Sittipornûs Sound facilitating Urethro-vesical Anastomosis during Extraperitoneal Laparoscopic Radical Prostatectomy and Extraperitoneal Robotic Assisted Laparoscopic Radical Prostatectomy: The New Invention
Keywords:
Sittiporn's Sound, Urethro-vesical Anastomosis, Extraperitoneal Laparoscopic Radical Prostatectomy, Extraperitoneal Robotic Assisted Laparoscopic Radical ProstatectomyAbstract
Introduction: One of the most difficult part of laparoscopic surgery is intracorporeal suturing skill. Urethro-vesical anastomosis during laparoscopic radical prostatectomy required a vast experience in skill of suturing. One should be trained in pelvic trainer before proceed to real operation in human being. The author invented the modified urethral sound, namely, Sittipornûs Sound facilitating urethro-vesical anstomosis during Extraperitoneal Laparoscopic Radical Prostatectomy and Extraperitoneal Robotic Assisted Laparoscopic Radical Prostatectomy.
Material and Method: The Sittipornûs Sound was used in 93 patients with early prostate cancer during the operation of either Extraperitoneal Laparoscopic Radical Prostatectomy or Extraperitoneal Robotic Assisted Laparoscopic Radical Prostatectomy. Perioperative data was evaluated with T-Test study. All important findings regarding the usage of the new instrument were reported here.
Results: All 93 patients were undergone the urethro-vesical anastomosis without any problem of the instrument insertion. 3 of 93 patients (3.2%) were found to have urine leakage at the anastomostic site, which was successfully treated with prolong urethral catheterization. Average urethral catheterization time was 9.6 days.
Conclusion: The Sittipornûs Sound can be used to facilitate the difficult urethro-vesical anastomosis during Extraperitoneal Laparoscopic Radical Prostatectomy and Extraperitoneal Robotic Assisted Laparoscopic Radical Prostatectomy. The instrument is beneficial to any naïve laparoscopic surgeon learning Extraperitoneal Laparoscopic Radical Prostatectomy and Extraperitoneal Robotic Assisted Laparoscopic Radical Prostatectomy.
References
Srinualnad S, Nualyong C, Udompunturak S, Kongsuwan W. Endoscopic Extraperitoneal Radical Prostatectomy (EERPE): A New Approach for Treatment of Localized Prostate Cancer. J Med Assoc Thai 2006; 89(10): 1601-8.
Srinualnad S. Extraperitoneal Robotic Assisted Laparoscopic Radical Prostatectomy: The New Approach for Early Prostate Cancer. Thai J Uro 2007; 28(1): 1-5.
Srinualnad S, Nualyong C. Nerve-Sparing Laparoscopic Radical Prostatectomy at Siriraj Hospital. J Med Assoc Thai 2007; 90(4): 730-6.
Srinualnad S, Udompunturak S. Extraperitoneal Laparoscopic Radical Prostatectomy: Early Experience in Thailand. Asian J Surg 2007; 30(4): 272-7.
Srinualnad S. Early Experience of Robotic Assisted Laparoscopic Radical Prostatectomy. J Med Assoc Thai 2008; 91(3): 377-81.
Srinualnad S. Robotic Assisted Laparoscopic Radical Prostatectomy without Proctorship: Early Experience of the First Series in Asia. Thai J Surg 2008; 29(1): 1-5.
