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Cirugía y cirujanos
On-line version ISSN 2444-054XPrint version ISSN 0009-7411
Abstract
YıLMAZ, Kayhan et al. Robotic-assisted laparoscopic radical prostatectomy: Initial outcomes of 500 cases. Cir. cir. [online]. 2022, vol.90, n.6, pp.770-774. Epub Dec 09, 2022. ISSN 2444-054X. https://doi.org/10.24875/ciru.22000289.
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 6th month and 91% in the 12th month.
Conclusion:
RARP is a safe and feasible method for experienced centers with patient comfort, surgeon comfort, and successful oncological and functional results.
Keywords : Prostatectomy; Prostate cancer; Robotic; Outcomes.