Technical feasibility of robot-assisted laparoscopic radical prostatectomy in renal transplant recipients: Results of a series of 12 consecutive cases.
BACKGROUND
We evaluate the technical feasibility of robotic prostatectomy in renal transplant recipients.


METHODS
We retrospectively analyzed preoperative and perioperative settings, as well as functional and oncologic results of 12 patients operated on between 2009 and 2013. Prostatectomy was performed via a transperitoneal approach without any changing in the ports position. The average age was 61.92 ± 2.98 years. The period between transplant and the diagnosis of adenocarcinoma was 79.7 months. The mean PSA was 7.34 ng/mL (range: 4.9-11).


RESULTS
The operative time was 241.3 ± 35.6 minutes with only one conversion and one transfusion. The intervention was difficult due to adhesions on the side of the graft in 50% of cases. There was a case of obstructive acute renal failure resulting from a hematoma of the Retzius treated by percutaneous nephrostomy at D20. There was a majority of pT2c (72.7%), including 3 positive margins (27.3%) and 2 biochemical relapses treated with radiotherapy and hormonotherapy, respectively. The end point prostate-specific antigen was undetectable. There was no significant difference between preoperative and J7 creatinine (p = 0. 22).


CONCLUSIONS
Robotic prostatectomy in renal transplant recipients is a safe technique with no serious effects on the allograft.
Clinique Urologique, CHU Nantes Hôtel-Dieu 1 Place Alexis Ricordeau, Nantes Cedex.
Quentin-Côme
QC
Le Clerc
Clinique Urologique, CHU Nantes Hôtel-Dieu 1 Place Alexis Ricordeau, Nantes Cedex.
Emilie
E
Lecornet
Clinique Urologique, CHU Nantes Hôtel-Dieu 1 Place Alexis Ricordeau, Nantes Cedex.
Gregoire
G
Leon
Clinique Urologique, CHU Nantes Hôtel-Dieu 1 Place Alexis Ricordeau, Nantes Cedex.
Jerome
J
Rigaud
Clinique Urologique, CHU Nantes Hôtel-Dieu 1 Place Alexis Ricordeau, Nantes Cedex.
Pascal
P
Glemain
Clinique Urologique, CHU Nantes Hôtel-Dieu 1 Place Alexis Ricordeau, Nantes Cedex.
Julien
J
Branchereau
Clinique Urologique, CHU Nantes Hôtel-Dieu 1 Place Alexis Ricordeau, Nantes Cedex.
Georgess
G
Karam