotopic neobladder procedure in women. J Urol. 1995; 154: 2044–2049. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/7500455
  8. Steiner M. Continence preserving anatomic radical prostatectomy. Urology. 2000; 55: 427–435.
  9. Myers RP. Practical surgical anatomy for radical prostatectomy. Urol Clin North Am. 2001; 28: 473–490. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/11590807
  10. Huland H. Morphologic principles for radical prostatectomy. Urologe A. 1991; 30: 361–368. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/1771716
  11. Huland H, Noldus J. An easy and safe approach to separating Denonvilliers’ fascia from rectum during radical retropubic prostatectomy. J Urol. 1999; 161: 1533–1534. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/10210390
  12. Schuessler WW, Schulam PG, Clayman RV, Kavoussi LR. Laparoscopic radical prostatectomy: initial short-term experience. Urology. 1997; 50: 854-8547. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/9426713
  13. Binder J, Kramer W: Robotically-assisted laparoscopic radical prostatectomy. BJU Int. 2001; 87: 408-410. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/11251539
  14. Checcucci E, Veccia A, Fiori C, Amparore D, Manfred M, et al. Retzius-sparing robot-assisted radical prostatectomy vs the standard approach: a systematic review and analysis of comparative outcomes. BJU Int. 2019; 125: 8-16. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/31373142
  15. Kim SP, Boorjian SA, Shah ND, Weight CJ, Tilburt JC, et al. Disparities in access to hospitals with robotic surgery for patients with prostate cancer undergoing radical prostatectomy. J Urol. 2013; 189: 514–520. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/23253307
  16. Rassweiler J, Seemann O, Schulze M, Teber D, Hatzinger M, et al. Laparoscopic versus open radical prostatectomy: a comparative study at a single institution. J Urol. 2003; 169: 1689–1693. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/12686809
  17. Asimakopoulos AD, Miano R, Galfano A, Bocciardi AM, Vespasiani G, et al. Retzius-sparing robot-assisted laparoscopic radical prostatectomy: Critical appraisal of the anatomic landmarks for a complete intrafascial approach. Clin Anat. 2015; 28: 896-902. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/26194970
  18. Walz J, Burnett AL, Costello AJ, Eastham JA, Graefen M, et al. A critical analysis of the current knowledge of surgical anatomy related to optimization of cancer control and preservation of continence and erection in candidates for radical prostatectomy. Eur Urol. 2010; 57: 179–192. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/19931974
  19. Tewari A, Takenaka A, Mtui E, et al. The proximal neurovascular plate and the trizonal neural architecture around the prostate gland: importance in the athermal robotic technique of nerve sparing prostatectomy. BJU Int. 2006; 98: 314–323. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/16879671
  20. Tewari A, Peabody JO, Fischer M, Sarle R, Vallancien G, et al. An operative and anatomic study to help in nerve sparing during laparoscopic and robotic radical prostatectomy. Eur Urol 2003; 43: 444–454. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/12705985
  21. Takenaka A, Kawada M, Murakami G, Hisasue S, Tsukamoto T, et al. Inter individual variation in distribution of extramural ganglion cells in the male pelvis: a semi- quantitative and immu-nohistochemical study concerning nerve-sparing pelvic surgery. Eur Urol. 2005; 48: 46–52.
