Salvage robot-assisted radical prostatectomy with pelvic lymph node dissection after cryotherapy failure |
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Authors: | Esequiel Rodriguez Jr Douglas W Skarecky Thomas E Ahlering |
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Institution: | (1) UCI Medical Center, Orange, CA, USA |
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Abstract: | We report the first case of post-cryotherapy salvage radical prostatectomy for local recurrence performed laparoscopically
with the da Vinci robot. Total operative time was 210 minutes and blood loss was 50ml. There were no intraoperative or postoperative
complications. The hospital stay was 24 hours and the Foley catheter was removed on postoperative day 7. The patient achieved
a pad free status 4 weeks postoperatively. Pathology showed extensive disease, pT3bN0, Gleason score of 5+3 and positive margins.
The patient continued on complete androgen deprivation therapy and his follow up PSA at 10 months was <0.1. Further studies
are needed to evaluate both functional and oncological results with this approach. |
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Keywords: | Robotics Salvage prostatectomy Cryotherapy |
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