Selective suture ligation of the dorsal vein complex during robot-assisted laparoscopic radical prostatectomy.

Abstract:

:Technique for apical dissection and control of the dorsal vein complex (DVC) during robot-assisted laparoscopic radical prostatectomy (RALP) affects blood loss, apical positive margins, and recovery of urinary control. Over the past 7 years, our technique for apical dissection has been spurred by the overarching goal of minimizing injury to the rhabdosphincter to improve urinary continence, evolving from stapling to suture ligation of the DVC before bladder neck dissection to an athermal DVC division followed by selective suture ligation (DVC-SSL) before RALP anastomosis. Assessment of patient-reported quality of life outcomes demonstrates earlier recovery of continence with DVC-SSL.

journal_name

J Endourol

journal_title

Journal of endourology

authors

Carter SC,Konijeti R,Hu J

doi

10.1089/end.2012.0415

subject

Has Abstract

pub_date

2012-12-01 00:00:00

pages

1576-7

issue

12

eissn

0892-7790

issn

1557-900X

journal_volume

26

pub_type

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