Robot-assisted laparoscopic radical prostatectomy after colorectal cancer surgery:preliminary experience of 7 cases and literature review
Objective:To investigate the safety and effectiveness of robot-assisted laparoscopic radical prosta-tectomy after previous colorectal cancer surgery.Methods:Data of patients who underwent robot-assisted laparo-scopic radical prostatectomy after colorectal surgery by a single surgeon at Peking University Third Hospital and Shanghai General Hospital from October 2020 to October 2023 were retrospectively collected,and their periopera-tive,functional and oncological outcomes were analyzed.Results:A total of 7 patients were included in the analy-sis,and all of them recieved full robot-assisted radical prostatectomy without conversion to open surgery.The mean operative time was 203 minutes and the mean intraoperative blood loss was 96 mL.No intraoperative com-plications such as rectal injury occurred.All patients(100%)retained urinary continence at 6 months after surger-y,but only 1 patient(14.3%)were able to achieve erection with or without medical aid.Conclusion:Preliminary results indicate that robot-assisted laparoscopic radical prostatectomy after colorectal cancer surgery is safe and feasible.Most patients retained urinary continence after surgery,but the retention of sexual function was unsatisfactory.