Salvage robot-assisted radical prostatectomy with pelvic lymph node dissection after cryotherapy failure

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• 作者：Esequiel Rodriguez Jr (1)
  Douglas W. Skarecky (1)
  Thomas E. Ahlering (1)
  
• 关键词：Robotics ; Salvage prostatectomy ; Cryotherapy
• 刊名：Journal of Robotic Surgery
• 出版年：2007
• 出版时间：March 2007
• 年：2007
• 卷：1
• 期：1
• 页码：89-90
• 全文大小：93KB
• 参考文献：1. Chen BT, Wood DP (2003) Salvage prostatectomy in patients who have failed radiation or cryotherapy as primary treatment for prostate cancer. Urology 62:69鈥?8 CrossRef
  2. Grampsas SA, Miller GJ, Crawford ED (1995) Salvage radical prostatectomy after failed transperineal cryotherapy: histologic findings from prostate whole-mount specimens correlated with intraoperative transrectal ultrasound images. Urology 45:963鈥?41 CrossRef
  3. Vallancian G, Gupta R, Cathelineau X et al (2003) Initial results of salvage laparoscopic radical prostatectomy after radiation failure. J Urol 170:1838鈥?842 CrossRef
  
• 作者单位：Esequiel Rodriguez Jr (1)
  Douglas W. Skarecky (1)
  Thomas E. Ahlering (1)
  
  1. UCI Medical Center, Orange, CA, USA
  

文摘

We report the first case of post-cryotherapy salvage radical prostatectomy for local recurrence performed laparoscopically with the da Vinci robot. Total operative time was 210 minutes and blood loss was 50ml. There were no intraoperative or postoperative complications. The hospital stay was 24 hours and the Foley catheter was removed on postoperative day 7. The patient achieved a pad free status 4 weeks postoperatively. Pathology showed extensive disease, pT3bN0, Gleason score of 5+3 and positive margins. The patient continued on complete androgen deprivation therapy and his follow up PSA at 10 months was <0.1. Further studies are needed to evaluate both functional and oncological results with this approach.