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Falavolti et al. Mini-invasive Surg 2017;1:35-40 Mini-invasive Surgery
DOI: 10.20517/2574-1225.2016.08
www.misjournal.net
Original Article Open Access

Robot-assisted simple prostatectomy with

temporary internal iliac arteries clamping:

our preliminary results

Cristina Falavolti , Tommasangelo Petitti , Maurizio Buscarini 2
2
1
1 Department of Urology, Villa Betania Hospital, 00165 Rome, Italy.
2 Department of Hygiene, Campus Bio-Medico University of Rome, 00165 Rome, Italy.
Correspondence to: Dr. Cristina Falavolti, Department of Urology, Villa Betania Hospital, Via Pio IV 42, 00165 Rome, Italy.
E-mail: c.falavolti@hotmail.com

How to cite this article: Falavolti C, Petitti T, Buscarini M. Robot-assisted simple prostatectomy with temporary internal iliac arteries clamping: our
preliminary results. Mini-invasive Surg 2017;1:35-40.

Dr. Cristina Falavolti is a young urologist working at Villa Betania Hospital of Rome. She received her medical degree
from University Campus Bio-Medico of Rome in 2010 and completed her residency in Urology with honors at the same
University in July 2016. She spent one year at Memorial Sloan Kettering – Cancer Center of New York City working
with the bladder cancer group and training on robotic simulator. She published many original articles and participated
as relator in many national and international meetings. She recently obtained the EBU certification. Her fields of
interests are: (1) uro-oncological diseases (prostate, kidney and bladder cancers); (2) fusion biopsy for prostate cancer
diagnosis; (3) minimally invasive surgery (laparoscopic and robotic) and treatment of benign diseases (BPH, stones).

ABSTRACT
Article history: Aim: This study proposed the robot-assisted laparoscopic simple prostatectomy (RASP) as
Received: 12-12-2016 safe and reliable surgical option for the treatment of men with prostate size > 80 mL. It was
Accepted: 05-03-2017 aimed to evaluate preoperative and postoperative results in RASP using a surgical variation
Published: 31-03-2017 to the standard technique: the temporary bilateral internal iliac arteries clamping. Methods:
This study analyzed 18 patients underwent RASP with temporary clamping of bilateral internal
Key words: iliac arteries. Procedures were performed by two surgeons in two different hospitals using the
Benign prostatic hyperplasia, same surgical technique. Preoperative and postoperative data were collected and statistically
clamping, analyzed. Results: The temporary clamping duration was less than 12 min during each
prostatectomy, adenoma’s enucleation. Despite the vascular control, the median operating time was similar
robotic to RASP performed without iliac clamping. The results showed minimal blood loss, a median
catheter duration of 5 days, a median duration of postoperative continuous catheter irrigation
of 41 h, and short hospitalization (3.2 days). A significant corellation was observed between
the estimated blood loss and the duration of irrigation. Conclusion: RASP performed with
bilateral vascular control, combined with the known benefits of minimally invasive surgery
resulted in bleeding reduction. The minimal blood loss further reduces catheter duration,
decreases continuous catheter irrigation and patient’s hospitalization duration.

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