Robotic-assisted laparoscopic radical prostatectomy: Initial outcomes of 500 cases Prostatectomía radical laparoscópica asistida por robot: resultados iniciales de 500 casos
Cirugia y Cirujanos (English Edition), cilt.90, sa.6, ss.770-774, 2022 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 90 Sayı: 6
- Basım Tarihi: 2022
- Doi Numarası: 10.24875/ciru.22000289
- Dergi Adı: Cirugia y Cirujanos (English Edition)
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, EMBASE, MEDLINE, Directory of Open Access Journals
- Sayfa Sayıları: ss.770-774
- Anahtar Kelimeler: Prostatectomy, Prostate cancer, Robotic, Outcomes
- Açık Arşiv Koleksiyonu: AVESİS Açık Erişim Koleksiyonu
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Introduction: We aimed to present our experience of robot-assisted laparoscopic radical prostatectomy (RARP). Material and Methods: The study was a retrospective review of 500 patients who underwent RARP between March 2015 and July 2021 in our clinic. A transperitoneal approach was used in all patients. All patients had clinically organ-confined prostate cancer (≤ cT2c). Results: The mean age of the patients was 64.6 ± 5.7 years. The median PSA was 11.4 ng/dL (range 0.3-92.7). The mean operative time was 183.5 min. Positive surgical margin rate was 19.4%. During a mean follow-up of 23.5 months, 96 patients (19.2%) received adjuvant radiotherapy due to the biochemical recurrence and 28 patients (16%) with lymph node positivity received early adjuvant hormone therapy. Considering the continence rates, 69% of the patients were total continence in the 3rd month, while this rate increased to 83 in the 6thmonth and 91% in the 12thmonth. Conclusion: RARP is a safe and feasible method for experienced centers with patient comfort, surgeon comfort, and successful oncological and functional results.