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. 2024 Dec 1;60(12):1973.
doi: 10.3390/medicina60121973.

Extraperitoneal Robot-Assisted Laparoscopic Radical Prostatectomy in Continuous Spinal Anesthesia: A New Approach to an Established Technique

Simone Morselli  1   2 , Laura Zavatti  3 , Riccardo Ferrari  1   4 , Lorenzo Gatti  1 , Salvatore Micali  4 , Salvatore Rabito  1 , Luca Cindolo  1 , Giovanni Ferrari  1
Affiliations

Extraperitoneal Robot-Assisted Laparoscopic Radical Prostatectomy in Continuous Spinal Anesthesia: A New Approach to an Established Technique

Simone Morselli et al. Medicina (Kaunas). .

Abstract

Background and Objectives: To prove the feasibility of continuous spinal extraperitoneal robot-assisted laparoscopic radical prostatectomy (cseRALP) in order to expand the pool of eligible patients. Materials and Methods: 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. Results: 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. Conclusions: cseRALP seems to be feasible and safe; further trials are mandatory.

Keywords: PCa; RALP; anesthesia; continuous spinal; continuous spinal anesthesia; extraperitoneal; prostate cancer; radical prostatectomy.

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Conflict of interest statement

The authors declare no conflicts of interest.

Figures

Figure 1
Figure 1
Trocar placement for continuous spinal extraperitoneal robot-assisted laparoscopic radical prostatectomy (right side) compared to standard robot-assisted laparoscopic prostatectomy (left side).
See this image and copyright information in PMC

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