Results of robotic radical prostatectomy in the hands of surgeons without previous laparoscopic radical prostatectomy experience
Turkish Journal of Medical Sciences, cilt.42, sa.SUPPL.1, ss.1338-1346, 2012 (SCI-Expanded, Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 42 Sayı: SUPPL.1
- Basım Tarihi: 2012
- Doi Numarası: 10.3906/sag-1107-66
- Dergi Adı: Turkish Journal of Medical Sciences
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.1338-1346
- Anahtar Kelimeler: Robot assisted, laparoscopic, radical prostatectomy, prostate cancer, outcomes
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Aim: We report our initial experience related with robot-assisted laparoscopic radical prostatectomy (RALRP) performed by a urologic surgeon without previous laparoscopic radical prostatectomy (LRP) experience. Materials and methods: The data of the first 70 patients who underwent RALRP between February 2009 and February 2010 are presented. Results: Mean console time was 214 ± 55.5 min with pelvic lymph node dissection (LND) in 14 patients. Mean intraoperative blood loss was 215 ± 227.3 cc. Fourteen patients had positive surgical margins: pT3 (n = 12) and pT2 (n = 2). Lodge drains and urethral catheters were removed at a mean of 2.9 ± 2.7 and 11.6 ± 5.9 days, respectively. Fortythree of 58 patients (82.9%) had urinary control at the 3-month follow-up. Regarding the patients with preoperative IIEF scores > 19 (mean: 47.6 ± 17.0, n = 46), mean IIEF score was 45.3 ± 9.9 (n = 11) at the 9-month follow-up. Regarding patients with preoperative IIEF scores of 13-18 (mean: 16.3 ± 1.1, n = 6), mean IIEF score was 17.0 ± 3.5 (n = 3) at the 9-month follow-up. One patient who could not tolerate CO2 insufflation was switched to open surgery due to deep acidosis development. Rectal injury occurred in 1 patient and was repaired robotically without postoperative problems. Conclusion: Previous LRP experience is not essential in order to perform RALRP, which can be learned and performed easily. Additionally, short-term surgical results and pathological outcomes of RALRP are excellent and satisfactory, respectively. © TÜBİTAK.