Journal of Shandong University (Health Sciences) ›› 2019, Vol. 57 ›› Issue (1): 16-20.doi: 10.6040/j.issn.1671-7554.0.2018.1094

Previous Articles    

Theory, technique and skills of “Sandwich” urethral reconstruction in laparoscopic radical prostatectomy

XING Nianzeng   

  1. Department of Urology, National Cancer Center/ National Clinical Research Center for Cancer/ Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China
  • Published:2022-09-27

Abstract: Laparoscopic radical prostatectomy is the first choice for the treatment of localized prostate cancer, but urinary incontinence is one of the common postoperative complications. In particular, early urinary incontinence occupies the high incidence and seriously affects the postoperative life and physical and mental health of patients. In order to improve the early urinary control after radical prostatectomy, the “Sandwich” urethral reconstruction technique was firstly adopted by us, and the preliminary research results have been obtained and reported. This paper focuses on introducing the theoretical basis, technique and skills of the “Sandwich” urethral reconstruction.

Key words: Laparoscopy, Radical prostatectomy, Early urinary continence, Sandwich, Urethral reconstruction

CLC Number: 

  • R737.25
[1] Park JW, Jang WS, Koh DH, et al. Impact of early salvage androgen deprivation therapy in localized prostate cancer after radical prostatectomy: a propensity score matched analysis[J]. Yonsei Med J, 2018, 59(5): 580-587.
[2] Zhao ZK, Zhu HZ, Yu HL, et al. Comparison of intrafascial and non-intrafascial radical prostatectomy for low risk localized prostate cancer[J]. Sci Rep, 2017, 7(1): 17604. doi: 10.1038/s41598-017-17929-3.
[3] Kavoussi LR, Novick AC, Partin AW, et al. Editors[M] // Kavoussi LR, Novick AC, Partin AW, et al. eds. Campbell-Walsh Urology. Elsevier, 2012
[4] Salomon L, Saint F, Anastasiadis AG, et al. Combined reporting of cancer control and functional results of radical prostatectomy[J]. Eur Urol, 2003, 44(6): 656-660.
[5] Carlsson S, Jäderling F, Wallerstedt A, et al. Oncological and functional outcomes 1 year after radical prostatectomy for very-low-risk prostate cancer: results from the prospective LAPPRO trial[J]. BJU Int, 2016, 118(2): 205-212.
[6] Hatzichristodoulou G, Wagenpfeil S, Wagenpfeil G, et al. Extended versus limited pelvic lymph node dissection during bilateral nerve-sparing radical prostatectomy and its effect on continence and erectile function recovery: long-term results and trifecta rates of a comparative analysis[J]. World J Urol, 2016, 34(6): 811-820.
[7] Reis LO, Starling ES, Pompeo AC, et al. Step-by-step illustrated endoscopic extraperitoneal radical prostatectomy(EERP): tips and tricks to trifecta outcomes[J]. Urol J, 2014, 10(4): 1135-1139.
[8] Borregales LD, Berg WT, Tal O, et al. ‘Trifecta’ after radical prostatectomy: is there a standard definition?[J]. BJU Int, 2013, 112(1): 60-67.
[9] Ranasinghe W, de Silva D, Bandaragoda T, et al. Robotic-assisted vs. open radical prostatectomy: a machine learning framework for intelligent analysis of patient-reported outcomes from online cancer support groups[J]. Urol Oncol, 2018, 36(12): 529.e1-529.e9. doi: 10.1016/j.urolonc.2018.08.012.
[10] Avulova S, Smith JA Jr. Is comparison of robotic to open radical prostatectomy still relevant?[J]. Eur Urol, 2018, 73(5): 672-673.
[11] Varca V, Benelli A, Perri D, et al. Laparoscopic radical prostatectomy in patients with high-risk prostate cancer: feasibility and safety. Results of a multicentric study[J]. J Endourol, 2018, 32(9): 843-851.
[12] 张骞, 宋海峰, 孟一森. 三孔六步法经腹膜外途径腹腔镜下根治性前列腺切除术(附光盘)[J]. 现代泌尿外科杂志, 2016, 21(10): 737-740. ZHANG Qian, SONG Haifeng, MENG Yisen. Three-port six-step extraperitoneal laparoscopic radical prostatectomy[J]. Journal of Modern Urology, 2016, 21(10): 737-740.