  22. Savera AT, Kaul S, Badani K, Stark AT, Shah NL, et al. Robotic radical prostatectomy with the “veil of Aphrodite” technique: histologic evidence of enhanced nerve sparing. Eur Urol. 2006; 49: 1065–1074. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/16597485
  23. Galfano A, Ascione A, Grimaldi S, Petralia G, Strada E, et al. A New Anatomic Approach for Robot-Assisted Laparoscopic Prostatectomy: A Feasibility Study for Completely Intrafascial Surgery. European Urology. 2010; 58: 457-461. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/20566236
  24. Guillonneau B, Vallancian G. Laparoscopic radical prostatectomy: the Montsouris technique. J Urol. 2000; 163: 1643–1649. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/10799152
  25. Coughlin G, Dangle PP, Palmer KJ, Samavedi S, Patel VR. Athermal early retrograde release of the neurovascular bundle during nerve-sparing robotic-assisted laparoscopic radical prostatectomy. J Robotic Surg. 2009; 3: 13–17. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/27628447
  26. Patel VR Schatloff O, Chauhan S, Sivaraman A, Valero R, et al. The role of the prostatic vasculature as a landmark for nerve sparing during robot-assisted radical prostatectomy. Eur Urol. 2012; 61: 571– 576. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/22225830
  27. Patel VR, Shah K, Palmer KJ, Thaly R, Coughlin G. Robotic-assisted laparoscopic radical prostatectomy: a report of the current state. Expert Rev Anticancer Ther. 2007; 7: 1269- 1278. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/17892427
  28. Genes WP, Bicudo MC, Machado PM, Auad PR, Pacheco LE, et al. Retzius Sparing (RS) Robotic Assisted Radical Prostatectomy (RARP) and Retzius Space Reconstruction T echnique after RARP Improve Urinary Continence Compared to Conventional RARP (C-RARP): Systematic Review and Metanalysis Int Arch Urol Complic 2019; 5: 065.
  29. Galfano A, Ascione A, Grimaldi S, Petralia G, Strada E, et al. A new anatomic approach for robot-assisted laparoscopic prostatectomy: A feasibility study for completely intrafascial surgery. Eur Urol. 2019; 58: 457-461. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/20566236
  30. Galfano A, Di Trapani D, Sozzi F, Strada E, Petralia G, et al. Beyond the learning curve of the retzius-sparing approach for robot-assisted laparoscopic radical prostatectomy: Oncologic and functional results of the first 200 patients with ≥1 Year of follow- up. Eur Urol. 2019; 64: 974-980. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/23856036
  31. de Carvalho PA, Barbosa JABA, Guglielmetti GB, Cordeiro MD, Rocco B, et al. Retrograde Release of the Neurovascular Bundle with Preservation of Dorsal Venous Complex During Robot-assisted Radical Prostatectomy: Optimizing Functional Outcomes. Eur Urol. 2020; 77: 628-635. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/30041833
  32. Patel VR, Sivaraman A, Coelho RF, Chauhan S, Palmer KJ, et al. Pentafecta: a new concept for reporting outcomes of robot-assisted laparoscopic radical pros-tatectomy. Eur Urol. 2011; 59: 702–707. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/21296482
  33. Patel VR, Abdul-Muhsin HM, Schatloff O, Coelho RF, Valero R, et al. Critical review of “pentafecta” outcomes after robot-assisted laparoscopic prostatectomy in high-volume centres. BJU Int. 2011; 108: 1007-1017. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/21917104
  34. Tai TE, Wu CC, Kang YN, Wu JC. Effects of Retzius sparing on robot assisted laparoscopic prostatectomy: a systematic review with meta-analysis. Surg Endosc. 2019. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/31617093
  35. Stonier T, Simson N, Davis J, Challacombe B. Retzius-sparing robot-assisted radical prostatectomy (RS-RARP) vs standard RARP: it's time for critical appraisal. BJU Int. 2019; 123: 5-7. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/29959814
  36. Tewari A, Sooriakumaran P, Bloch DA, Seshadri-Kreaden U, Hebert AE, et al. Positive Surgical Margin and Perioperative Complication Rates of Primary Surgical Treatments for Prostate Cancer: A Systematic Review and Meta-Analysis Comparing Retropubic, Laparoscopic, and Robotic Prostatectomy. Eur Urol. 2012; 62: 1-15. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/22405509
  37. Lim SK, Kim KH, Shin TY, Han WK, Chung BH, et al. Retzius-sparing robot- assisted laparoscopic radical prostatectomy: Combining the best of retropubic and perineal approaches. BJU Int. 2014; 114: 236-244. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/24612011
  38. Eden CG. Retzius-sparing robotic radical prostatectomy. Asian J Androl. 2020; 22: 149–151. PubMed: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7155805/
  39. Eden CG, Moschonas D, Soares R. Urinary continence four weeks following Retzius- sparing robotic radical prostatectomy: the UK experience. J Clin Urol. 2017; 72: 677–685.
