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Radical Prostatectomy Through the Posterior Technique

  • Antonio Galfano
  • Silvia Secco
  • Daniele Panarello
  • Dario Di Trapani
  • Elena Strada
  • Giovanni Petralia
  • Aldo Massimo Bocciardi
Chapter

Abstract

The Retzius-sparing approach for Robot-assisted laparoscopic radical prostatectomy (RARP) was born in 2010 at Niguarda Hospital in Milan from an original idea of Aldo Bocciardi. Since then, more than 1200 cases have been operated at Niguarda, and several hundreds in many centers throughout the world.

The technique has been fully standardized and described for all stages and situations of prostate cancer with surgical indication; obviously, the larger is the anatomical damage, the worse will be the functional results.

Sparing all the Retzius space structures, this approach allows an earlier and improved continence recovery, without compromising the oncological outcomes.

Keywords

Prostate cancer Radical prostatectomy Robot-assisted laparoscopy Robotic surgery Da Vinci Retzius-sparing Robot-assisted radical prostatectomy (RARP) Bocciardi approach 

Abbreviations

AP

Prostatic apex

B

Bladder

BN

Bladder neck

C

Catheter

G

Graft

ML

Median lobe

NVB

Neurovascular bundles

P

Prostate

SP

Santorini plexus

SPT

Sovrapubic tube

SV

Seminal vesicles

U

Urethra

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Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  • Antonio Galfano
    • 1
  • Silvia Secco
    • 1
  • Daniele Panarello
    • 1
  • Dario Di Trapani
    • 1
  • Elena Strada
    • 1
  • Giovanni Petralia
    • 1
  • Aldo Massimo Bocciardi
    • 1
  1. 1.Urology UnitNiguarda HospitalMilanItaly

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