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Ham, Kim, and Choi: Robotic Prostatectomy in a Patient with a Miles' Operation
Case Report
Korean Journal of Urology

Korean Journal of Urology 2008; 49(5): 464-468.

Published online: 31 May 2008

DOI: https://doi.org/10.4111/kju.2008.49.5.464

Robotic Prostatectomy in a Patient with a Miles' Operation

Won Sik Ham, Sang Woon Kim, Young Deuk Choi

Department of Urology and Urological Science Institute, Yonsei University College of Medicine, Seoul, Korea.

youngd74@yuhs.ac

Received 23 January 2008       Accepted 17 March 2008

Copyright © 2008 The Korean Urological Association

Abstract

Robotic prostatectomy (RP) has recently been added to the treatments for localized prostate cancer and it is increasingly being utilized at many centers. The benefits of minimally invasive surgery, the enhanced functional outcomes and the increased patient demand have led to the popularity of this surgical technique. However, RP has been reported to be technically challenging in patients with a history of prior complex lower abdominal/pelvic surgery, morbid obesity, a large prostate, prior pelvic irradiation, neoadjuvant hormonal therapy or prior prostate surgery. We report here on our experience of robotic prostatectomy (RP) in a prostate cancer patient with a Miles's operation and this pateint had undergone adjuvant chemotherapy and pelvic irradiation for rectal cancer.

Keywords: Prostate cancer, Robotic radical prostatectomy, Rectal cancer, Abdominoperineal resection

Figures and Tables

Fig. 1
Serial changes of the prostate-specific antigen (PSA) level. LHRH: luteinizing hormone-releasing hormone.
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Fig. 2
An abdominal-pelvic computed tomography (CT) scan shows the colostomy status with no visible tumor recurrence or metastatic deposits in the abdomen and an atrophied prostate.
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Fig. 3
(A) Port place ment: a 12mm robotic camera port (a), an 8mm robotic arm port for the monopolar and bipolar instruments (b, c), a 12mm assistant nondominant hand port (d), a 5mm assistant dominant hand port (e). (B) Postoperative status after port removal.
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