Robot-Assisted Radical Prostatectomy for Localized Prostate Cancer in Asian Renal Transplant Recipients

Abstract Background The purpose of this study was to present our experience with robot-assisted radical prostatectomy (RARP) for localized prostate cancer in renal transplant recipients (RTRs) and to determine the feasibility and efficacy of RARP in these patients. Methods We retrospectively reviewe...

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Bibliographic Details
Published in:Transplantation proceedings 2016-04, Vol.48 (3), p.905-909
Main Authors: Iizuka, J, Hashimoto, Y, Kondo, T, Takagi, T, Inui, M, Nozaki, T, Omoto, K, Shimizu, T, Ishida, H, Tanabe, K
Format: Article
Language:English
Subjects:
Adenocarcinoma - complications
Adenocarcinoma - pathology
Adenocarcinoma - surgery
Aged
Humans
Japan
Kidney Failure, Chronic - complications
Kidney Failure, Chronic - pathology
Kidney Failure, Chronic - surgery
Kidney Transplantation
Male
Middle Aged
Operative Time
Prostatectomy
Prostatic Neoplasms - complications
Prostatic Neoplasms - pathology
Prostatic Neoplasms - surgery
Retrospective Studies
Robotic Surgical Procedures
Surgery
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Summary:Abstract Background The purpose of this study was to present our experience with robot-assisted radical prostatectomy (RARP) for localized prostate cancer in renal transplant recipients (RTRs) and to determine the feasibility and efficacy of RARP in these patients. Methods We retrospectively reviewed the medical records of 236 patients who underwent RARP for localized prostate cancer at our institution between August 2011 and July 2015 and identified 3 patients who were RTRs. We reviewed the available clinical data of the 3 patients. Results All patients underwent RARP successfully without any major complications. The mean operation time was 162 minutes (range, 127–195 minutes). The mean estimated blood loss was 52 mL (range, 30–75 mL); therefore, the patients did not need any perioperative blood transfusion. In all cases, graft function, as determined according to the serum creatinine level, was stable during and after the operation. Pathological examination showed negative surgical margins with organ-confined disease in all patients. Conclusions We reported 3 RTRs with localized prostate cancer who were treated with RARP. RARP might be a feasible and effective minimally invasive technique for the treatment of localized prostate cancer in carefully selected RTRs.
ISSN:0041-1345
1873-2623
DOI:10.1016/j.transproceed.2016.01.036