We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Natural Orifice Translumenal Endoscopic Surgery: Radical Prostatectomy in the Canine Model.
- Authors
Amy E. Krambeck; Mitchell R. Humphreys; Paul E. Andrews; James E. Lingeman
- Abstract
AbstractPurpose:The goal of this study is to demonstrate the feasibility of transurethral radical prostatectomy in the canine model. We describe the surgical procedure for natural orifice translumenal endoscopic surgery-radical prostatectomy (NOTES-RP).Materials and Methods:NOTES-RP was performed on six nonsurvival male canines. The 100 watt holmium:yttrium-aluminum-garne laser, 550 μm end-firing fiber, 28F laser resectoscope, 7F stabilizing catheter, and continuous irrigation were used to radically resect the prostate. A Vest vesicourethral anastomosis was performed using a laparoscopic suture device that was delivered through the nephroscope. In the initial cases, the prostate was removed manually; for the last two cases, the prostate was removed endoscopically with a tissue morcellator.Results:NOTES-RP was successfully executed in all canines. Visualization was not obscured by bleeding. Dissection times ranged from 40 to 120 minutes. Fluid absorption was problematic in cases lasting more than 1 hour, because of the intraperitoneal location of the canine prostate and bladder.Conclusions:The feasibility and technique of NOTES-RP was successfully demonstrated in the living canine model.
- Subjects
TRANSURETHRAL prostatectomy; ANIMAL models in research; MEDICAL equipment; PROSTATE surgery; HEMORRHAGE; ENDOUROLOGY
- Publication
Journal of Endourology, 2010, Vol 24, Issue 9, p1493
- ISSN
0892-7790
- Publication type
Article
- DOI
10.1089/end.2009.0276