Hemostatic hydrodissection of the neurovascular bundles during robotic assisted laparoscopic radical prostatectomy: safety and efficacy trial

Sijo J. Parekattil; Philipp Dahm; Johannes W. Vieweg

doi:10.1117/12.808619

23 February 2009 Hemostatic hydrodissection of the neurovascular bundles during robotic assisted laparoscopic radical prostatectomy: safety and efficacy trial

Sijo J. Parekattil, Philipp Dahm, Johannes W. Vieweg

Author Affiliations +

Proceedings Volume 7161, Photonic Therapeutics and Diagnostics V; 71611K (2009) https://doi.org/10.1117/12.808619
Event: SPIE BiOS, 2009, San Jose, California, United States

Abstract

Preservation of continence and potency after Robotic Assisted Laparoscopic Radical Prostatectomy (RALP) are two key outcome measures that patients consider when comparing different treatment options for localized prostate cancer. Ensuring that positive surgical margins are as low as possible provides oncologic control. Various techniques to optimize these outcomes have been employed. This study presents the early outcomes for Hemostatic Hydrodissection of the Neurovascular Bundles during 86 consecutive RALPs. Positive margin rates were 12.5% overall (9% for pT2 and 28.6% for pT3); continence at 6 months was 100%, at 3 months 90% and at 1 month 66%. In patients with no preoperative erectile dysfunction (preoperative SHIM of 25), 79% had return of erections sufficient for intercourse by 6 months. 2 of these patients were able to have intercourse 2 weeks after surgery. These preliminary findings appear promising.

Citation Download Citation

Sijo J. Parekattil, Philipp Dahm, and Johannes W. Vieweg "Hemostatic hydrodissection of the neurovascular bundles during robotic assisted laparoscopic radical prostatectomy: safety and efficacy trial", Proc. SPIE 7161, Photonic Therapeutics and Diagnostics V, 71611K (23 February 2009); https://doi.org/10.1117/12.808619

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