[Initial experience with robot-assisted laparoscopic prostatectomy for complicated cases].

OBJECTIVE: To present our initial experience with robot-assisted laparoscopic prostatectomy (RALP) for complicated cases.
 Methods: Clinical and pathological data from 4 complicated prostate cancer cases, who underwent RALP from October to November in 2015, were analyzed retrospectively. All the cases were conducted transurethral plasmakinetic enucleation of prostate and hormonal therapy before RALP.
 Results: All surgeries were done successfully. The age, baseline prostatic special antigen, clinical tumor stage, operation time and estimated blood loss were 58-70 years, 6.04-70.15 ng/mL, T2b-T3b, 210-360 min and 50-250 mL, respectively. No blood transfusion was needed. All surgical margin were negative.
 Conclusion: Although previous transurethral surgeries and hormonal therapies may increase the difficulty for operations, RALP is still appropriate for the complicated cases of prostate cancer.