  40. Phukan C, McLean A, Nambiar A, Mukherjee A, Somani B, et al. Retzius sparing robotic assisted radical prostatectomy vs. Conventional robotic assisted radical prostatectomy: a systematic review and metaanalysis. World J Urol. 2019. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/31089802
  41. Santok GD, Abdel Raheem A, Kim LHC, Chang K, Lum TGH, et al. Perioperative and short-term outcomes of Retzius-sparing robot-assisted laparoscopic radical prostatectomy stratified by gland size. BJU Int. 2017; 119: 135-141. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/27539553
  42. Menon M, Dalela D, Jamil M, Diaz M, Tallman C, et al. Functional recovery, oncologic outcomes and postoperative complications after robot-assisted radical prostatectomy: An evidence-based analysis comparing the retzius sparing and standard approaches. J Urol. 2018; 199: 1210-1217. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/29225060
  43. Chang LW, Hung SC, Hu JC, Chiu KY. Retzius- sparing robotic-assisted radical prostatectomy associated with less bladder neck descent and better early continence outcome. Anticancer Res. 2018; 38: 345-351. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/29277793
  44. Dalela D, Jeong W, Prasad M-A, Sood A, Abdollah F, et al. A pragmatic randomized controlled trial examining the impact of the retzius-sparing approach on early urinary continence recovery after robot-assisted radical prostatectomy. Eur Urol. 2017; 72: 677-685; PubMed: https://www.ncbi.nlm.nih.gov/pubmed/28483330
  45. Cadeddu JA. Re: a pragmatic randomized controlled trial examining the impact of the Retzius-sparing approach on early urinary continence recovery after robot-assisted radical prostatectomy. J Urol. 2018; 199: 875–876. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/29642327
  46. Nyarangi-Dix JN, Görtz M, Gradinarov G, Hofer L, Schütz V, et al. Retzius-sparing robot-assisted laparoscopic radical prostatectomy: functional and early oncologic results in aggressive and locally advanced prostate cancer. BMC Urol. 2019; 19: 113.
  47. Phukan C, Mclean A, Nambiar A, Mukherjee A, Somani B, et al. Retzius Sparing Robotic Assisted Radical Prostatectomy vs. Conventional Robotic Assisted Radical Prostatectomy: A Systematic Review and Meta-analysis World J Urol. 2019. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/31089802
  48. Abu-Ghanem Y, Dotan Z, Ramon J, Zilberman DE Retzius space reconstruction following transperitoneal laparoscopic robot-assisted radical prostatectomy: does it have any added value? J Robot Surg; 2018; 12: 475-479. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/29181778
  49. Tobias-Machado M, Nunes-Silva I, Hidaka AK, Sato LL, Almeida R, et al. Retzus-sparing robotic-assisted laparoscopic radical prostatectomy: a step–by-step technique description of this first brazilian experience. Int Braz J Urol. 2016; 42: 1250-1250. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/27649115
  50. De Rooij M, Nieuwboer W, Smit RNG, Witjes JA, Barentsz JO, et al. 630 The high economic burden of urinary incontinence after prostate cancer treatment. Eur Urol. 2015; 14: e630–e630a. PubMed:
  51. Olivero A, Galfano A, Piccinelli M, Secco S, Di Trapani D, et al. Retzius sparing Robotic Radical Prostatectomy for Surgeons in the Learning Curve: A Propensity Score-matching Analysis. Eur Urol Focus. 2020; pii: S2405-4569(20)30073-0. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/32192919
  52. Nyarangi-Dix JN, Görtz M, Gradinarov G, Hofer L, Schütz V, et al. Retzius-sparing robot-assisted laparoscopic radical prostatectomy: functional and early oncologic results in aggressive and locally advanced prostate cancer. BMC Urol. 2019; 19: 113.
  53. Asimakopoulos AD, Corona Montes VE, Gaston R. Robot-assisted laparoscopic radical prostatectomy with intrafascial dissection of the neurovascular bundles and preservation of the pubovesical complex: a step-by-step description of the technique. J Endourol. 2012; 26: 1578-1585. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/23072396
  54. Agarwal DK, Sharma V, Toussi A, Viers BR, Tollefson MK, et al.
    Initial Experience with da Vinci Single-port Robot-assisted Radical Prostatectomies. Eur Urol. 2020; 77: 373-379. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/31010600

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