title: Retzus-sparing robotic-assisted laparoscopic radical prostatectomy: a step-by-step technique description of this first brazilian experience.
abstract: BACKGROUND
  Retzus-sparing robotic-assisted radical prostatectomy(RARP) is a newly approach that preserve the Retzus structures and provide better recovery of continence and erectile function. In Brazil, this approach has not yet been pre¬viously reported.
  
  
  OBJECTIVE
  Our goal is to describe Step-by-Step the Retzus-sparing RARP surgical technique and report our first Brazilian experience.
  
  
  METHODS
  We present a case of a 60-year-old white man with low risk prostate cancer. Surgical materials were four arms Da Vinci robotic platform system, six transperitoneal portals, two prolene wires and Polymer Clips. This surgical tech¬nique was step-by-step described according to Galfano et al. One additional step was added as a modification of Galfano et al. Primary technique description: The closure of the Denovellier fascia.
  
  
  RESULTS
  We have operated one patient with this technique. The operative time was 180minutes, console time was135 min, the blood loss was 150ml, none perioperative or postoperative complications was found, hospital stay of 01 day. The anatomopathological classification revealed a pT2aN0M0 specimen with free surgical margins. The patient achieved continence immediately after bladder stent retrieval. Full erection reported after 30 days of surgery.
  
  
  CONCLUSIONS
  Retzus-sparing RARP approach is feasible and reproducible. However, further comparative studies are neces¬sary to demonstrate potential benefits in continence and sexual outcomes over the standard approaches.
authors.affiliation: Departamento de Urologia, Faculdade de Medicina do ABC, Santo Andre, SP, Brasil.
authors.forename: Marcos
authors.initials: M
authors.lastname: Tobias-Machado
authors.affiliation: Departamento de Urologia, Faculdade de Medicina do ABC, Santo Andre, SP, Brasil.
authors.forename: Igor
authors.initials: I
authors.lastname: Nunes-Silva
authors.affiliation: Departamento de Urologia, Faculdade de Medicina do ABC, Santo Andre, SP, Brasil.
authors.forename: Alexandre Kiyoshi
authors.initials: AK
authors.lastname: Hidaka
authors.affiliation: Departamento de Urologia, Faculdade de Medicina do ABC, Santo Andre, SP, Brasil.
authors.forename: Leticia Lumy Kanawa
authors.initials: LL
authors.lastname: Sato
authors.affiliation: Departamento de Urologia, Faculdade de Medicina do ABC, Santo Andre, SP, Brasil.
authors.forename: Roberto
authors.initials: R
authors.lastname: Almeida
authors.affiliation: Departamento de Uro-Oncologia, Instituto do Câncer do Estado de São Paulo, São Paulo, SP, Brasil.|Departamento de Urologia, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brasil.
authors.forename: Jose Roberto
authors.initials: JR
authors.lastname: Colombo
authors.affiliation: Departamento de Uro-Oncologia, Instituto do Câncer do Estado de São Paulo, São Paulo, SP, Brasil.
authors.forename: Hamilton de Campos
authors.initials: HC
authors.lastname: Zampolli
authors.affiliation: Departamento de Urologia, Faculdade de Medicina do ABC, Santo Andre, SP, Brasil.
authors.forename: Antonio Carlos Lima
authors.initials: AC
authors.lastname: Pompeo
mesh_terms: D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D059351:Organ Sparing Treatments; D011467:Prostate / Q000601:surgery; D011468:Prostatectomy / Q000379:methods*; D011471:Prostatic Neoplasms / Q000601:surgery*; D020127:Recovery of Function; D065287:Robotic Surgical Procedures / Q000379:methods*