Operative Report

Topics: Urology, Pelvis, Prostate Pages: 3 (743 words) Published: February 1, 2012
Patient Name: Richard Cates
Patient ID: 002876DOB: 02/02 Age: 53 Sex: M
Date of Admission: 01/25/2012
Date of Procedure: 01/26/2012
Admitting Physician: Bernard Kester, MD
Surgeon: Bernard Kester, MD
Assistant: Jimmy Dale Jett, RN, Circulating Nurse
Preoperative Diagnosis: Prostate Cancer.
Postoperative Diagnosis: Prostate Cancer.
Operative Procedure: Laparoscopic radical prostatectomy.
Anesthesia: General endotracheal by Dr. Carl Erickson Avalon. Specimen Removed: Prostate.
IV Fluids: See Nurses Notes.
Estimated Blood Loss: 600mL.
Blood Transfusions: None.
Urine Output: See Nurses Notes.
Complications: None.
INDICATIONS: This is a 53 year old Caucasian male with recently diagnosed localized prostate cancer. He presents now a laparoscopic prostatectomy. DESCRIPTION OF OPERATION: The patient was placed on the operating room table in supine position. He was prepped and draped in the usual sterile fashion. A rectal catheter was placed prior to draping the patient and a Foley catheter was placed on the field using a septic technique. A midline infraumbilical incision approximately 2cm in length was made. The section was carried down to level of the fascia, which was incised in the midline. The space of Retzius was developed bluntly with the index finger and then the peritoneum was swept cephalad to allow pararectal 12mm trocar placement bilaterally. These were placed and the balloon trocar was placed in the midline incision. Subsequently under lapascropic vision, the space was developed such that the pubis was identified. The peritoneum

Patient Name: Richard Cates
Patient ID: 002876
Date of Procedure: 01/26/2012
Page 2

was again swept cephalad laterally, such that the 5ml trocars could be placed at the anterior superior iliac spine bilaterally. The endopelvic fascia was incised and the puboprostatic ligaments were incised and stints were placed around the dorsal venous complex....
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