{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,19]],"date-time":"2026-03-19T14:20:23Z","timestamp":1773930023627,"version":"3.50.1"},"reference-count":3,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2017,2,26]],"date-time":"2017-02-26T00:00:00Z","timestamp":1488067200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["bjui-journals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJU International"],"published-print":{"date-parts":[[2017,6]]},"abstract":"\n Objective<\/jats:title>\n \n To describe a step\u2010by\u2010step guide to robot\u2010assisted anterior partial prostatectomy (\n RA<\/jats:styled-content>\n \u2010\n APP<\/jats:styled-content>\n ) for isolated magnetic resonance imaging (\n MRI<\/jats:styled-content>\n )\u2010detected anterior prostate cancer (\n APC<\/jats:styled-content>\n ).\n <\/jats:p>\n <\/jats:sec>\n \n Patients and Methods<\/jats:title>\n \n After Institutional Review Board approval, over an 8\u2010year period (2008\u20132015), 17 consenting patients were enrolled in a prospective, single\u2010arm, single\u2010centre, Idea, Development, Evaluation, Assessment and Long\u2010term evaluation of innovative surgery (\n IDEAL<\/jats:styled-content>\n ) phase 2a study. The inclusion criteria comprised pre\u2010urethral, low\u2013intermediate risk\n APC<\/jats:styled-content>\n diagnosed by\n MRI<\/jats:styled-content>\n and targeted biopsies. Patient position and port placement were identical to the transperitoneal\n RA<\/jats:styled-content>\n radical prostatectomy procedure. Three steps of dissection were identified in the following order: (i) retrograde apical, after dorsal venous plexus division, transition zone (\n TZ<\/jats:styled-content>\n ) enucleation, and distal peripheral zone (\n PZ<\/jats:styled-content>\n ) sectioning; (ii) antegrade, at the bladder neck (\n BN<\/jats:styled-content>\n ) after anterior\n BN<\/jats:styled-content>\n sectioning,\n TZ<\/jats:styled-content>\n enucleation up to the verumontanum; and (iii) lateral dissections, including anterolateral\n PZ<\/jats:styled-content>\n sectioning without incision of the endopelvic fascia. We report the incidence of perioperative complications. The\n RA<\/jats:styled-content>\n completion of prostatectomy in four cases with cancer recurrence was performed at 0.3, 2.5, 2 and 2\u00a0years, respectively.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n The\n RA<\/jats:styled-content>\n \u2010\n APP<\/jats:styled-content>\n comprised\n en bloc<\/jats:italic>\n excision of the anterior part of the prostate comprising of the anterior fibromuscular stroma,\n BN<\/jats:styled-content>\n , prostate adenoma (\n TZ<\/jats:styled-content>\n and median lobe) along with the proximal prostate urethra,\n PZ<\/jats:styled-content>\n apical anterior horns, anterior aspect of the distal (sub\u2010montanal) urethra, and anterior\n BN<\/jats:styled-content>\n . The posterolateral parts of the\n PZ<\/jats:styled-content>\n and distal (sub\u2010montanal) urethra and peri\u2010prostatic tissues were preserved intact. The bladder opening was sutured to the anterior sphincteric urethra wall and\n PZ<\/jats:styled-content>\n lateral edges. The technique was feasible in all cases with no conversion to an open procedure. Perioperative complications were only Clavien\u2013Dindo grade\n II<\/jats:styled-content>\n .\n RA<\/jats:styled-content>\n completion of prostatectomy was feasible in the four cases with cancer recurrence.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n \n PZ<\/jats:styled-content>\n prostate\u2010sparing\n RA<\/jats:styled-content>\n \u2010\n APP<\/jats:styled-content>\n for isolated\n APC<\/jats:styled-content>\n is feasible and safe, and represents an option for highly selected men with\n APC<\/jats:styled-content>\n s as an alternative to other focal ablative therapy.\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/bju.13785","type":"journal-article","created":{"date-parts":[[2017,1,23]],"date-time":"2017-01-23T04:13:30Z","timestamp":1485144810000},"page":"968-974","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":21,"title":["Robot\u2010assisted partial prostatectomy for anterior prostate cancer: a step\u2010by\u2010step guide"],"prefix":"10.1111","volume":"119","author":[{"given":"Arnauld","family":"Villers","sequence":"first","affiliation":[{"name":"Department of Urology CHU Lille Universit\u00e9 de Lille Lille France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vincent","family":"Flamand","sequence":"additional","affiliation":[{"name":"Department of Urology CHU Lille Universit\u00e9 de Lille Lille France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rodr\u00edguez\u2010Carlin","family":"Arqu\u00edmedes","sequence":"additional","affiliation":[{"name":"Clinica INDISA, Facultad de Medicina Universidad Andr\u00e9s Bello Santiago Chile"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Philippe","family":"Puech","sequence":"additional","affiliation":[{"name":"Department of Radiology CHU Lille Universit\u00e9 de Lille Lille France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Georges\u2010Pascal","family":"Haber","sequence":"additional","affiliation":[{"name":"Glickman Urological and Kidney Institute Cleveland Clinic Cleveland OH USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mihir M.","family":"Desai","sequence":"additional","affiliation":[{"name":"USC Institute of Urology Catherine & Joseph Aresty Department of Urology University of Southern California Los Angeles CA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sebastien","family":"Crouzet","sequence":"additional","affiliation":[{"name":"Urology and Transplantation Department Edouard Herriot Hospital Universit\u00e9 de Lyon Lyon France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adil","family":"Ouzzane","sequence":"additional","affiliation":[{"name":"Department of Urology CHU Lille Universit\u00e9 de Lille Lille France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Inderbir S.","family":"Gill","sequence":"additional","affiliation":[{"name":"USC Institute of Urology Catherine & Joseph Aresty Department of Urology University of Southern California Los Angeles CA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,2,26]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2016.08.057"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2008.02.011"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2012.05.057"}],"container-title":["BJU International"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fbju.13785","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/bjui-journals.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/bju.13785","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T17:07:43Z","timestamp":1761757663000},"score":1,"resource":{"primary":{"URL":"https:\/\/bjui-journals.onlinelibrary.wiley.com\/doi\/10.1111\/bju.13785"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,2,26]]},"references-count":3,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2017,6]]}},"alternative-id":["10.1111\/bju.13785"],"URL":"https:\/\/doi.org\/10.1111\/bju.13785","archive":["Portico"],"relation":{},"ISSN":["1464-4096","1464-410X"],"issn-type":[{"value":"1464-4096","type":"print"},{"value":"1464-410X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,2,26]]},"assertion":[{"value":"2017-02-26","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}