title: Vattikuti Institute Prostatectomy-Technique in 2012.
abstract: This year marks 12 years of the world's first robot-assisted radical prostatectomy (RARP) program, the Vattikuti Institute Prostatectomy (VIP). Experience with more than 7000 cases has helped standardize the operation, minimize complications, and enhance functional outcomes. In this article, we discuss our current technique of VIP including refinements such as Veil of Aphrodite nerve sparing using Harmonic ACE curved shears, high anterior release (super Veil), extended pelvic lymph node dissection, percutaneous suprapubic tube bladder drainage, and barbed suture for the urethrovesical anastomosis. In 2012, incorporation of the GelPoint access platform has the potential to further improve the oncologic performance of VIP, especially in high-risk patients.
authors.affiliation: Vattikuti Urology Institute, Henry Ford Health System, Detroit, MI, USA.
authors.forename: Khurshid R
authors.initials: KR
authors.lastname: Ghani
authors.forename: Quoc-Dien
authors.initials: QD
authors.lastname: Trinh
authors.forename: Mani
authors.initials: M
authors.lastname: Menon
mesh_terms: D000047:Academies and Institutes; D000714:Anastomosis, Surgical; D004322:Drainage; D006801:Humans; D008297:Male; D008824:Michigan; D009364:Neoplasm Recurrence, Local / Q000601:surgery; D059351:Organ Sparing Treatments / Q000009:adverse effects; D011182:Postoperative Care; D011183:Postoperative Complications / Q000209:etiology; D011468:Prostatectomy / Q000009:adverse effects / Q000379:methods*; D019651:Plastic Surgery Procedures / Q000009:adverse effects; D012371:Robotics; D014521:Urethra / Q000601:surgery; D001743:Urinary Bladder / Q000601:surgery