{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,4]],"date-time":"2026-01-04T02:51:39Z","timestamp":1767495099627},"reference-count":23,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2015,7,21]],"date-time":"2015-07-21T00:00:00Z","timestamp":1437436800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clinical Anatomy"],"published-print":{"date-parts":[[2015,10]]},"abstract":"<jats:p>To provide an overview of the anatomical landmarks needed to guide a retropubic (Retzius)\u2010sparing robot\u2010assisted laparoscopic prostatectomy (RALP), and a step\u2010by\u2010step description of the surgical technique that maximizes preservation of the periprostatic neural network. The anatomy of the pelvic fossae is presented, including the recto\u2010vesical pouch (pouch of Douglas) created by the reflections of the peritoneum. The actual technique of the trans\u2010Douglas, intrafascial nerve\u2010sparing robotic radical prostatectomy is described. The technique allows the prostate gland to be shelled out from under the overlying detrusor apron and dorsal vascular complex (DVC\u2010Santorini plexus), entirely avoiding the pubovesical ligaments. There is no need to control the DVC, since the line of dissection passes beneath the plexus. Three key points to ensure enhanced nerve preservation should be respected: (1) the tips of the seminal vesicles, enclosed in a \u201ccage\u201d of neuronal tissue; a seminal vesicle\u2010sparing technique is therefore advised when oncologically safe; (2) the external prostate\u2010vesicular angle; (3) the lateral surface of the prostate gland and the apex. The principles of tension and energy\u2010free dissection should guide all the maneuvers in order to minimize neuropathy. Using robotic technology, a complete intrafascial dissection of the prostate gland can be achieved through the Douglas space, reducing surgical trauma and providing excellent functional and oncological outcomes.  Clin. Anat. 28:896\u2013902, 2015. \u00a9 2015 Wiley Periodicals, Inc.<\/jats:p>","DOI":"10.1002\/ca.22576","type":"journal-article","created":{"date-parts":[[2015,7,21]],"date-time":"2015-07-21T06:43:40Z","timestamp":1437461020000},"page":"896-902","source":"Crossref","is-referenced-by-count":37,"title":["Retzius\u2010sparing robot\u2010assisted laparoscopic radical prostatectomy: Critical appraisal of the anatomic landmarks for a complete intrafascial approach"],"prefix":"10.1002","volume":"28","author":[{"given":"Anastasios D.","family":"Asimakopoulos","sequence":"first","affiliation":[{"name":"Department of Experimental Medicine and Surgery UOC of Urology, University of Rome Tor Vergata, Policlinico Casilino Rome Italy"},{"name":"Department of Urology Clinique Saint\u2010Augustin Bordeaux France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roberto","family":"Miano","sequence":"additional","affiliation":[{"name":"Department of Experimental Medicine and Surgery UOC of 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