Technical feasibility of robot-assisted laparoscopic radical prostatectomy in renal transplant recipients: Results of a series of 12 consecutive cases

Authors

  • Quentin-Côme Le Clerc
  • Emilie Lecornet
  • Gregoire Leon
  • Jerome Rigaud
  • Pascal Glemain
  • Julien Branchereau
  • Georges Karam

DOI:

https://doi.org/10.5489/cuaj.2319

Keywords:

Radical Prostatectomy, Robotic, Renal transplantation

Abstract

Introduction: 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.

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Published

2015-07-17

How to Cite

Le Clerc, Q.-C., Lecornet, E., Leon, G., Rigaud, J., Glemain, P., Branchereau, J., & Karam, G. (2015). Technical feasibility of robot-assisted laparoscopic radical prostatectomy in renal transplant recipients: Results of a series of 12 consecutive cases. Canadian Urological Association Journal, 9(7-8), E490–3. https://doi.org/10.5489/cuaj.2319

Issue

Section

Case Series