DATE OF OPERATION: MM/DD/YYYY
PREOPERATIVE DIAGNOSIS: Carcinoma of the prostate.
POSTOPERATIVE DIAGNOSIS: Carcinoma of the prostate.
OPERATION PERFORMED: Laparoscopic robotic radical prostatectomy.
SURGEON: John Doe, MD
ASSISTANT: Jane Doe, NP
ANESTHESIA: General.
DESCRIPTION OF OPERATION: Under general anesthesia, in the supine, steep Trendelenburg position, the patient was properly and sterilely prepped and draped. Pneumoperitoneum was carried out above the umbilicus with Veress needle to 20 mm pressure. A 12 mm port was placed and this was done with direct vision. Excellent entry into the abdomen was noted. Left lower, left mid, and right mid 8 mm robotic ports were placed, right lower quadrant 12 mm port was placed, and a 5 mm right upper quadrant working port was placed.
Attention was turned towards bringing the robot, and it was docked in the usual fashion in steep Trendelenburg. Bladder was dropped in the usual fashion. Prostate was mobilized from apex to base. Dorsal vein complex was ligated with 2-0 PDS and 2-0 Vicryl suture and 2-0 PDS suspending suture. Bladder neck was transected anterior and posterior, and Denonvilliers’ space was entered. Vas were ligated. Seminal vesicles were dissected free. Unilateral nerve sparing was carried out. The rectum was spared. Urethra was transected, and the prostate and seminal vesicles were removed en bloc, placed in an EndoCatch bag for later retrieval. Anastomosis was carried out with 2-0 PDS V-Loc suture, starting at 6 o’clock and running to 12 o’clock. An 18-French Foley catheter was placed and the return was clear. Irrigation showed no leaks. A #19 Blake drain was placed through the right robotic port, placed in the space of Retzius, and sutured to the skin with 2-0 nylon suture.
Sponge and needle count and instrument count were correct x2. Estimated blood loss was 50 mL. No blood was transfused. There were no complications. The robot was undocked. The specimen was brought out the camera port. The fascia was closed with interrupted running 2-0 Vicryl suture. Skin was closed with 4-0 Monocryl and Dermabond. The patient was very stable throughout and left the operating room for recovery in satisfactory and stable condition.
