Extraperitoneal Laparoscopic Radical Prostatectomy with Handheld Articulating Laparoscopic Instruments Driven by Robotic Technology

Robotic-assisted radical prostatectomy (RARP) is a popular current minimally invasive surgical treatment option for organ-confined prostate cancer (PCa). The benefits of RARP concerning fully articulating robotic arms and three-dimension (3D) vision are widely accepted. However, the cost of the RARP is the main limitation. Laparoscopic radical prostatectomy (LRP) has been still in usage for its minimally invasive features, but it is a very complex procedure, has negative effects on surgeons’ ergonomics, and has a limited vision on 2D. At his point, LRP with articulating devices and 3D vision is logical. We here reported an extraperitoneal LRP case with articulating laparoscopic instruments (Kymerax®, Terumo, Hatagaya, Tokyo, Japan) with the 3D visualizing system (Viking Systems, La Jolla; CA). To our knowledge, this is the first extraperitoeneal LRP using this set, in the literature.