{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T16:50:52Z","timestamp":1792169452533,"version":"4.4.0"},"reference-count":20,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T00:00:00Z","timestamp":1781740800000},"content-version":"vor","delay-in-days":168,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Asian J Endoscop Surgery"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Published experience with Retzius\u2010sparing laparoscopic radical prostatectomy remains limited, particularly in nonrobotic settings. We aimed to describe procedural completion, perioperative safety, and descriptive functional and early oncologic outcomes in an initial 30\u2010case implementation series with minimum 18\u2010month follow\u2010up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a retrospective single\u2010center study of 30 consecutive men with localized prostate cancer who underwent Retzius\u2010sparing laparoscopic radical prostatectomy between October 2022 and November 2023. All procedures were performed by a single experienced laparoscopic surgeon. The co\u2010primary endpoints were procedural completion pattern and perioperative safety within 30\u2009days. Secondary endpoints included positive surgical margins, social urinary continence, erectile function, and early oncologic outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Twenty\u2010six of 30 procedures (86.7%) were completed entirely through the posterior Retzius\u2010sparing approach, whereas four cases (13.3%) required limited prevesical release for hybrid anterior completion; no open conversions occurred. Three of these four hybrid completions occurred within the first tertile of the series. Mean operative time was 224.6\u2009min and mean estimated blood loss was 307.7\u2009mL. Major complications occurred in four patients (13.3%), including one distal ureteral injury requiring laparoscopic reoperation and ureteral reimplantation. Positive surgical margins were found in seven patients (23.3%). Social continence rates using a 0\u20131 safety pad\/day definition were 23.3% at catheter removal, 36.7% at 1\u2009month, 60.0% at 3\u2009months, 83.3% at 6\u2009months, and 93.3% at both 12 and 18\u2009months. Strict 0\u2010pad continence was not systematically recorded. Persistent PSA and biochemical recurrence were observed in 6.7% and 20.0% of patients, respectively, during available follow\u2010up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Retzius\u2010sparing laparoscopic radical prostatectomy was technically feasible in selected patients in a nonrobotic setting, with full posterior completion achieved in most cases and hybrid anterior completion required in a minority during early adoption. Functional and oncologic outcomes should be interpreted cautiously given the retrospective single\u2010arm design, small cohort, complication profile, heterogeneous mpMRI use, and limited follow\u2010up.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ases.70332","type":"journal-article","created":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T00:58:57Z","timestamp":1781830737000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Retzius\u2010Sparing Laparoscopic Radical Prostatectomy in A Nonrobotic Setting: A 30\u2010Case Implementation Series With Minimum 18\u2010Month Follow\u2010Up"],"prefix":"10.1111","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1827-7361","authenticated-orcid":false,"given":"Joaquin","family":"Fernandez\u2010Alberti","sequence":"first","affiliation":[{"name":"Urology Department Hospital Britanico de Buenos Aires  Ciudad Aut\u00f3noma de Buenos Aires Argentina"},{"name":"Departamento de Posgrado, Facultad de Ciencias Medicas Pontificia Universidad Catolica Argentina  Buenos Aires Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Glenda","family":"Ernst","sequence":"additional","affiliation":[{"name":"Department of Statistics Hospital Britanico de Buenos Aires  Ciudad Aut\u00f3noma de Buenos Aires Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3763-108X","authenticated-orcid":false,"given":"Guillermo","family":"Scolari","sequence":"additional","affiliation":[{"name":"Urology Department Hospital Britanico de Buenos Aires  Ciudad Aut\u00f3noma de Buenos Aires Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alex Villaalta","family":"Lopez","sequence":"additional","affiliation":[{"name":"Urology Department Hospital Britanico de Buenos Aires  Ciudad Aut\u00f3noma de Buenos Aires Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicolas","family":"Panzardi","sequence":"additional","affiliation":[{"name":"Urology Department Hospital Britanico de Buenos Aires  Ciudad Aut\u00f3noma de Buenos Aires Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcelo","family":"Featherston","sequence":"additional","affiliation":[{"name":"Urology Department Hospital Britanico de Buenos Aires  Ciudad Aut\u00f3noma de Buenos Aires Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pablo Miguel","family":"Martinez","sequence":"additional","affiliation":[{"name":"Urology Department Hospital Britanico de Buenos Aires  Ciudad Aut\u00f3noma de Buenos Aires Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,18]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2025.02931"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2023.08.017"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2010.06.027"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2017.04.027"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/JU.0000000000001384"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.3389\/fonc.2025.1547687"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41585\u2010019\u20100200\u20103"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1089\/vid.2016.0044"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/ases.70123"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2011.10.044"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2024.06.010"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.6004\/jnccn.2023.0050"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0090\u20104295(97)00238\u20100"},{"key":"e_1_2_13_15_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e3181b13ca2"},{"key":"e_1_2_13_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/bju.14106"},{"key":"e_1_2_13_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464\u2010410X.2012.11639.x"},{"key":"e_1_2_13_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ucl.2020.09.012"},{"key":"e_1_2_13_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.euf.2021.08.003"},{"key":"e_1_2_13_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2017.11.116"},{"key":"e_1_2_13_21_1","doi-asserted-by":"publisher","DOI":"10.1080\/21681805.2024.2318387"}],"container-title":["Asian Journal of Endoscopic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ases.70332","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/ases.70332","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ases.70332","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T16:09:14Z","timestamp":1792166954000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ases.70332"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":20,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1111\/ases.70332"],"URL":"https:\/\/doi.org\/10.1111\/ases.70332","archive":["Portico"],"relation":{},"ISSN":["1758-5902","1758-5910"],"issn-type":[{"value":"1758-5902","type":"print"},{"value":"1758-5910","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]},"assertion":[{"value":"2026-04-16","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-06-08","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-06-18","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70332"}}