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Case Reports in Urology
Volume 2014, Article ID 538382, 2 pages
http://dx.doi.org/10.1155/2014/538382
Case Report

Robotic Assisted Laparoscopic Prostatectomy in Men with Proctocolectomy and Restorative Ileal Pouch-Anal Anastomosis

1Department of Urology, Icahn School of Medicine at Mount Sinai, 1425 Madison Avenue, 6th Floor, New York, NY 10029, USA
2Mercer University School of Medicine, 1400 Coleman Avenue, Macon, GA 31207, USA
3Department of General Surgery, Icahn School of Medicine at Mount Sinai, 5 East 98th Street, 14th Floor, P.O. Box 1259, New York, NY 10029, USA
4Department of Urology, North Shore LIJ, Lenox Hill Hospital, 485 Madison Avenue; 21st Floor, New York, NY 10022, USA
5Helen Diller Family Comprehensive Cancer Center, University of California San Francisco, 1600 Divisadero Street, Room B-708, San Francisco, CA 94115, USA

Received 18 November 2013; Accepted 24 December 2013; Published 5 February 2014

Academic Editors: I. Hara and S. K. Hong

Copyright © 2014 Michael Leapman et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

We conducted a retrospective chart review of robotic prostatectomies done by a single surgeon between 2003 and 2012. During that time period, we identified two patients within the year 2012, with ileal pouch-anal anastomosis (IPPA) who also underwent robotic prostatectomies. The demographics and postoperative characteristics of the two patients were assessed. In both patients, prostatectomy, bilateral nerve sparing, and pelvic lymphadenectomy were successfully performed and the integrity of ileal pouch was maintained. There was a mean surgical time of 144.5 minutes, and an average estimated blood loss was 125 mL. Both patients were discharged on the second day postoperatively. In both patients there was a Gleason upgrade to 3 + 4, with negative margins, and preservation of fecal and urinary continence by their six-month followup. Owing to surgical modifications, these two surgeries represent the first successful robotic prostatectomies in patients with a J-pouch.