Robot-Assisted Prostate Surgery with Continuous Spinal Anesthesia
Author Information
Author(s): Simone Morselli, Laura Zavatti, Riccardo Ferrari, Lorenzo Gatti, Salvatore Micali, Salvatore Rabito, Luca Cindolo, Giovanni Ferrari
Primary Institution: C.Ur.E.—Centro Urologico Europeo, Hesperia Hospital, Modena, Italy
Hypothesis
To prove the feasibility of continuous spinal extraperitoneal robot-assisted laparoscopic radical prostatectomy (cseRALP) in order to expand the pool of eligible patients.
Conclusion
cseRALP seems to be feasible and safe; further trials are mandatory.
Supporting Evidence
- All patients had negative surgical margins.
- Only a grade 1 Clavien–Dindo complication was reported, which was a small urinary leakage.
- None of the patients reported stress incontinence after surgery.
Takeaway
Doctors tried a new way to do prostate surgery that uses a special kind of anesthesia, and it worked well for the patients.
Methodology
A prospective feasibility study was conducted with a consecutive cohort of patients undergoing cseRALP, focusing on safety and oncological outcomes.
Potential Biases
The study's design may introduce bias due to the lack of a control group.
Limitations
The small number of cases reported and the experimental nature of the study.
Participant Demographics
Patients with prostate cancer who had contraindications to standard RALP.
Digital Object Identifier (DOI)
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