Robot Assisted Radical Prostatectomy (RARP)
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Robot Assisted Radical Prostatectomy (RARP)

The Robot Assisted Radical Prostatectomy (RARP) course will teach you:

  • To eliminate prostate cancer by resecting the prostate including its capsule and seminal glands, while preserving continence of urine and, whenever possible, erectile function

Special attention is paid to the following hazards you may encounter during the Robot Assisted Radical Prostatectomy (RARP):

  • Inferior epigastric vessels injury
  • Obturator nerve injury
  • Hemorrhage from vessels in periprostatic fat
  • Hemorrhage from vessels between prostate and pelvic floor
  • Lateral venous sinuses injury
  • Ureteral orifices injury
  • Prostate injury
  • Hemorrhage from vessels surrounding the ductus deferens
  • Rectum injury
  • Neurovascular bundle injury
  • Clip migration
  • Ureteric injury
  • Cloquet’s lymph node preservation
  • Genitofemoral nerve injury
  • Left common iliac vein injury

With the following tips you might perform the  Robot Assisted Radical Prostatectomy (RARP) even better:

  • Separation of endopelvic and periprostatic fat
  • Interfascial dissection for nerve sparing
  • Determination of level of bladder neck dissection
  • Facilitation of apical transection
  • Retroprostatic fascia identification
  • Lateral prostatic pedicle and neurovascular bundle transection
  • Neurovascular bundle preservation
  • Frozen section pathologic examination of neurovascular bundle margin
  • Prevention of bleeding from dorsal venous complex
  • Dissection of dorsal venous complex prior to transection
  • Uretra preservation
  • Dorsal venous complex closure
  • Transection of ductus deferens
  • Mobilization of the sigmoid for lymph node exposure
  • Posterior ureterovesical anastomosis
  • Facilitating urethral stitch placement
  • Reducing tension on the ureterovesical anastomosis
  • Matching lumen for ureterovesical anastomosis
  • Catheter placement during anastomosing
  • Drain placement

After studying the Robot Assisted Radical Prostatectomy (RARP)  you are familiar with the most common complications:

  • Ureterovesical anastomotic leakage
  • Ureteral injury
  • Erectile dysfunction

You might also be interested in:

Open Retropubic Simple Prostatectomy (Millin)

Step by step

Abdominal cavity approach

Trocars

Introduce

Introduce the 6 trocars to gain access to the abdominal cavity (using the da Vinci Xi Surgical System). An 8-12 mm camera trocar is introduced approximately 3 cm cranial to the umbilicus, subsequently, the linea alba and skin are closed. Under direct vision, two 8 mm robot trocars are introduced on the left lateral side, and one is placed on the right side. Two assistant trocars (12 mm) are introduced on the right side.

Do you want to learn the complete step-by-step of "Robot Assisted Radical Prostatectomy (RARP)"?

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Do you want to learn the anatomy of "Robot Assisted Radical Prostatectomy (RARP)"?

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Unlimited access to all 308 courses.

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Do you want to learn the objectives of "Robot Assisted Radical Prostatectomy (RARP)"?

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Try-out

Unlock your free Incision procedure

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Unlimited access to all 308 courses.

20 per month Get started

Do you want to learn the preoperative of "Robot Assisted Radical Prostatectomy (RARP)"?

Try one of our offerings

Try-out

Unlock your free Incision procedure

Membership

Unlimited access to all 308 courses.

20 per month Get started

Do you want to learn the postoperative of "Robot Assisted Radical Prostatectomy (RARP)"?

Try one of our offerings

Try-out

Unlock your free Incision procedure

Membership

Unlimited access to all 308 courses.

20 per month Get started

Do you want to take the test of "Robot Assisted Radical Prostatectomy (RARP)"?

Try one of our offerings

Try-out

Unlock your free Incision course

Free Try course

Membership

Unlimited access to all 308 courses.

20 per month Get started