[13] 杨飞亚, 刘雍, 王梦童, 等. 3D与2D腹腔镜下前列腺癌根治术的临床疗效比较研究[J]. 临床泌尿外科杂志, 2017, 32(6): 447-450. YANG Feiya, LIU Yong, WANG Mengtong, et al. Comparison between 3D and 2D laparoscopic radical prostatectomy in prostate cancer treatment[J]. Journal of Clinical Urology, 2017, 32(6): 447-450.
[14] 李传祥, 杜晓益, 焦伟. 三孔八步法经腹膜外途径腹腔镜下根治性前列腺切除术要点解析[J]. 泌尿外科杂志(电子版), 2017, 9(3): 13-15.
[15] Liao XX, Qiao P, Tan ZH, et al. “Total reconstruction” of the urethrovesical anastomosis contributes to early urinary continence in laparoscopic radical prostatectomy[J]. Int Braz J Urol, 2016, 42(2): 215-222.
[16] 廖晓星, 邢念增, 乔鹏, 等. “三明治”法尿道重建技术改善腹腔镜下根治性前列腺切除术后早期尿控的效果[J]. 北京大学学报(医学版), 2015, 47(4): 601-604. LIAO Xiaoxing, XING Nianzeng, QIAO Peng, et al. “Sandwich” urethra reconstruction improves the early continence following laparoscopic radical prostatectomy[J]. Journal of Peking University(Health Sciences), 2015, 47(4): 601-604.
[17] 刘志斌, 靳松, 张军晖, 等. 腹腔镜Sandwich法尿道及周围组织重建改善高风险组前列腺癌根治术后早期尿控的研究[J]. 首都医科大学学报, 2016, 37(3): 313-317. LIU Zhibin, JIN Song, ZHANG Junhui, et al. “Sandwich” reconstruction of the urethrovesical anastomosis contributes to early continence in laparoscopic radical prostatectomy for high-risk prostate cancer[J]. Journal of Capital Medical University, 2016, 37(3): 313-317.
[18] 廖晓星,邢念增. 解剖结构保留与重建技术对腹腔镜下根治性前列腺切除术后早期尿控的改善作用[J].中华泌尿外科杂志, 2016, 37(12): 955-957.
[19] Walz J, Epstein JI, Ganzer R, et al. A critical analysis of the current knowledge of surgical anatomy of the prostate related to optimisation of cancer control and preservation of continence and erection in candidates for radical prostatectomy: an update[J]. Eur Urol, 2016, 70(2): 301-311.
[20] Tunc L, Akin Y, Gumustas H, et al. Detailed surgical anatomy of prostate: relationship between urethra and dorsal vein complex with apex[J]. Urologia Internationalis, 2016, 96(3): 260-267.
[21] Ittmann M. Anatomy and histology of the human and murine prostate[J]. Cold Spring Harb Perspect Med, 2018, 8(5): 30-36.
[22] Höfner T, Klein C, Eisen C, et al. The influence of prostatic anatomy and neurotrophins on basal prostate epithelial progenitor cells[J]. Prostate, 2016, 76(1): 114-121.
[23] Student VJ, Vidlar A, Grepl M, et al. Advanced reconstruction of vesicourethral support(ARVUS)during robot-assisted radical prostatectomy: one-year functional outcomes in a two-group randomised controlled trial[J]. Eur Urol, 2017, 71(5): 822-830.
[24] Grasso AA, Mistretta FA, Sandri M, et al. Posterior musculofascial reconstruction after radical prostatectomy: an updated systematic review and a meta-analysis[J]. BJU Int. 2016, 118(1): 20-34.
[25] Tunc L, Gumustas H, Akin Y, et al. A novel surgical technique for preserving bladder neck during robotic-assisted laparoscopic radical prostatectomy; preliminary results[J]. J Endourol, 2015, 29(2): 186-191.
[26] Kim M, Park M, Pak S, et al. Integrity of the urethral sphincter complex, nerve-sparing, and long-term continence status after robotic-assisted radical prostatectomy[J]. Eur Urol Focus, 2018, pii: S2405-4569(18)30116-0. doi: 10.1016/j.euf.2018.04.021.
[27] Tasci AI, Simsek A, Torer BD, et al. Fascia-sparing intrafascial nerve-sparing robot-assisted radical prostatectomy and anatomic vesicourethral anastomosis: point of technique[J]. Arch Esp Urol, 2014, 67(9): 731-739.
[28] Vis AN, van der Poel HG, Ruiter AEC, et al. Posterior, anterior, and periurethral surgical reconstruction of urinary continence mechanisms in robot-assisted radical prostatectomy: a description and video compilation of commonly performed surgical techniques[J]. Eur Urol, 2018, pii: S0302-2838(18)30934-5. doi: 10.1016/j.eururo.2018.11.035.
[29] Hurtes X, Rouprêt M, Vaessen C, et al. Anterior suspension combined with posterior reconstruction during robot-assisted laparoscopic prostatectomy improves early return of urinary continence: a prospective randomized multicentre trial[J]. BJU Int, 2012, 110(6): 875-883.
