title: Robotic assisted laparoscopic prostatectomy in men with proctocolectomy and restorative ileal pouch-anal anastomosis.
abstract: We conducted a retrospective chart review of robotic prostatectomies done by a single surgeon between 2003 and 2012. During that time period, we identified two patients within the year 2012, with ileal pouch-anal anastomosis (IPPA) who also underwent robotic prostatectomies. The demographics and postoperative characteristics of the two patients were assessed. In both patients, prostatectomy, bilateral nerve sparing, and pelvic lymphadenectomy were successfully performed and the integrity of ileal pouch was maintained. There was a mean surgical time of 144.5 minutes, and an average estimated blood loss was 125 mL. Both patients were discharged on the second day postoperatively. In both patients there was a Gleason upgrade to 3 + 4, with negative margins, and preservation of fecal and urinary continence by their six-month followup. Owing to surgical modifications, these two surgeries represent the first successful robotic prostatectomies in patients with a J-pouch.
authors.affiliation: Department of Urology, Icahn School of Medicine at Mount Sinai, 1425 Madison Avenue, 6th Floor, New York, NY 10029, USA.
authors.forename: Michael
authors.initials: M
authors.lastname: Leapman
authors.affiliation: Mercer University School of Medicine, 1400 Coleman Avenue, Macon, GA 31207, USA.
authors.forename: Young Suk
authors.initials: YS
authors.lastname: Kwon
authors.affiliation: Department of Urology, Icahn School of Medicine at Mount Sinai, 1425 Madison Avenue, 6th Floor, New York, NY 10029, USA.
authors.forename: Shemille A
authors.initials: SA
authors.lastname: Collingwood
authors.affiliation: Department of General Surgery, Icahn School of Medicine at Mount Sinai, 5 East 98th Street, 14th Floor, P.O. Box 1259, New York, NY 10029, USA.
authors.forename: Edward
authors.initials: E
authors.lastname: Chin
authors.affiliation: Department of Urology, North Shore LIJ, Lenox Hill Hospital, 485 Madison Avenue; 21st Floor, New York, NY 10022, USA.
authors.forename: Maria
authors.initials: M
authors.lastname: Katsigeorgis
authors.affiliation: Helen Diller Family Comprehensive Cancer Center, University of California San Francisco, 1600 Divisadero Street, Room B-708, San Francisco, CA 94115, USA.
authors.forename: Adele R
authors.initials: AR
authors.lastname: Hobbs
authors.affiliation: Department of Urology, North Shore LIJ, Lenox Hill Hospital, 485 Madison Avenue; 21st Floor, New York, NY 10022, USA.
authors.forename: David B
authors.initials: DB
authors.lastname: Samadi