title: Robotic simple prostatectomy.
abstract: OBJECTIVE
  Minimally invasive approaches for large, symptomatic benign prostatic hyperplasia are replacing the gold standard open surgical approach, duplicating its results with lower morbidity. We describe our initial experience with robotic simple prostatectomy.
  
  
  METHODS
  Since January 2007, robotic simple prostatectomy was performed via a transperitoneal approach in 7 patients with symptomatic significant prostatomegaly on transrectal ultrasound (mean 77.66 gm). Demographic, perioperative and outcome data were recorded and all procedures were performed by the same surgeon.
  
  
  RESULTS
  Average patient age was 63.2 years (range 56 to 72) and estimated blood loss was 298 ml (range 60 to 800). Average operative time was 205 minutes (range 120 to 300). Average hospital stay was 1.4 days (range 1 to 2), average Foley catheter duration was 7 days (range 6 to 9) and drains were removed after an average of 3.75 days (range 3 to 4). Mean specimen weight on pathological examination was 50.48 gm (range 40 to 64.5). Transfusion was necessary in 1 patient. No complications were documented. Considerable improvement from baseline was noted in International Prostate Symptom Score (preoperative vs postoperative 22 vs 7.25) and maximum urine flow (preoperative vs postoperative 17.75 vs 55.5 ml per minute). Four patients were in acute urinary retention preoperatively.
  
  
  CONCLUSIONS
  Robotic simple prostatectomy is a feasible, reproducible procedure. Further publications are expected with larger series and larger prostatic adenomas.
authors: La Floresta Medical Institute, Caracas, Venezuela.
authors: Rene
authors: R
authors: Sotelo
authors: Rafael
authors: R
authors: Clavijo
authors: Oswaldo
authors: O
authors: Carmona
authors: Alejandro
authors: A
authors: Garcia
authors: Eduardo
authors: E
authors: Banda
authors: Marcelo
authors: M
authors: Miranda
authors: Randy
authors: R
authors: Fagin
mesh_terms: D000368:Aged; D015331:Cohort Studies; D006801:Humans; D010535:Laparoscopy; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D011468:Prostatectomy / Q000379:methods*; D011470:Prostatic Hyperplasia / Q000175:diagnosis / Q000601:surgery*; D011788:Quality of Life; D012189:Retrospective Studies; D012371:Robotics; D016896:Treatment Outcome