Extraperitoneal Robot-Assisted Laparoscopic Radical Prostatectomy in Continuous Spinal Anesthesia: A New Approach to an Established Technique
<i>Background and Objectives:</i> To prove the feasibility of continuous spinal extraperitoneal robot-assisted laparoscopic radical prostatectomy (cseRALP) in order to expand the pool of eligible patients. <i>Materials and Methods</i>: According to IDEAL guidelines, a consecu...
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MDPI AG
2024-12-01
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| Online Access: | https://www.mdpi.com/1648-9144/60/12/1973 |
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| author | Simone Morselli Laura Zavatti Riccardo Ferrari Lorenzo Gatti Salvatore Micali Salvatore Rabito Luca Cindolo Giovanni Ferrari |
| author_facet | Simone Morselli Laura Zavatti Riccardo Ferrari Lorenzo Gatti Salvatore Micali Salvatore Rabito Luca Cindolo Giovanni Ferrari |
| author_sort | Simone Morselli |
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| description | <i>Background and Objectives:</i> To prove the feasibility of continuous spinal extraperitoneal robot-assisted laparoscopic radical prostatectomy (cseRALP) in order to expand the pool of eligible patients. <i>Materials and Methods</i>: According to IDEAL guidelines, a consecutive cohort of patients who underwent cseRALP was enrolled. Pre-, intra-, and post-operative data were collected, with particular focus on safety and oncological outcomes. <i>Results</i>: A total of three patients underwent this technique, with no intra- or post-operative medical complications. Only a grade 1 Clavien–Dindo complication was reported, small urinary leakage treated with an indwelling catheter. Oncological and functional results at month 3 were satisfactory, with no recurrence and no stress incontinence. <i>Conclusions</i>: cseRALP seems to be feasible and safe; further trials are mandatory. |
| format | Article |
| id | doaj-art-87d329b6d10b43f6bad3a86e04c8f71f |
| institution | OA Journals |
| issn | 1010-660X 1648-9144 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Medicina |
| spelling | doaj-art-87d329b6d10b43f6bad3a86e04c8f71f2025-08-20T02:00:43ZengMDPI AGMedicina1010-660X1648-91442024-12-016012197310.3390/medicina60121973Extraperitoneal Robot-Assisted Laparoscopic Radical Prostatectomy in Continuous Spinal Anesthesia: A New Approach to an Established TechniqueSimone Morselli0Laura Zavatti1Riccardo Ferrari2Lorenzo Gatti3Salvatore Micali4Salvatore Rabito5Luca Cindolo6Giovanni Ferrari7Department of Urology, C.Ur.E.—Centro Urologico Europeo, Hesperia Hospital, 41125 Modena, ItalyDepartment of Anesthesiology, Hesperia Hospital, 41125 Modena, ItalyDepartment of Urology, C.Ur.E.—Centro Urologico Europeo, Hesperia Hospital, 41125 Modena, ItalyDepartment of Urology, C.Ur.E.—Centro Urologico Europeo, Hesperia Hospital, 41125 Modena, ItalyDepartment of Urology, University of Modena and Reggio Emilia, 41121 Modena, ItalyDepartment of Urology, C.Ur.E.—Centro Urologico Europeo, Hesperia Hospital, 41125 Modena, ItalyDepartment of Urology, C.Ur.E.—Centro Urologico Europeo, Hesperia Hospital, 41125 Modena, ItalyDepartment of Urology, C.Ur.E.—Centro Urologico Europeo, Hesperia Hospital, 41125 Modena, Italy<i>Background and Objectives:</i> To prove the feasibility of continuous spinal extraperitoneal robot-assisted laparoscopic radical prostatectomy (cseRALP) in order to expand the pool of eligible patients. <i>Materials and Methods</i>: According to IDEAL guidelines, a consecutive cohort of patients who underwent cseRALP was enrolled. Pre-, intra-, and post-operative data were collected, with particular focus on safety and oncological outcomes. <i>Results</i>: A total of three patients underwent this technique, with no intra- or post-operative medical complications. Only a grade 1 Clavien–Dindo complication was reported, small urinary leakage treated with an indwelling catheter. Oncological and functional results at month 3 were satisfactory, with no recurrence and no stress incontinence. <i>Conclusions</i>: cseRALP seems to be feasible and safe; further trials are mandatory.https://www.mdpi.com/1648-9144/60/12/1973RALPPCaprostate cancerradical prostatectomyextraperitonealcontinuous spinal anesthesia |
| spellingShingle | Simone Morselli Laura Zavatti Riccardo Ferrari Lorenzo Gatti Salvatore Micali Salvatore Rabito Luca Cindolo Giovanni Ferrari Extraperitoneal Robot-Assisted Laparoscopic Radical Prostatectomy in Continuous Spinal Anesthesia: A New Approach to an Established Technique Medicina RALP PCa prostate cancer radical prostatectomy extraperitoneal continuous spinal anesthesia |
| title | Extraperitoneal Robot-Assisted Laparoscopic Radical Prostatectomy in Continuous Spinal Anesthesia: A New Approach to an Established Technique |
| title_full | Extraperitoneal Robot-Assisted Laparoscopic Radical Prostatectomy in Continuous Spinal Anesthesia: A New Approach to an Established Technique |
| title_fullStr | Extraperitoneal Robot-Assisted Laparoscopic Radical Prostatectomy in Continuous Spinal Anesthesia: A New Approach to an Established Technique |
| title_full_unstemmed | Extraperitoneal Robot-Assisted Laparoscopic Radical Prostatectomy in Continuous Spinal Anesthesia: A New Approach to an Established Technique |
| title_short | Extraperitoneal Robot-Assisted Laparoscopic Radical Prostatectomy in Continuous Spinal Anesthesia: A New Approach to an Established Technique |
| title_sort | extraperitoneal robot assisted laparoscopic radical prostatectomy in continuous spinal anesthesia a new approach to an established technique |
| topic | RALP PCa prostate cancer radical prostatectomy extraperitoneal continuous spinal anesthesia |
| url | https://www.mdpi.com/1648-9144/60/12/1973 |
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