ArticleAnnals of surgical oncology2026
Conformal Intrafascial Robot-Assisted Laparoscopic Radical Prostatectomy via the Anterior Approach: Optimizing Functional Outcomes.
Article in Annals of surgical oncology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
2 citing papers in PubMed.
- ASO Editorial: Beyond Negative Margins-What Does Uncertain Resection Really Mean?Annals of surgical oncology · 2026Article
- ASO Author Reflections: Optimizing Functional Preservation in RARP for Localized Prostate Cancer.Annals of surgical oncology · 2026Article
Corrections and comments
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Authors and funding
9 authors.
Funding
Abstract
purposePropose the conformal intrafascial robot-assisted laparoscopic radical prostatectomy (RARP) via the anterior approach as a reproducible way to maximally preserve neurovascular bundle (NVB) and improve functional outcomes.
methodsThis is an IDEAL stage 2a-2b feasibility prospective cohort with pre-defined outcomes metrics, which include 50 consecutive patients undergoing RARP performed by a single surgeon (Y.C.G.). The bladder neck is incised medially close to the base of prostate by improved HOOD-sparing technology. The posterior prostatic capsule is marked, whilst tiny blood vessels are controlled with monopolar cauterization, and clips are avoided. The NVB is released antegradely towards the prostatic apex. Potency was defined as a Sexual Health Inventory for Men score ≥ 17; incontinence was defined as daily use of > 1 pads.
resultsThe median age of the patients was 63 years. The mean console time was 75 min; 100% had bilateral nerve sparing; 96% were pT2, and 4% were pT3. Overall positive surgical margins rate was 16% (8/50). Two patients (4%) received adjuvant or salvage radiotherapy. At 12 months after surgery, biochemical recurrence occurred in one patient (2%). Immediate continence rate was 62% (31/50), and 100% were continent at 1 year. Thirty-three patients(66%) were potent 3 months postoperatively, while 43 patients (86%) were potent 1 year after surgery. Trifecta were achieved for 43 (86%) patients at 12 months.
conclusionsConformal intrafascial RARP via the anterior approach is a reproducible way to minimize NVB injury, thereby achieving promising oncological and functional outcomes in our preliminary cohort.
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Registered trials
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