A Novel Practical Trocar Placement Technique for Extraperitoneal Laparoscopic and Robotic-Assisted Laparoscopic Radical Prostatectomy in Patients with Lower Midline Abdominal Incisions

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dc.authorid0000-0001-6140-5181
dc.authorscopusid8713093200
dc.authorscopusid18436021700
dc.authorscopusid36151868000
dc.authorscopusid8416588900
dc.authorscopusid57193989616
dc.authorscopusid7006115526
dc.authorwosidAKIN, Yigit/AAD-5481-2019
dc.authorwosidYazici, Cenk Murat/AAA-4330-2020
dc.contributor.authorGoezen, Ali Serdar
dc.contributor.authorAkın, Yiğit
dc.contributor.authorAkgül, Murat
dc.contributor.authorYazıcı, Cenk Murat
dc.contributor.authorKlein, Jan
dc.contributor.authorRassweiler, Jens
dc.date.accessioned2022-05-11T14:36:58Z
dc.date.available2022-05-11T14:36:58Z
dc.date.issued2014
dc.departmentFakülteler, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Üroloji Ana Bilim Dalı
dc.description.abstractObjective: To describe a novel practical technique for trocar placement in extraperitoneal laparoscopic radical prostatectomy (eLRP) and robotic-assisted laparoscopic radical prostatectomy (eRALP) in patients who had lower midline abdominal incisions. Subjects and Methods: Between March 1999 and November 2013, 3080 LRPs were performed in our department. In total, 1745 eLRPs and 416 eRALPs were enrolled in the study. Group 1 consisted of 57 cases (45 eLRPs and 12 eRALPs) with median lower incision scars after previous abdominal surgery. Group 2 consisted of the same numbers of patients without previous surgeries after matched-pair analyses was performed according to body mass index, age, and operation style. Demographic, perioperative, and postoperative data were recorded. Additionally, we described our novel practical trocar replacement technique for extraperitoneal approach. Statistical analyses were performed. Results: Mean age was 65.6 +/- 6.2 years. Mean follow-up was 102.9 +/- 24.5 months. There were 12 eRALPs and 45 eLRPs in each group. Demographic, perioperative, and postoperative data were similar in the two groups except for trocar placement time. The trocar placement time was longer in Group 1 than in Group 2 (P < .001). In all patients with previous abdominal surgery with lower abdominal incision scars, we were able to establish trocar placement and correct access to the extraperitoneal space. Moreover, we had no conversions or complications in any patient. Conclusions: Our technique seems safe and practical for trocar placements for eLRP and eRALP in patients with lower abdominal incision scars.
dc.identifier.doi10.1089/lap.2013.0569
dc.identifier.endpage421
dc.identifier.issn1092-6429
dc.identifier.issn1557-9034
dc.identifier.issue6en_US
dc.identifier.pmid24784466
dc.identifier.scopus2-s2.0-84902330660
dc.identifier.scopusqualityQ2
dc.identifier.startpage417
dc.identifier.urihttps://doi.org/10.1089/lap.2013.0569
dc.identifier.urihttps://hdl.handle.net/20.500.11776/8504
dc.identifier.volume24
dc.identifier.wosWOS:000337954800009
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorYazıcı, Cenk Murat
dc.language.isoen
dc.publisherMary Ann Liebert, Inc
dc.relation.ispartofJournal of Laparoendoscopic & Advanced Surgical Techniques
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectEau Guidelines
dc.subjectSurgery
dc.subjectComplications
dc.subjectExperience
dc.subjectEntry
dc.titleA Novel Practical Trocar Placement Technique for Extraperitoneal Laparoscopic and Robotic-Assisted Laparoscopic Radical Prostatectomy in Patients with Lower Midline Abdominal Incisions
dc.typeArticle

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