[30] Dal Moro F, Crestani A, Valotto C, et al. CORPUS-novel complete reconstruction of the posterior urethral support after robotic radical prostatectomy: preliminary data of very early continence recovery[J]. Urology, 2014, 83(3): 641-647.
[31] Jeong CW, Lee JK, Oh JJ, et al. Effects of new 1-step posterior reconstruction method on recovery of continence after robot-assisted laparoscopic prostatectomy: results of a prospective, single-blind, parallel group, randomized, controlled trial[J]. J Urol, 2015, 193(3): 935-942.
[32] Tolkach Y, Godin K, Petrov S, et al. A new technique of bladder neck reconstruction during radical prostatectomy in patients with prostate cancer[J]. Int Braz J Urol, 2015, 41(3): 455-465.
[33] Mungovan SF, Sandhu JS, Akin O, et al. Preoperative membranous urethral length measurement and continence recovery following radical prostatectomy: a systematic review and meta-analysis[J]. Eur Urol, 2017, 71(3): 368-378.
[1] Mingwei ZHONG,Sanyuan HU. Exploration of surgical treatment of obesity by laparoscopic techniques in China [J]. Journal of Shandong University (Health Sciences), 2021, 59(9): 72-77, 96.
[2] HUO Suxia, LIU Wei, WANG Xin. Experience in the treatment of 86 cases of type Ⅲ cesarean scar pregnancy [J]. Journal of Shandong University (Health Sciences), 2021, 59(1): 40-44.
[3] ZHOU Huimei, YANG Jiaxin, CAO Dongyan, SHEN Keng, XIANG Yang, WU Ming, PAN Lingya, HUANG Huifang, LANG Jinghe. Fertility-sparing radical trachelectomy for young women with early stage cervical cancer: surgical and obstetrical outcomes [J]. Journal of Shandong University (Health Sciences), 2018, 56(5): 18-22.
[4] XU Jialong, SUN Xiaogang, WANG Junfeng, LIU Qian, MA Nan, LI Dianguo, CHEN Weixiu, LI Jinliang, WANG Ruoyi. Comparision of the therapeutic effects of laparoscopic surgery and open surgery on primary bladder diverticula [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2017, 55(7): 95-99.
[5] JIANG Shiwei, YAN Lei, TANG Yueqing, REN Juchao, ZANG Yuanwei, ZHANG Yongzhen, GU Gangli, XU Zhonghua. Urethral reconstruction with autologous tubular granulation tissues: functional and histological evaluation in male rabbits [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2017, 55(11): 15-21.
[6] LIU Chuan, HU Sanyuan, LIU Shaozhuang, ZHANG Guangyong, WANG Kexin, YU Wenbin. Clinical analysis of insulinoma resection:laparoscopy versus laparotomy [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2014, 52(9): 67-71.
[7] ZHANG Yanliang1, ZHUANG Zirong2, ZHU Lin1, LIANG Tingting1 . Quality of life after laparoscopic surgery for cervical cancer patients [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2014, 52(6): 62-66.
[8] XIONG Hui1, XIA Ting2, JIANG Shaobo1, XIA Qinghua1, ZHAO Yong1, JIN Xunbo1. Effect of the renal volume on surgical occasion for patients with  autosomal dominant polycystic kidney disease [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2011, 49(8): 96-99.
[9] ZHAI Heng, JIAO Wei, YAN Lei, WANG Kun, XU Zhong-hua. Comparison of therapeutic effects between laparoscopic pyeloureterolithotomy and open surgery [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2011, 49(6): 107-.
[10] ZHOU Bin, JIANG Zhi-long, GENG Zhong-ze, CAO Bing, PENG Zhi-xiang. A feasibility analysis of trans-umbilical single-port laparoscopic cholecystectomy: Report of 48 cases [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2011, 49(11): 105-107.
[11] LIU Yang-dong, LI Xiang-tie, LIU Shao-ge, SHI Yan, YANG Xian-zhen . Laparoscopic-assisted small incision relative live donor nephrectomy [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2010, 48(10): 108-110.
[12] . Expression of soluble B7H4 in the serum and its clinical significance in gastric cancer [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2009, 47(8): 100-102.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed   
No Suggested Reading articles found!