Laparo-Endoscopic Single Site (LESS) Robotic Radical Prostatectomy in An Asian Man with Prostate Cancer: An Initial Case Report
Sunai Leewansangtong MD*, Puttipannee Vorrakitkatorn MD**, Teerapon Amornvesukit MD*, Tawatchai Taweemonkongsap MD*, Chaiyong Nualyong MD*, Phichaya Sujijantararat MD*
Affiliation : * Division of Urology, Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand ** Department of Anesthesiology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand
Objective : To report the feasibility of laparo-endoscopic single site (LESS) robotic radical prostatectomy
performed in Asian man.
Material and Method: A 71 year-old man with adenocarcinoma of prostate presented at Faculty of Medicine
Siriraj Hospital, Bangkok. Prostate-specific antigen level was 16.5 ng/ml and digital rectal examination
approximately showed 30 gram prostate with nodule in both lobes. No clinical metastasis was found. Leuprorelin
acetate and 50 mg of bicalutamide were used for 3 months. The patient’s body mass index was 22 and healthy.
With the consent form signed, laparo-endoscopic single site (LESS) robotic radical prostatectomy was
performed with the robot daVinci S system.
Results : The total operative time was 335 minutes; docking time was 12 minutes; console time was 275
minutes. The estimate blood loss was 250 ml and no blood transfusion required. No intraoperative or post-
operative complication was found. Jackson drain was removed within 60 hours after surgery. The patient was
discharged from the hospital within 84 hours after surgery. The urethral catheter was removed within 14 days
after surgery
Conclusion : Laparo-endoscopic single site (LESS) robotic radical prostatectomy is feasible to be performed.
In the initial experience, patient selection is required.
Keywords : Prostate neoplasm, Radical prostatectomy, Laparo-endoscopic single site surgery, Robotic surgery
